Agenda packet — Placentia City Council, July 11, 2023 (part 1 of 4)

Mayor Ward L. Smith
District 5
Mayor Pro Tem Jeremy B. Yamaguchi
District 3
Kevin Kirwin
Councilmember
District 2
Rhonda Shader
Councilmember
District 1
Chad P. Wanke
Councilmember
District 4
Robert S. McKinnell
City Clerk
Kevin A. Larson
City Treasurer
Damien R. Arrula
City Administrator
Christian L. Bettenhausen
City Attorney
City of Placentia
401 E. Chapman Avenue
Placentia, CA 92870
Phone: (714) 993-8117
Fax: (714) 961-0283
Email:
[email protected]
Website: www.placentia.org
Regular Meeting Agenda
July 11, 2023
Placentia City Council
Placentia City Council Acting as Successor Agency to the Placentia Redevelopment Agency
Placentia Industrial Commercial Development Authority
Placentia Public Financing Authority
Mi iQ Statement
The/City Coi ncilia-comnttted'to- keep Pla.centia aipleasant place/ by provid.Gn,g•waafe fa.wnily atno- phere, superior pul>i+cbevvtces-a.n.d/poli,o e4/ that pro-nate the- h cd-heft sta iul rd4- of comet 44Lty Life:

VC ovvStztement
The/ City of Place ntta will ma inta.iw an/ opew, han.e,st reapo nm:ve; a.n.& innm.avatwe goverwment that d e iverk quality service ,- itti cv fair and/ equ.ita.Ule ma.wn.er while/ optuni0v, availab-le repo w'ces:

Copies of all agenda materials are available for public review in the Office of the City Clerk, online at www.placentia.org , and at the Placentia Library Reference Desk.

Persons who have questions concerning any agenda item may call the City Clerk's Office, (714) 993-8231, to make inquiry concerning the nature of the item described on the agenda.

Procedures for Addressing the Council/Board Members
Any person who wishes to speak regarding an item on the agenda or on a subject within the City's jurisdiction during the "Oral Communications" portion of the agenda should fill out a "Speaker Request Form" and give it to the City Clerk BEFORE that portion of the agenda is called. Testimony for Public Hearings will only be taken at the time of the hearing. Any person who wishes to speak on a Public Hearing item should fill out a "Speaker Request Form" and give it to the City Clerk BEFORE the item is called.

The Council and Board members encourage free expression of all points of view. To allow all persons the opportunity to speak, please keep your remarks brief. If others have already expressed your position, you may simply indicate that you agree with a previous speaker. If appropriate, a spokesperson may present the views of an entire group. To encourage all views, the Council and Board discourage clapping, booing or shouts of approval or disagreement from the audience.

PLEASE SILENCE ALL PAGERS, CELL PHONES, AND OTHER ELECTRONIC EQUIPMENT WHILE COUNCIL AND BOARD MEMBERS ARE IN SESSION.

Special Accommodations
In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, please contact the City Clerk's Office at (714) 993-8231.

Notification 48 hours prior to the meeting will generally enable City Staff to make reasonable arrangements to ensure accessibility.
(28 CFR 35.102.35.104 ADA Title II)
In compliance with California Government Code § 54957.5, any writings or documents provided to a majority of the City Council regarding any item on this agenda that are not exempt from disclosure under the Public Records Act will be made available for public inspection at the City Clerk's Office at City Hall, 401 East Chapman Avenue, Placentia, during normal business hours.

Study Sessions are open to the public and held in the City Council Chambers or City Hall Community Room. Executive Sessions are held in the Council Caucus Room. While the public may be in attendance during oral announcements preceding Executive Sessions, Executive Sessions are not open to the public.

Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023

Page 1 of 9 ends

PLACENTIA CITY COUNCIL

PLACENTIA CITY COUNCIL ACTING AS SUCCESSOR AGENCY TO THE

PLACENTIA REDEVELOPMENT AGENCY

PLACENTIA INDUSTRIAL COMMERCIAL DEVELOPMENT AUTHORITY

PLACENTIA PUBLIC FINANCING AUTHORITY

REGULAR MEETING AGENDA - CLOSED SESSION
July 11, 2023
5:30 p.m. - City Council Chambers
401 E. Chapman Avenue, Placentia, CA
CALL TO ORDER:

ROLL CALL:

Councilmember/Board Member Kirwin
Councilmember/Board Member Shader
Councilmember/Board Member Wanke
Mayor Pro Tem/Board Vice Chair Yamaguchi
Mayor/Board Chair Smith
ORAL COMMUNICATIONS:

At this time, the public may address the City Council and Boards of Directors concerning any items on the Closed Session Agenda only. There is a five (5) minute time limit for each individual addressing the City Council and Boards of Directors.

The City Council and Boards of Directors will recess to the City Council Caucus Room for the purpose of conducting their Closed Session proceedings.

1. Pursuant to Government Code Section 54956.9(d)(2)
I I❑❑R❑❑❑❑ED ECQ❑❑❑CQC❑❑❑❑❑C+H❑ ❑❑dEIEE❑EEE❑❑
Wall Vines

2. Pursuant to Government Code Section 54957.6
I❑❑❑❑R❑❑❑❑O1=]CIZ❑❑❑RIFE E❑EDIR❑
Agency Designated Representatives: Damien Arrula, City Administrator Alice Burnett, Director of Human Resources
Employee Organization: Placentia Police and Fire Management Association (PPFMA)

3. Pursuant to Government Code Section 54956.8
❑ ❑❑❑❑❑R❑❑❑❑O IIE R❑❑❑IRC❑❑R❑❑r❑❑❑❑rm❑❑R❑
Property: 207-209 W. Crowther Avenue
Agency Negotiator: Damien R. Arrula, City Administrator Negotiating Party: Damien R. Arrula, City Administrator Under Negotiations: Price and Terms of Payment

4. Pursuant to Government Code Section 54956.9(d)(4)
❑❑❑❑❑R❑❑= ❑ LLE=ICQC❑❑❑❑M-EIECE❑
EEC
❑E❑❑
❑❑
RECESS: The City Council and Boards of Directors will recess to their 7:00 p.m. Regular Meeting.

Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023 Page 2 of 9

PLACENTIA CITY COUNCIL

PLACENTIA CITY COUNCIL ACTING AS SUCCESSOR AGENCY TO THE

PLACENTIA REDEVELOPMENT AGENCY

PLACENTIA INDUSTRIAL COMMERCIAL DEVELOPMENT AUTHORITY

PLACENTIA PUBLIC FINANCING AUTHORITY

REGULAR MEETING AGENDA
July 11, 2023
7:00 p.m. — City Council Chambers
401 E. Chapman Avenue, Placentia, CA
CALL TO ORDER:

ROLL CALL:

Councilmember/Board Member Kirwin
Councilmember/Board Member Shader
Councilmember/Board Member Wanke
Mayor Pro Tem/Board Vice Chair Yamaguchi
Mayor/Board Chair Smith
INVOCATION: Chaplain Sterling Bennett
PLEDGE OF ALLEGIANCE: Firefighter Josh Martin
PRESENTATIONS:
a. Supervisor Doug Chaffee
Recipients: City Council
b. Proclamation
Presenter:

Recipients:

July 2023 as Parks and Recreation Month
Mayor Smith
Karen Crocker, Director of Community Services and
Veronica Ortiz, Community Services Supervisor
CLOSED SESSION REPORT:

CITY ADMINISTRATOR REPORT:

ORAL COMMUNICATIONS:

At this time, the public may address the City Council and Boards of Directors concerning any agenda item, which is not a public hearing item, or on matters within the jurisdiction of the City Council and Boards of Directors. There is a five (5) minute time limit for each individual addressing the City Council and Boards of Directors.

CITY COUNCIL/BOARD MEMBER COMMENTS:

1.LCONSENT CALENDAR (Items 1.a. through 1.p.):

All items on the Consent Calendar are considered routine and are enacted by one motion approving the recommended action listed on the Agenda. Any Member of the City Council and Boards of Directors or City Administrator may request an item be removed from the Consent Calendar for discussion. All items removed shall be considered immediately following action on the remaining items.

1.a.

Consideration to Waive Reading in Full of all Ordinances and Resolutions Fiscal Impact: None
Recommended Action: Approve
Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023 Page 3 of 9

1.b.

1.c.

1.d.

1.e.

1.f.

City Fiscal Year 2023-24 Registers for July 11, 2023
Check Register
Fiscal Impact: $1,253,452.81
Electronic Disbursement Register
Fiscal Impact: $1,011,093.00
Recommended Action: It is recommended that the City Council:
1) Receive and file
Amendment No. 1 to HVAC Maintenance Services Agreement with F.M.Thomas Air Conditioning, Inc.

Fiscal Impact:

Expense: $ 82,747 Amendment Amount
Available s 82,747
Budget: $ 25,000
Fiscal Year 2022-23 Operating Budget
(103654-6290)
s 57,787 Fiscal Year 2023-24 Operatinc Budget
$ 37,787 (103654-6290)
$ 20,000 (103654-6130)
Recommended Action: It is recommended that the City Council:
1) Approve Amendment No. 1 to the Maintenance Services Agreement with F.M. Thomas Air Conditioning, Inc., for HVAC Maintenance Services in an amount not -to -exceed $82,747 for a revised cumulative contract amount of $196,108 for the remainder of the contract term; and
2) Authorize the City Administrator to approve contract change orders up to 10% of the revised cumulative contract amount; and
3) Authorize the City Administrator and/or his designee to execute all necessary documents, in a form approved by the City Attorney.

Award of Contract for Fire Station #1 and #2 Roof Replacement Project Fiscal Impact:

Expense: $234,555 Public Works Agreement
$ 23,455 Construction Contingency
Revenue: 5258,010 Fiscal Year 2023-24 CIP Budget
Recommended Action: It is recommended that the City Council:
1) Award a Public Works Agreement to Letner Roofing Company, for the Fire Station #1 and #2 Roof Replacement Project in the amount of $234,555; and 2) Authorize the City Administrator to approve contract change orders up to 10%, or $23,455 for a total project not -to -exceed contract amount of $258,010; and 3) Authorize the City Administrator and/or his designee to execute all necessary documents, in a form approved by the City Attorney.

Purchase of FARO 360 Degree Scanner
Fiscal Imoact:

Expense: $60,222.19 (103041-6840)
Recommended Action: It is recommended that the City Council:
1) Approve the purchase of FARO Scanner Focus Premium and related components in the amount of $60,222.19; and
2) Authorize the City Administrator and/or his designee to execute all necessary documents, in a form approved by the City Attorney.

Turbo Data Agreement for Citation Processing
Fiscal Impact:

Expense: Not to Exceed $35,000 Annually (103047-6290)
Available Budget: s35,000 FY 2023-24 Operating Budget
Recommended Action: It is recommended that the City Council:
1) Approve the Professional Services Agreement with Turbo Data Systems for an amount not to exceed $35,000 annually; and
Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023 Page 4 of 9

2) Authorize the City Administrator and/or his designee to execute all necessary documents, in a form approved by the City Attorney.

1.g.

1.h.

Consent to Assignment and Assumption of Contract
Fiscal Impact: None
Recommended Action: It is recommended that the City Council:
1) Approve the attached Consent to Assignment and Assumption of Contract document; and
2) Authorize the City Administrator and/or his designee to execute all necessary documents, in a form approved by the City Attorney.

Acceptance of Resignation from the Planning Commission
Fiscal Impact: None
Recommended Action: It is recommended that the City Council:
1) Accept the resignation of Claudia Keller from the Planning Commission; and 2) Update the City's master Commission/Committee vacancy list to include the vacancy on the Planning Commission.

1.i. Tentative Tract Map No. TTM 19233 Pertaining to the Subdivision of an +/- 1.76 Acre Lot into six parcels located at 424 N. Nevin Lane within Sp -7 (Specific Plan 7) Zoning District for the Purpose of future Single -Family Home Development
Fiscal Impact: Approximately $137,155 of total development impact fee revenue prior to construction of six new single-family residences
Recommended Action: It is recommended that the City Council:
1) Adopt Resolution R-2023-54, a Resolution of the City Council of the City of Placentia, California, adopting a categorical exemption pursuant to the California Environmental Quality Act (Public Resources Code §§ 21000-21177 and §15000 et seq. of Title 14 of the California Code of Regulations) (CEQA) and approving Tentative Tract Map No. TTM 19233 pertaining to the subdivision of property located at 424 N. Nevin Lane (Assessor's Parcel Number 341-433-05) into six developable parcels and making findings in support thereof.

1.j. Approval of Plans & Specifications and Award of Construction Contract to Loengreen, Inc., for the interior tenant improvements for the Butler Building for the Placentia Public Safety Center Project No. 5213
Fiscal Impact:

Expense:
$ 1,646,000 Total Construction Contract Amount
S 164,600 Total Construction Contingency Amount
$ 1,810,600 Total Amount
Available
Budget: $ 2,043,041 Fiscal Year 2023-24 CIP Budget
(105213-6850 JL# 229999-6850)
Recommended Action: It is recommended that the City Council:
1) Approve the engineered and architectural construction plans & specifications prepared by PBK Architects, Inc., and approve a Public Works Agreement with Loengreen, Inc., for Placentia Public Safety Center Butler Tenant Improvements in the amount of $1,646,000; and
2) Reject all other bids received and authorize return of the bid bonds; and 3) Authorize the City Administrator to approve contract change orders up to ten percent (10%) of the contract amount, or $164,600 for a total construction contract not -to - exceed amount of $1,810,600; and
4) Adopt Resolution No. R-2023-55, A Resolution of the City Council of the City of Placentia, California authorizing a budget amendment in Fiscal Year 2023-24 in compliance with City Charter of the City of Placentia §§1206 and §§1209 pertaining to appropriations for actual expenditures; and
5) Authorize the City Administrator to approve all agreements in a form approved by the City Attorney.

Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023 Page 5 of 9

1.k.

Acceptance of Construction Work, Notice of Completion and Approval of Contract Change Order No. 3 for Phase I of the Placentia Public Safety Center Project, City Project No. 5213
Fiscal Impact:

Expense: $1,324,000.00 Original Construction Contract
$ 445,921.61 Contract Change Orders
$ 1,769,921.61 Total Construction Cost
Budgeted: $6,250,000.00 FY 2023-24 CIP Project Budget
Recommended Action: It is recommended that the City Council:
1) Accept the work performed by TTS Construction, Inc., for Phase I of the Placentia Public Safety Center Project, City Project No. 5213 for a grand total amount of $1,769,921; and
2) Authorize the City Administrator to approve Contract Change Order No. 3 in the amount of $328,755.43; and
3) Authorize the City Administrator to file a Notice of Completion with the Orange County Clerk -Recorder's Office for the Project; and
4) Authorize the City Administrator to release retention funds in accordance with the terms of the contract.

Acceptance of Construction Work and Notice of Completion for the Citywide Traffic Safety Improvement Project, City Project No. 2908 Fiscal Impact:

Expense: $ 1,283,450.00 Original Construction Contract
s 43,973.85 Approved Change Orders
$ 1,327,423.85 Total Construction Cost
Budgeted: $ 1,567,742.47 FY 2021-22 & 2022-23 CIP
Project Budget
Recommended Action: It is recommended that the City Council:
1) Accept the work performed by Baker Electric, Inc. for construction of the Citywide Traffic Signal Improvement Project (HSIP Cycle 9) for a total amount of $1,327,423.85; and
2) Authorize the City Administrator to file a Notice of Completion with the Orange County Clerk -Recorder's Office for the Project; and
3) Authorize the City Administrator to release retention funds in accordance with the terms of the contract.

1.m. Resolution to Adopt a Memorandum of Understanding between the City of Placentia and the Placentia City Employees' Association Fiscal Impact:

Fiscal Year 2023-24 $ 738,872 (Estimated)
Fiscal Year 2024-25 S 416,036 (Estimated)
Total $1,154,908
Recommended Action: It is recommended that the City Council:
1) Adopt Resolution R-2023-58 approving the terms between the City and the Placentia City Employees' Association (PCEA); and
2) Adopt Resolution No. R-2023-59, A Resolution of the City Council of the City of Placentia, California authorizing a budget amendment in Fiscal Year 2023-24 in compliance with City Charter of the City of Placentia §§1206 and §§1209 pertaining to appropriations for actual expenditures; and
3) Authorize the City Administrator to execute a Memorandum of Understanding (MOU) based upon the terms for PCEA on behalf of the City, in a form approved by the City's Labor Counsel.

Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023 Page 6 of 9

1.n.

Resolution to Adopt a Memorandum of Understanding between the City of Placentia and the Placentia Firefighters' Association
Fiscal Impact:

Fiscal Year 2023-24 $ 321,108 (Estimated)
Fiscal Year 2024-25 s 224,143 (Estimated)
Total $ 545,251
Recommended Action: It is recommended that the City Council:
1) Adopt Resolution R-2023-62 approving the terms between the City and the Placentia Firefighters' Association (PFA); and
2) Adopt Resolution No. R-2023-63, A Resolution of the City Council of the City of Placentia, California authorizing a budget amendment in Fiscal Year 2023-24 in compliance with City Charter of the City of Placentia §§1206 and §§1209 pertaining to appropriations for actual expenditures; and
3) Authorize the City Administrator to execute a Memorandum of Understanding (MOU) based upon the terms for PFA on behalf of the City, in a form approved by the City's Labor Counsel.

1.o. Resolution to Adopt a Memorandum of Understanding between the City of Placentia and the Placentia Police Officers' Association Fiscal Impact:

Fiscal Year 2023-24 $ 819,236 (Estimated)
Fiscal Year 2024-25 s 523,100 (Estimated)
Total $1,342,336
Recommended Action: It is recommended that the City Council:
1) Adopt Resolution R-2023-60 approving the terms between the City and the Police Officers' Association (PPOA); and
2) Adopt Resolution No. R-2023-61, A Resolution of the City Council of the City of Placentia, California authorizing a budget amendment in Fiscal Year 2023-24 in compliance with City Charter of the City of Placentia §§1206 and §§1209 pertaining to appropriations for actual expenditures; and
3) Authorize the City Administrator to execute a Memorandum of Understanding (MOU) based upon the terms for PPOA on behalf of the City, in a form approved by the City's Labor Counsel.

1.p. Resolution to Adopt a compensation plan for the Unrepresented Mid - Management and Management Employees
Fiscal Impact:

Fiscal Year 2023-24 $ 757,911 (Estimated)
Fiscal Year 2024-25 s 381,233 (Estimated)
Total $1,139,144
Recommended Action: It is recommended that the City Council:
1) Adopt Resolution R-2023-56 approving a compensation plan for the Unrepresented Mid -Management and Management Employees for the period of July 1, 2023, through June 30, 2025; and
2) Adopt Resolution No. R-2023-57, A Resolution of the City Council of the City of Placentia, California authorizing a budget amendment in Fiscal Year 2023-24 in compliance with City Charter of the City of Placentia §§1206 and §§1209 pertaining to appropriations for actual expenditures.

2.I I PUBLIC HEARINGS:

2.a. Public Hearing and Tabulation of Ballots for Annexation into Community Facilities District No. 2014-01 (Public Services CFD) (Continued from June 20, 2023 meeting)
Fiscal Impact:

Annual Revenue: $111,915.32 (550000-4505)
Recommended Action: It is recommended that the City Council:
1) Open the continued Public Hearing concerning the annexation of the JPI Cenza development project; and
2) Receive the Staff Report, consider all public testimony, ask questions of Staff; and Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023 Page 7 of 9

3) Conduct election for annexation of the JPI Cenza TOD Project Annexation to Community Facilities District No. 2014-01 (Public Services); and 4) Close the Public Hearing; and
5) Adopt the Resolution No. R-2023-47, A Resolution of the City Council of the City of Placentia, California, Making Certain Findings, Certifying the Results of an Election and Ordering the Annexation of Territory (JPI Cenza TOD Annexation) to Community Facilities District No. 2014-01 (Public Services) and Approving the Amended Map for Said District.

3.n REGULAR AGENDA:

3.a. Study Session: Placentia Public Safety Center Update and Funding Options Fiscal Impact:

Expense: $9.7 To $10.7 Million Bond Depending on Selected Financing Structure ($20.6 Million Project Total)
Revenue: Lease Revenue Bond, Reserves, Motorola Financing Recommended Action: It is recommended that the City Council:
1) Receive and file the presentation; and
2) Select Option 1 as the preferred financing structure option for a not -to -exceed total bond issue proceed of $10 million and a maximum interest rate of 5.5%; and 3) Should the City Council elect to construct the balance of the facility, direct Staff and the Bond Financing Team to structure Lease Revenue Bonds to finance a portion of the project cost; and
4) Direct Staff to return to the City Council with the Phase 2 construction contract for its consideration and approval and bond documents to authorize the bond sale.

CITY COUNCIL/BOARD MEMBERS REQUESTS:

Council/Board Members may make requests or ask questions of Staff. If a Council/Board Member would like to have formal action taken on a requested matter, it will be placed on a future Council or Board Agenda.

ADJOURNMENT:

The City Council/Successor Agency/ICDA/PPFA Board of Directors will adjourn to a regular City Council meeting on Tuesday, July 25, 2023 at 5:30 p.m.

Adjourned in Memory of
Robert Lyons, former Councilmember and Mayor of the City of Placentia Vince Giampa, former Police Chief of the City of Placentia

TENTATIVE AGENDA FORECAST
The Tentative Agenda Forecast is subject to change up until the posting of the Agenda for the Council Meeting listed below:
• NOC: FY 21-22 Street Resurfacing Project
• NOC: Outdoor Dining Platform Project
• Construction Contract: Crowther Avenue Street Resurfacing Project • PSA Amendment for Geotechnical Services for Public Safety Building • Purchase of Public Works Maintenance Trucks
• Adopt Resolution Approving Application to SCE for Option E LED Lighting Project • Resolution Adopting the Annual Statement of Investment Policy for Fiscal Year 2023-24 • Tentative Parcel Map No. TPM 2023-113 Pertaining to the Subdivision of a 0.47 -Acre Lot into Two Parcels located at 1278 Vina Del Mar within R-1 (Single -Family Residential) Zoning District for the Purpose of Future Single -Family Home Development. • Award of Construction Contract and Bond Sale for Public Safety Building • Annual Refuse Rate Adjustment
• Proposed Senior Center/Community Center update
• Ad -Hoc Committee and Commission update
Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023 Page 8 of 9

CERTIFICATION OF POSTING
I, Carole M. Wayman, Deputy City Clerk of the City of Placentia and Assistant Secretary of the Industrial Commercial Development Authority, the Successor Agency, and the Placentia Public Financing Authority hereby certify that the Agenda for the July 11, 2023 meetings of the City Council, Successor Agency, Industrial Commercial Development Authority, and the Placentia Public Financing Authority was posted on July 6, 2023.

Carole M. Wayman
Deputy City Clerk
Placentia City Council/Successor Agency/ICDA/PPFA Agenda, July 11, 2023 Page 9 of 9

Type Vendor Name/ID Description
City of Placentia
Check Register
For 07/11/12023
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
Check Totals by ID
AP 1,253,452.81
EP
IP
OP

0.00 0.00

0.00 Fund Name
101 -General Fund (0010)
117 -Measure U Fund (0079)
208-Sccssr Agncy Ret Oblg (0054)
225 -Asset Seizure (0021)
231 -Placentia Reg Nay Cent(0078)
233 -Gen Plan Update Fees (0074)
234 -Technology Impact Fees (0075)
243 -City Quimby In Lieu Fee (0069)
246-TOD Traffic Impact Fees (0070)
248-TOD Strscape Impct Fee (0072)
265 -Landscape Maintenance (0029)
270-CDBG Fund (0030)
275 -Sewer Maintenance (0048)
280-Misc Grants Fund (0050)
401 -City Capital Projects (0033)
501 -Refuse Administration (0037)
601 -Employee Health & Wlfre (0039)
605 -Risk Management (0040)
701 -Special Deposits (0044)
Check Totals by Fund
871,595.03
67,272.85
130.54
1,810.11
168,068.33

15.00 8.75
18,096.79
900.00
900.00
2,789.34
14,371.72
25,785.91
53,861.37
9,004.28
6,884.24
1,607.37
3,294.89
7,056.29
Check Total: 1,253,452.81
Grand Total: 1,253,452.81
Void Total:

Check Total:

Funds will be transferred from the Cash Basis Fund as needed to fiord the warrants included on this warrant register

0.00 1,253,452.81

1.b.

July 11, 2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
MW OH A-1 FENCE COMPANY
V007378

MW OH AIRGAS USA
V004871
MW OH
MW OH
MW OH
MW OH
REP. CHAINLINK FENCE - MAIN ST 302534-6401
Community Programs

WELDING SUPPLIES

AMAZON CAPITAL SERVICEWAD CASES
V012336

AMAZON CAPITAL SERVICEOFFICE SUPPLIES
V012336

AMAZON CAPITAL SERVICEENSERVICE SUPPLIES
V012336
103654-6137
Repair Maint/Equipment
104071-6301
Special Department Expenses
109595-6999
Other Expenditure
104071-6301
Special Department Expenses
AMAZON CAPITAL SERVICESAFETY EQUIP. - FIRE MARSHAL 103065-6301 V012336 Special Department Expenses

MW OH AMERICAN OFFICE
V009212
PLAN ROOM FURNITURE - DEPOSIT 795307-6850
Building & Facilities
MW OH AMERICAN PUBLIC WORKS MEMBERSHIP RENEWAL -L. ESTEVEZ03550-6255 V000041 Dues & Memberships

MW OH ANAHEIM FULLERTON
V006631

MW OH AT&T
V004144

MW OH AT&T
V004144
8/28 TOWING SVS - IMPOUND LOT 103047-6181
Towing Services

MAY -JUN PHONE SERVICE

MAY -JUN PHONE SERVICE
296561-6215
Telephone/Internet
109595-6215
Telephone/Internet
AP061923
Check Total:

AP061923
Check Total:

AP061923
AP061923
AP061923
AP061923
1,853.00 21858
1,853.00
385.32 9138594046
385.32
282.70 17RP-XRWY-
185.87 19TH-69DR-
325.06 1 HGQ-K3KP-

85.73 1PRD-QRQN-
00127491 06/22/2023
00127492 06/22/2023
00127493 06/22/2023
00127493 06/22/2023
00127493 06/22/2023
00127493 06/22/2023
Check Total: 879.36
AP061923 4,731.10 14309 - P12876 00127494 06/22/2023
Check Total: 4,731.10
AP061923 286.25 060223 00127495 06/22/2023
Check Total:
286.25
AP061923 185.00 22-0828-19003 P12740 00127496 06/22/2023 Check Total:
185.00
AP061923 48.58 061423 00127497 06/22/2023
AP061923 208.03 061423 00127497 06/22/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 1
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH BROWN, CYNDEE
V012567

MW OH BRYTON PRINTING INC
V011194

MW OH BURKEN, WILLIAM
V012569

MW OH CCSC
V012564

MW OH CENTURY BUSINESS
V010180

MW OH CITY OF SANTA ANA
V001179

MW OH CLEAR CHOICE LIEN SALES
V005847

FLOWERS FOR DEPARTING
0044-2063
Placentia Community Chorus
PROP 218 NOTICE - PRINTING SVS 374386-6299
Other Purchased Services

ROOFING BOND REFUND
0044-2033
Construction & Demo Deposit
INTERINSURANCE EXCH - FINNERTY104582-6210
Liability Claims

COPIER USAGE - SALES TAX
109595-6175
Office Equipment Rental
ADV. GANG INVESTIGATION REG. 213041-6250
Staff Training
5/24 LIEN SERVICES
5/25 LIEN SERVICES
5/5 LIEN SERVICES
5/12 LIEN SERVICES
MW OH CLEAR CHOICE LIEN SALES 5/26 LIEN SERVICES
103047-6182
Lien Services
103047-6182
Lien Services
103047-6182
Lien Services
103047-6182
Lien Services
103047-6182
Check Total:

AP061923
Check Total:
256.61
127.13 05312023
127.13
AP061923 4,072.92 17223
Check Total:

AP061923
Check Total:

AP061923
AP061923
AP061923
AP061923
AP061923
4,072.92
100.00 30-23-312
100.00
1,633.89 01 0041 37313
1,633.89
205.37 AR42259-A
205.37
250.00 REVARD61323
250.00
125.00 291-052423

50.00 294-052523

45.00 3907-050523

45.00 3908-051223

45.00 3910-052623
00127498 06/22/2023
P12897 00127499 06/22/2023
00127500 06/22/2023
00127501 06/22/2023
00127502 06/22/2023
00127503 06/22/2023
00127504 06/22/2023
00127504 06/22/2023
00127504 06/22/2023
00127504 06/22/2023
00127504 06/22/2023
User: Gabriela Calin
Report: AP I400M : AP: Warrant List - Machine
Page: 2
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
V005847 Lien Services
MW OH CLEAR CHOICE LIEN SALES 5/24 LIEN SERVICES
V005847

MW OH COLANTUONO HIGHSMITH &EGAL SERVIVCES
V009754

MW OH COMLOCK
V003166

DOOR REPAIRS

DOOR REPAIR

DOOR REPAIRS

MW OH COMPLETE DISCOVERY LITIGATION SERVICES
V012571

MW OH COSTAR REALTY JUN REAL ESTATE & PROPERTY
V012340
103047-6182
Lien Services
101005-6005
Legal Services
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
101005-6006
Litigation
109595-6999
Other Expenditure
MW OH COUNTY OF ORANGE JUN OCATES CLETS/LIVESCAN SVS 103043-6099 V008881 Professional Services
MW OH CRAFCO INC.

COLD PATCH BAG 103652-6301
AP061923 15.00 6840-052423 00127504 06/22/2023
Check Total: 325.00
AP061923 83.67 56479 00127505 06/22/2023
Check Total: 83.67
AP061923 28.50 842479 00127506 06/22/2023
AP061923 134.10 842504 00127506 06/22/2023
AP061923 42.95 842596 00127506 06/22/2023
AP061923 282.31 845226 00127506 06/22/2023
AP061923 164.33 845283 00127506 06/22/2023
Check Total: 652.19
AP061923 547.50 1NV-CDS-32572 00127507 06/22/2023
Check Total: 547.50
AP061923 540.00 117780001-1 P12608 00127508 06/22/2023
Check Total: 540.00
AP061923 1,104.51 SH 65480 P12478 00127509 06/22/2023
Check Total: 1,104.51
AP061923 711.15 9402895259 00127510 06/22/2023
User: Gabriela Cahn
Report: AP 1400M : AP: Warrant List - Machine
Page: 3
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V009329
MW OH DATA TICKET INC. MAY CITATION PROCESSING
V006119

MW OH DAVID TAUSSIG AND MAY CONSULTANT FEES
V001040
MW OH DELL MARKETING L.P. DELL COMPUTER & MONITOR
V000301

MW OH DEPARTMENT OF JUSTICE MAY LIVESCAN
V000213

PROCESSING

PROCESSING
Special Department Expenses
Check Total:
102533-6290 AP061923
Dept. Contract Services
Check Total:
109595-6999 AP061923
Other Expenditure
Check Total: 2,690.88
711.15
2,244.11 152138
00127511 06/22/2023
2,244.11
2,690.88 2305071 P12855 00127512 06/22/2023
503040-6301/233001-6301 AP061923 3,571.47 10677670063 P12927 00127513 06/22/2023 Special Department Expenses
101512-6099
Professional Services
0044-2053
DOJ Livescan
0044-2054
FBI Livescan
MW OH DIAMONDS SPORTS FIELD BASE ANCHORS - TUFFREE PARK 104071-6130 V011978 Repair & Maint/Facilities

MW OH DOUGHTY, SAIGE
V012570

PAPER SUPPLIES

MW OH DUNN-EDWARDS CORP PAINT SUPPLIES
V000307
0044-2063
Placentia Community Chorus
103654-6130
Repair & Maint/Facilities
Check Total:

AP061923
AP061923
AP061923
Check Total:

AP061923
Check Total:

AP061923
Check Total:
3,571.47
473.00 660247
00127514 06/22/2023

47.00 660247 00127514 06/22/2023

34.00 660247 00127514 06/22/2023
554.00
510.00 6208
510.00

46.66 05302023

46.66 101.14 2058518220
101.14
00127515 06/22/2023
00127516 06/22/2023
00127517 06/22/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 4
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH ENTERPRISE FLEET
V003312

JUN PD VEHICLE LEASE PMT

MW OH ENVIRONMENTAL MOLD LLEDI MOLD INSPECTION
V012521
MW OH ENVIRONMENTAL MOLD LLED2 MOLD INSPECTION
V012521

MW OH EPROMOS PROMOTIONAL
V012556

MW OH FACTORY MOTOR PARTS
V010842

MW OH FACTORY MOTOR PARTS
103041-6165
Vehicle Lease
103042-6165
Vehicle Lease
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
PPD CUSTOM FLASHLIGHTS W/PEN 503040-6301 / 233001-6301
Special Department Expenses
PPD SCREEN CLEANING CLOTH 503040-6301 / 233001-6301
Special Department Expenses

PARTS/SUPPLIES

PARTS/SUPPLIES
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
AP061923 4,008.82 FBN4763472 P12531 00127518 06/22/2023 AP061923 7,444.96 FBN4763472 P12531 00127518 06/22/2023 Check Total:

AP061923
AP061923
Check Total:
11,453.78
700.00 05032023
1,100.00 05032023
1,800.00
AP061923 1,589.56 INV186727 P12894 00127520 06/22/2023
AP061923 1,289.52 INV186984 P12894 00127520 06/22/2023
00127519 06/22/2023
00127519 06/22/2023
Check Total: 2,879.08
AP061923 95.46 102-188460
AP061923 47.00 102-188744
AP061923 94.34 102-188855
AP061923 33.50 102-188922
AP061923 47.00 102-189074
AP061923 31.23 102-189200
AP061923 12.09 102-189319
P12506 00127521 06/22/2023
P12506 00127521 06/22/2023
P12506 00127521 06/22/2023
P12506 00127521 06/22/2023
P12506 00127521 06/22/2023
P12506 00127521 06/22/2023
P12506 00127521 06/22/2023
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 5
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V010842

MW OH FACTORY MOTOR PARTS
V010842

MW OH FRANCHISE TAX BOARD
V000404

PARTS/SUPPLIES

PARTS/SUPPLIES
FTB PE 06/10 PD 06/16
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
0010-2196
Garnishments W/H
AP061923
AP061923
AP061923
AP061923
AP061923
AP061923
AP061923
AP061923
AP061923
AP061923
AP061923
AP061923
Check Total:

AP061923

28.95 102-189320
186.98 102-189375

51.45 102-189414

13.45 102-189606

87.36 12-5296400

27.86 12-5304173

34.05 12-5304235

26.67 12-5305121
105.26 12-5306944

34.05 12-5311713

27.37 12-5320163
258.21 12-5320912
1,242.28

7.73 PR2301012
P12506
P12506
PI2506
P12506
P12506
P12506
P12506
P12506
P12506
P12506
P12506
P12506
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127521 06/22/2023
00127522 06/22/2023
User: Gabriela Calin
Report: API400M : AP: Warrant List - Machine
Page: 6
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH FUJITEC AMERICA INC
V006496
4/10 SERVICE CALL
MW OH GLASBY MAINT. SUPPLY COJANITORIAL SUPPLIES
V000445

MW OH GOLDEN STATE WATER
V000928

MAY -JUN WATER CHARGES

MAY -JUN WATER CHARGES
103654-6130
Repair & Maint/Facilities
103654-6301
Special Department Expenses
296561-6335
Water
109595-6335
Water
MW OH GOVERNMENT FINANCE GFOA'S FUNDAMENTAL FORUM REG102020-6250 V000450 Staff Training

MW OH GRAINGER
V002563

MW OH H&S ENERGY LLC
V010680

MW OH HALO CONFIDENTIAL
V011712

MAINTENANCE SUPPLIES

APR CAR WASH SERVICES

MAY CAR WASH SERVICES
103654-6137
Repair Maint/Equipment
103658-6301
Special Department Expenses
103658-6301
Special Department Expenses
MAR PD BACKGROUND SCREENING 103040-6290
Dept. Contract Services
MAY PD BACKGROUND SCREENING 103040-6290
Dept. Contract Services
Check Total:

AP061923
Check Total:

AP061923
AP061923
Check Total:

7.73 807.00 LAI1794312
807.00
1,841.75 333928A
1,841.75
1,636.75 061423
2,424.91 061423
4,061.66
AP061923 225.00 760770
Check Total:

AP061923
Check Total:

AP061923
AP061923
Check Total:

AP061923
AP061923
225.00
208.92 9723313681
208.92
694.00 050423
500.00 060923
1,194.00
3,815.21 0208
3,865.00 0214
00127523 06/22/2023
00127524 06/22/2023
00127525 06/22/2023
00127525 06/22/2023
00127526 06/22/2023
00127527 06/22/2023
P12621 00127528 06/22/2023
P12621 00127528 06/22/2023
P12503 00127529 06/22/2023
P12503 00127529 06/22/2023
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 7
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH HEALTHPOINTE MEDICAL MAY DOT PHYSICAL/PRE-EMPL
V010713

MW OH HIRSCH PIPE AND SUPPLY
V004494

PLUMBING SUPPLIES

MW OH HOUSTON & HARRIS PCS IN MAY SEWER CLEANING SVS
V010110

MW OH IMPERIAL SPRINKLER
V006506

MW OH JOHN HANCOCK USA -PARS
V010625

MW OH JOHN HANCOCK USA -PARS

IRRIGATION SUPPLIES

IRRIGATION SUPPLIES
PARS FT ER PE 06/10 PD 06/16
PARS FT ER PE 06/10 PD 06/16
PARS FT ER PE 06/10 PD 06/16
PARS FT ER PE 06/10 PD 06/16
101512-6099
Professional Services
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
484356-6120
R & M/Sewer & Storm Drain
104071-6130
Repair & Maint/Facilities
103655-6130
Repair & Maint/Facilities
103655-6130
Repair & Maint/Facilities
0010-2131
Employer PARS/ARS Payable
0010-2131
Employer PARS/ARS Payable
0010-2131
Employer PARS/ARS Payable
0037-2131
Check Total:

AP061923
7,680.21
1,227.00 30601-4055647
00127530 06/22/2023
Check Total: 1,227.00
AP061923 147.39 8886885 00127531 06/22/2023
AP061923 71.67 8918186 00127531 06/22/2023
AP061923 90.41 8922053 00127531 06/22/2023
Check Total: 309.47
AP061923 24,139.63 23-25348 P12579 00127532 06/22/2023
Check Total:

AP061923
AP061923
AP061923
Check Total:

AP061923
AP061923
AP061923
AP061923
24,139.63
201.41 011147951-001 P12509
222.35 0011104489-001 P12634
317.11 0011228519-001P12634
740.87
795.63 PR2301012
872.01 PR2301012
638.87 PR2301012
220.24 PR2301012
00127533 06/22/2023
00127533 06/22/2023
00127533 06/22/2023
00127534 06/22/2023
00127534 06/22/2023
00127534 06/22/2023
00127534 06/22/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 8
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V010625

MW OH JOHN HANCOCK
V010625

MW OH IV PLUMBING
V011345
USA -PARS PARS FT ER PE 06/10 PD 06/16
USA -PARS PARS FT ER PE 06/10 PD 06/16
USA -PARS PARS FT ER PE 06/10 PD 06/16
USA -PARS PARS FT ER PE 06/10 PD 06/16
USA -PARS PARS FT ER PE 06/10 PD 06/16
USA -PARS PARS FT ER PE 06/10 PD 06/16

MW OH KAPPE TERRACINA LLC
V012436

MW OH KOA CORPORATION
V006654

WATER LEAK REPAIS
Employer PARS/ARS Payable
0037-2131
Employer PARS/ARS Payable
0029-2131
Employer PARS/ARS Payable
0048-2131
Employer PARS/ARS Payable
0048-2131
Employer PARS/ARS Payable
0054-2131
Employer PARS/ARS Payable
0054-2131
Employer PARS/ARS Payable
103654-6130
Repair & Maint/Facilities
JUL-SEP 166 LA JOLLA LEASE PMT 103043-6160
Facility Rental

ENGINEERING DESIGN SVS

MW OH KOSMONT TRANSACTIONS MAY PORTFOLIO MGMT SVS
V011935

MW OH LAMPMAN, JENNIFER
V012568

MEETING SUPPLIES
332908-6741
Infrastructure - Traffic
102020-6099
Professional Services
102020-6245
Meetings & Conferences
AP061923
AP061923
AP061923
AP061923
AP061923
AP061923
Check Total:

AP061923
Check Total:

AP061923

73.54 PR2301012

18.38 PR2301012
105.64 PR2301012

52.53 PR2301012

4.50 PR2301012
2,833.87
461.00 3683
461.00
39,128.07 061223
00127534 06/22/2023
00127534 06/22/2023
00127534 06/22/2023
00127534 06/22/2023
00127534 06/22/2023
00127534 06/22/2023
00127535 06/22/2023
00127536 06/22/2023
39,128.07
581.15 JB93058-22 P12652 00127537 06/22/2023
581.15
2,746.76 22201.6-0012 P12532 00127538 06/22/2023
2,746.76

97.39 061923
00127539 06/22/2023
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 9
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
MW OH MAKO OVERHEAD DOOR AUTO SLIDE GATE - ALLEY OLD CH 103066-6301 V011736 Special Department Expenses

MW OH MARTIN, ARMANDO
V011735

MW OH MARTINEZ, AUSTIN
V004930

MW OH MC FADDEN-DALE
V000635

MAY ANIMAL REMOVAL SVS
103045-6280
Animal Control Services
PD TRAINING CAR RENTAL REIMB. 213041-6250
Staff Training

MAINTENANCE SUPPLIES

MW OH MCCORMACK ROOFING BUSINESS LICENSE REFUND
V010022

MW OH MCCORMACK ROOFING BUSINESS LICENSE REFUND
V010022
103654-6301
Special Department Expenses
103654-6301
Special Department Expenses
103654-6301
Special Department Expenses
103654-6301
Special Department Expenses
103654-6301
Special Department Expenses
0044-2032
SB 1186 BL State Fee
100000-4101
Business License Fees
MW OH MCKESSON MEDICAL- EMERGENCY MEDICAL SUPPLIES 103066-6362 V012321
Emergency Medical Supples
Check Total:

Check Total:

97.39 AP061923 2,743.00 36274 P12922 00127540 06/22/2023 2,743.00
AP061923 600.00 0002040 P12515 00127541 06/22/2023
Check Total:
600.00
AP061923 467.85 MARTINEZ6I52 00127542 06/22/2023
Check Total:

AP061923
AP061923
AP061923
AP061923
AP061923
Check Total:

AP061923
AP061923
Check Total:

AP061923
467.85

36.96 507691/5 00127543 06/22/2023
112.06 509992/5 00127543 06/22/2023

70.60 516073/5 00127543 06/22/2023

14.33 516762/5 00127543 06/22/2023

39.01 516818/5 00127543 06/22/2023
272.96

4.00 062023

80.00 062023

84.00 594.76 20745421
00127544 06/22/2023
00127544 06/22/2023
00127545 06/22/2023
User: Gabriela Calm
Report: AP1400M : AP: Warrant List - Machine
Page: 10
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Cheek # Check Date

MW OH MENDOZA, SERGIO
V012220

MW OH NATIONAL BUSINESS
V000669

MW OH NICKEY PETROLEUM
V000696
MW OH NV5 INC
V011256
MW OH NV5 INC
V011256

MW OH OFFICE INDUSTRIES
V007477

PD TRAINING MEALS, MILEAGE

FILE CABINET
FUEL

ENGINEERING DESIGN SERVICES

OFFICE SUPPLIES

MW OH OMEGA INDUSTRIAL SUPPLYIRAFFITI REMOVER
V011740

MW OH ORANGE COUNTY
V000699

MW OH ORANGE COUNTY
OCEA PE 06/10 PD 06/16
OCEA PE 06/10 PD 06/16
OCEA PE 06/10 PD 06/16
OCEA PE 06/10 PD 06/16
213041-6250
Staff Training
503040-6301/233001-6301
Special Department Expenses
103658-6345
Gasoline & Diesel Fuel
105207-6850
Building & Facilities
105209-6850
Building & Facilities
103040-6315
Office Supplies
103652-6132
Repair & Maintenance/Streets
0054-2176
PCEA/OCEA Assoc Dues
0048-2176
PCEA/OCEA Assoc Dues
0029-2176
PCEA/OCEA Assoc Dues
0037-2176
Check Total:

AP061923
Check Total:

AP061923
AP061923
Check Total:

AP061923
Check Total:

AP061923
AP061923
AP061923
AP061923
594.76

31.26 MENDOZA6192

31.26 988.02 MK594756-TDQ
988.02
7,551.35 367628
7,551.35
1,458.75 327581
1,458.75 327581
2,917.50

45.58 70065

45.58 280.96 150594
280.96

0.35 PR2301012

13.29 PR2301012

7.51 PR2301012

14.10 PR2301012
00127546 06/22/2023
00127547 06/22/2023
P12904 00127548 06/22/2023
P12648 00127549 06/22/2023
P12648 00127549 06/22/2023
00127550 06/22/2023
00127551 06/22/2023
00127552 06/22/2023
00127552 06/22/2023
00127552 06/22/2023
00127552 06/22/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: I 1
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
V000699 PCEA/OCEA Assoc Dues

MW OH ORANGE COUNTY
V000699

MW OH ORANGE COUNTY
V000698

MW OH ORANGE COUNTY
V007306
OCEA PE 06/10 PD 06/16
Q2 2022-23 OCHA/FOG/13MP INSP.

Q3 2022-23 OCHA/FOG/BMP INSP.

MAY PARKING CITATIONS
0010-2176
PCEA/OCEA Assoc Dues
103593-6257
Licenses & Permits
103593-6257
Licenses & Permits
0044-2038
Parking Fines
MW OH OSORIO, FELICITAS BAIZA PERMIT DEPOSIT REEFUND 104071-4385 V012232 Facility Rental

MW OH PARS
V006999

MW OH PATH
V011455
APR REP -PARS FEES 395083-6025
Third Party Administration
APR ARS-PARS FEES 395083-6025
Third Party Administration
JUN NAV CTR MGMT SVS 784070-6290
Dept. Contract Services
MW OH PATIO WAREHOUSE INC PLAN CHECK REIMBURSEMENT FEE100000-4160 V012572 Building Permits
AP061923 449.85 PR2301012 00127552 06/22/2023
Check Total: 485.10
AP061923 30.50 61991 00127553 06/22/2023
Check Total: 30.50
AP061923 305.00 62000 00127554 06/22/2023
Check Total: 305.00
AP061923 5,962.00 053123 00127555 06/22/2023
Check Total: 5,962.00
AP061923 200.00 2003417.002 00127556 06/22/2023
Check Total: 200.00
AP061923 400.00 53242 00127557 06/22/2023
AP061923 816.97 53297 00127557 06/22/2023
Check Total: 1,216.97
AP061923 137,333.33 800-0623 P12570 00127558 06/22/2023 Check Total: 137,333.33
AP061923 275.64 06I523
Check Total: 275.64
00127559 06/22/2023
User: Gabriela Calm
Report: AP1400M : AP: Warrant List - Machine
Page: 12
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
MW OH PCEA C/O NORTH ORANGE CECEA PE 06/10 PD 06/16
V000679
MW OH PCEA C/O NORTH ORANGE CP EA PE 06/10 PD 06/16
V000679
MW OH PCEA C/O NORTH ORANGE Q UEA PE 06/10 PD 06/16
V000679
MW OH PCEA C/O NORTH ORANGE C EICEA PE 06/10 PD 06/16
V000679
MW OH PCEA C/O NORTH ORANGE C E EA PE 06/10 PD 06/16
V000679

MW OH PETTY CASH
0010-2176
PCEA/OCEA Assoc Dues
0029-2176
PCEA/OCEA Assoc Dues
0037-2176
PCEA/OCEA Assoc Dues
0048-2176
PCEA/OCEA Assoc Dues
0054-2176
PCEA/OCEA Assoc Dues
BUS PASSES - DONATIONS 103041-4705
V012043 Donations & Contributions
MW OH PLACENTIA-YORBA LINDA EL DORADO POOL USE 104071-6299 V007408 Other Purchased Services

MW OH PLACEWORKS MAY PROFESSIONAL SERVICES
V012423
509104-6017
Special Studies
MW OH PREMIUM ROOFING SYSTEMSUSINESS LICENSE REFUND 100000-4101 V011131 Business License Fees
MW OH PREMIUM ROOFING SYSTEMSUSINESS LICENSE REFUND 0044-2032 V011131 SB 1186 BL State Fee
MW OH PRUDENTIAL OVERALL 6/7 PW UNIFORM CLEANING SVS 103650-6360 V000836 Uniforms
AP061923 38.95 PR2301012 00127560 06/22/2023
AP061923 0.65 PR2301012 00127560 06/22/2023
AP061923 L22 PR2301012 00127560 06/22/2023
AP061923 1.15 PR2301012 00127560 06/22/2023
AP061923 0.03 PR2301012 00127560 06/22/2023
Check Total: 42.00
AP061923 90.00 062023 00127561 06/22/2023
Check Total: 90.00
AP061923 713.00 7282 00127562 06/22/2023
Check Total: 713.00
AP061923 5,668.37 81994 P12708 00127563 06/22/2023
Check Total: 5,668.37
AP061923 80.00 062023 00127564 06/22/2023
AP061923 4.00 062023 00127564 06/22/2023
Check Total: 84.00
AP061923 178.52 62815936 P12480 00127565 06/22/2023
Check Total: 178.52
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 13
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH REYES, STEFANIE ACOSTA TRAINING MILEAGE, MEALS
V011470

MW OH RHA LANDSCAPE
V011993

MW OH RING CENTRAL INC
V012026

MW OH RING CENTRAL INC
V012026
101515-6250
Staff Training
2/26-4/25 LA PLACITA PARKETTE 507911-6760
Infrastructure - Parks

JUN PHONE SYSTEM SERVICE

JUN PHONE SYSTEM SERVICE
101523-6136
Software Maintenance
101523-6136
Software Maintenance
MW OH SAGECREST PLANNING ANDMAY BLDG PLAN CHECK SERVICES 102532-6290 V010576 Dept. Contract Services
MW OH SECO ELECTRIC & LIGHTINCETREET LIGHTING CONCRETE LID 103652-6301 V010182 Special Department Expenses

MW OH SMARTCOVER SYSTEMS
V010957

MW OH SOUTHERN CALIFORNIA
V000910

MW OH SOUTHERN CALIFORNIA
V000910
2/17 REP. - MH 4103 NEWCASTLE

MAY -JUN ELECTRIC CHARGES

MAY -JUN ELECTRIC CHARGES
484356-6120
R & M/Sewer & Storm Drain
296561-6330
Electricity
109595-6330
Electricity
109595-6330/21010-6330
Electricity
109595-6330/21009-6330
Electricity
AP061923
Check Total:

AP061923
Check Total:

AP061923
AP061923
Check Total: 7,603.81
AP061923 26,280.00 4155
Check Total:

AP061923
Check Total:

AP061923
AP061923
AP061923
AP061923
26,280.00

84.71 8019

84.71 1,473.67 26032
1,473.67
159.42 061523
17,396.59 061523

13.83 061523

77.85 061523
117.71 061423 00127566 06/22/2023
117.71
7,245.00 042519 P12847 00127567 06/22/2023
7,245.00
231.24 CD_000598640 P12789 00127568 06/22/2023
7,372.57 CD_000598640 P12924 00127568 06/22/2023
P12603 00127569 06/22/2023
00127570 06/22/2023
00127571 06/22/2023
00127572 06/22/2023
00127572 06/22/2023
00127572 06/22/2023
00127572 06/22/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 14
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
Check Total: 17,647.69
MW OH STERICYCLE MAY SHREDDING SERVICES 374386-6299 AP061923 455.97 8004077730 00127573 06/22/2023 V000905 Other Purchased Services
Check Total: 455.97
MW OH SWANK MOTION PICTURES 6/30 MOVIE IN THE PARK LICENCE 104071-6299 / 79397-6299 AP061923 685.00 BO 2021433 00127574 06/22/2023 V004927 Other Purchased Services
Check Total: 685.00
MW OH TAIT ENVIRONMENTAL FUEL FILTERING /TANK CLEANING 103658-6137 AP061923 1,695.00 894004 P12840 00127575 06/22/2023 V012524 Repair Maint/Equipment
Check Total: 1,695.00
MW OH THE SAUCE CREATIVE SUMMER CONCERTS/MOVIE FLYERS104071-6230 AP061923 198.13 6201 00127576 06/22/2023 V007476 Printing & Binding
MW OH THE SAUCE CREATIVE SUMMER CONCERTS/MOVIE FLYERS104071-6230 AP061923 1,600.69 6206 00127576 06/22/2023 V007476 Printing & Binding
Check Total: 1,798.82
MW OH THINKSUPPLIES.COM STAMP "FY 2023-24" 109595-6315 AP061923 41.13 70035 00127577 06/22/2023 V007047 Office Supplies
MW OH THINKSUPPLIES.COM PAPER 109595-6315 AP061923 217.46 70050 00127577 06/22/2023 V007047 Office Supplies
Check Total: 258.59
MW OH TITAN ENVIRONMENTAL ASBESTOS SURVEY 101 W SANTA FE103593-6099 AP061923 830.00 1110444 00127578 06/22/2023 V011743 Professional Services
Check Total: 830.00
MW OH TOTUM CORP MAY SIFI CONST INSPECTION SVS 103551-6099 AP061923 17,402.88 206124 P12466 00127579 06/22/2023 V010229 Professional Services
MW OH TOTUM CORP MAY PSC - CONST INSPECTION SVS 105213-6850 / 229999-6850 AP061923 36,175.00 206126 P12762 00127579 06/22/2023 V010229 Building & Facilities
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 15
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date

MW OH TTS ENGINEERING INC
APR PSC - CONTRUCTION SVS 105213-6850 / 229999-6850
V012466 Building & Facilities
MW OH TURBO DATA SYSTEMS INC MAY PARKING CITATION PROCESS 103047-6290 V001238 Dept. Contract Services

MW OH UPS
V009248

SHIPPING

SHIPPING
101523-6315
Office Supplies
102534-6325
Postage
MW OH US BANK PARS #6746022400 PARS EE/ER PE 06/10 PD 06/16 0010-2126 V008781 Employee PARS/ARS W/H
MW OH US BANK PARS #6746022400 PARS EE/ER PE 06/10 PD 06/16 0010-2131 V008781 Employer PARS/ARS Payable
MW OH WAXIE SANITARY SUPPLY SANITARY SUPPLIES 103654-6130 V001132 Repair & Maint/Facilities

MW OH YORBA LINDA WATER APR -MAY WATER CHARGES
V001148
109595-6335
Water
MW OH ALL CITY MANAGEMENT 5/28-6/10 CROSSING GUARD SVS 103047-6290 V000005 Dept. Contract Services
MW OH ALLIANCE BUSINESS JUN FD FIBER INTERNET 109595-6215 Check Total: 53,577.88
AP061923 365,275.00 23301-4 P12777 00127580 06/22/2023
Check Total: 365,275.00
AP061923 1,65 8.61 40308 00127581 06/22/2023
Check Total: 1,658.61
AP061923 7.53 0000A8D089193 00127582 06/22/2023
AP061923 19.08 0000A8D89233 00127582 06/22/2023
Check Total: 26.61
AP061923 1,676.10 PR2301012 00127583 06/22/2023
AP061923 1,676.10 PR2301012 00127583 06/22/2023
Check Total: 3,352.20
AP061923 429.72 81657714 00127584 06/22/2023
Check Total: 429.72
AP061923 266.41 061423 00127585 06/22/2023
Check Total: 266.41
AP062623 3,988.44 86355 P12461 00127586 06/29/2023
Check Total: 3,988.44
AP062623 1,396.26 2638784 00127587 06/29/2023
User: Gabriela Cahn
Report: AP1400M : AP: Warrant List - Machine
Page: 16
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V011660

MW OH ALTA PLANNING
V012171

MW OH ALTA PLANNING
V012171
+ DESIGN JAN ENGINEERING DESIGN SVS
+ DESIGN JAN ENGINEERING DESIGN SVS
+ DESIGN FEB ENGINEERING DESIGN SVS
MW OH ALTA PLANNING + DESIGN
MW OH
MW OH ALTA PLANNING + DESIGN
MW OH
MW OH
MW OH ALTA PLANNING + DESIGN
MW OH
V012171
ALTA PLANNING + DESIGN
V012171
V012171
ALTA PLANNING + DESIGN
V012171
ALTA PLANNING + DESIGN
V012171
V012171
ALTA PLANNING + DESIGN
V012171

FEB ENGINEERING DESIGN SVS

MAR ENGINEERING DESIGN SVS

APR ENGINEERING DESIGN SVS

MAY ENGINEERING DESIGN SVS

MW OH AMAZON CAPITAL SERVICES') KITCHEN SUPPLIES
V012336

MW OH AMAZON CAPITAL SERVICEEFFICE SUPPLIES
V012336

MW OH AMAZON CAPITAL SERVICE)LD CH FILE CABINETS
Telephone/Internet
692003-6741
Infrastructure - Traffic
502003-6741
Infrastructure - Traffic
502003-6741
Infrastructure - Traffic
692003-6741
Infrastructure - Traffic
502003-6741
Infrastructure - Traffic
692003-6741
Infrastructure Traffic
692003-6741
Infrastructure - Traffic
502003-6741
Infrastructure - Traffic
692003-6741
Infrastructure - Traffic
502003-6741
Infrastructure - Traffic
103066-6301
Special Department Expenses
103066-6301
Special Department Expenses
103065-6301
Check Total:

AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
Check Total:
1,396.26
185.12 00-2021-133-15 P12703
740.50 00-2021-133-15 P12703
3,505.46 00-2021-133-16 P12703
876.36 00-2021-133-16 P12703
8,369.10 00-2021-133-17 P12703
2,092.28 00-2021-133-17 P12703
853.42 00-2021-133-18 P12703
3,413.69 00-2021-133-18 P12703

17.41 00-2021-133-19 P12703

69.65 00-2021-133-19 P12703
20,122.99
AP062623 96.78 1473-FXTG-
AP062623 245.21 164X-WKC9-
AP06262 3 1,650.17 17RY-YD 1 R-
00127588 06/29/2023
00127588 06/29/2023
00127588 06/29/2023
00127588 06/29/2023
00127588 06/29/2023
00127588 06/29/2023
00127588 06/29/2023
00127588 06/29/2023
00127588 06/29/2023
00127588 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 17
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V012336

MW OH AMAZON CAPITAL SERVICES'INY TOTS PROGRAM SUPPLIES V012336

MW OH AMAZON CAPITAL SERVICED BADGE HOLDERS
V012336

MW OH AMAZON CAPITAL SERVICESIEAVY DUTY GLOVES
V012336

MW OH AMAZON CAPITAL SERVICED KITCHEN SUPPLIES
V012336

MW OH AMAZON CAPITAL SERVICEOFFICE SUPPLIES
V012336

MW OH AMAZON CAPITAL SERVICED KITCHEN SUPPLIES
V012336

MW OH AMAZON CAPITAL SERVICEELEANING SUPPLIES
V012336

MW OH AMAZON CAPITAL SERVICESTORAGE CABINET
V012336

MW OH AMAZON CAPITAL SERVICED UNDER SINK ORGANIZER
V012336

MW OH AMAZON CAPITAL SERVICESTORAGE BINS
V012336

MW OH AT & T
V008736

MW OH AT & T MOBILITY
V008709
Special Department Expenses
104071-6301/22401-6301
Special Department Expenses
103658-6301
Special Department Expenses
103066-6301
Special Department Expenses
103066-6301
Special Department Expenses
103066-6301
Special Department Expenses
103066-6301
Special Department Expenses
103066-6301
Special Department Expenses
103066-6301
Special Department Expenses
103066-6301
Special Department Expenses
103066-6362
Emergency Medical Supples
6/13-7/12 KOCH PARK INTERNET 109595-6215
Telephone/Internet
6/8-7/7 IPAD INTERNET
109595-6215
Telephone/Internet
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
Check Total:

AP062623
Check Total:

AP062623
Check Total:
401.23 19NK-X6FL-

7.55 1CPT-WKCT-
142.03 1 CTL-YX9K-

29.26 1MGN-HGTW-
406.66 1 MJR-D91X-
540.67 1 QNQ-G 1 TY-

64.83 1 TDQ-6K13-
149.82 1VFQ-JTVN-

73.93 1 VVV-KNDY-
273.37 1 VVV-KNDY-
4,081.51

53.50 KP JUNE 23

53.50 6.78 X06152023

6.78 00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127589 06/29/2023
00127590 06/29/2023
00127591 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 18
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH AT&T
V004144

MW OH AVENUE INSIGHTS &
V012574

MW OH BIGGS CARDOSA
V010461

MW OH BRENNAN ESTIMATING
V011259

MW OH BUCHALTER
V012337

MAY -JUN PHONE CHARGES

MAY -JUN PHONE CHARGES
10-12/2022 UTILITY USER TAX
01-03/2023 UTILITY USER TAX

MAY ENGINEERING SVS

FIRE SPRINKLER SYS, DRAIN

FEB LITIGATION SERVICES

MAR LITIGATION SERVICES

APR LITIGATION SERVICES

MAY LITIGATION SERVICES

MW OH CANON FINANCIAL SERVICIISIN COLOR COPIER USAGE
V008979

MW OH CANON FINANCIAL SERVICBSIN COPIER USAGE
296561-6215
Telephone/Internet
109595-6215
Telephone/Internet
102020-6099
Professional Services
102020-6099
Professional Services
331801-6740
Infrastructure - Streets
784070-6999
Other Expenditure
101005-6006
Litigation
101005-6006
Litigation
101005-6006
Litigation
101005-6006
Litigation
109595-6175
Office Equipment Rental
109595-6175
AP062623
AP062623
Check Total:
786.45 063023
5,671.94 063023
6,458.39
AP062623 2,500.00 INV06-016317 P12941
AP062623 2,500.00 INV06-016317 P12941
Check Total: 5,000.00
AP062623 6,083.13 86506
Check Total:
6,083.13
AP062623 14,735.00 10395
Check Total: 14,735.00
AP062623 10,576.50 1196110
AP062623
AP062623
AP062623
Check Total:
13,789.60 1202203
6,700.50 1211670
8,593.50 1215242
39,660.10
AP062623 21.40 30660267
AP062623 3,217.49 30660268
00127592 06/29/2023
00127592 06/29/2023
00127593 06/29/2023
00127593 06/29/2023
P12642 00127594 06/29/2023
P12946 00127595 06/29/2023
P12753 00127596 06/29/2023
P12753 00127596 06/29/2023
P12753 00127596 06/29/2023
P12753 00127596 06/29/2023
00127597 06/29/2023
00127597 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 19
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V008979

MW OH CARL WARREN & CO
V008011

MW OH CASTRO, ADAM
V012250

MW OH CCP INDUSTRIES INC
V010526
Office Equipment Rental
JUN PROFESSIONAL SERVICES 404582-6025
Third Party Administration
TOOLS REIMBURSEMENT 103658-6350

MAINTENANCE SUPPLIES
MW OH CHARTER COMMUNICATIONE14-7/13 PD FIBER INTERNET
V004450
MW OH CHARTER COMMUNICATIONBI4-7/13 NEIGHBORHOOD SVS INT V004450
MW OH CHARTER COMMUNICATIONN12-7/11 BACKS BLDG INTERNET V004450

MW OH COAST EMS LLC
V011441

MW OH CSG CONSULTANTS INC
V011609

MW OH CSG CONSULTANTS INC
V011609
Small Tools/Equipment
103654-6301
Special Department Expenses
109595-6215
Telephone/Internet
109595-6215
Telephone/Internet
109595-6215
Telephone/Internet
EMERGENCY MEDICAL SUPPLIES 103066-6362
Emergency Medical Supples
5/9-5/25 FD PLAN INSPECT SVS 102532-6050
Fire Plan Check Services
5/1-5/25 FIRE INSPECTION SVS 102532-6290
Dept. Contract Services
MW OH DELL MARKETING L.P. LAPTOP
503040-6301/233001-6301
Check Total:

AP062623
Check Total:

AP062623
AP062623
AP062623
Check Total:

AP062623
3,238.89
1,661.00 CWC-2033440
1,661.00
500.00 062623
500.00

54.38 IN03293132

54.38 619.00 0528002061423
138.94 0619546061423
299.98 0629685061223
1,057.92
424.13 13103
Check Total: 424.13
AP062623 1,610.00 51381
AP062623 27,840.00 51467
Check Total: 29,450.00
AP062623 1,342.43 10679739018
00127598 06/29/2023
00127599 06/29/2023
00127600 06/29/2023
00127601 06/29/2023
00127601 06/29/2023
00127601 06/29/2023
00127602 06/29/2023
P12547 00127603 06/29/2023
P 12547 00127603 06/29/2023
00127604 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 20
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V000301

MW OH DENNIS GRUBB &
V012137

MW OH DEWEY PEST CONTROL
V012577

MW OH DFS FLOORING INC
V000099

MW OH DFS FLOORING INC
V000099
Special Department Expenses
FIRE PLAN CHECK SERVICES 102532-6050
Fire Plan Check Services
6/7-15 FD INSPECTIONS SVS
103066-6290
Dept. Contract Services
NAVIGATION CTR - FUMIGATION 784070-6999
Other Expenditure

APR CARPET CLEANING SVS
103654-6301
Special Department Expenses
MAY CARPET CLEANING SVS 103654-6301
Special Department Expenses

MW OH DON'S DRAPERY SERVICE IMI REEN SHADES
V012548
MW OH DON'S DRAPERY SERVICE IN3&REEN SHADES
V012548

MW OH DUNN-EDWARDS CORP
V000307

MW OH EMI J TANAKA LCSW
V012365

PAINT SUPPLIES
BL 930005719 OVERPMT REFUND
103040-6855
Furniture & Fixtures
103040-6855
Furniture & Fixtures
103654-6130
Repair & Maint/Facilities
100000-4101
Business License Fees
BL 930005681 OVERPMT REFUND 100000-4101
Business License Fees
Check Total: 1,342.43
AP062623 1,310.00 3178
AP062623 2,750.00 3179
Check Total: 4,060.00
AP062623 16,000.00 31754
Check Total:

AP062623
AP062623
Check Total:

AP062623
Check Total:

AP062623
AP062623
00127605 06/29/2023
P12571 00127605 06/29/2023
P12945 00127606 06/29/2023
16,000.00
709.00 309757-22 P12465 00127607 06/29/2023
709.00 309757-23 P12465 00127607 06/29/2023
1,418.00
352.19 6456
469.58 6547
821.77

86.80 2058519045

86.80 193.00 06202023
193.00 06202023B
00127608 06/29/2023
00127608 06/29/2023
00127609 06/29/2023
00127610 06/29/2023
00127610 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 21
07/05/2023 :Date
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City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH FAIRWAY FORD
V000376
MAY VEHICLE REBATE PROGRAM 102534-6363
Resident Vehicle Rebate Prog
MW OH FASTSIGNS OF FULLERTON OVERCHG PLAN CHECK FEE REFUND00000-4160 V011616 Building Permits

MW OH FIREFIGHTERS SAFETY FD UNIFORMS
V011346

MW OH FIREMAN'S GRAPHIC'S
V011955

MW OH FIRST FOUNDATION
V012451

MW OH FIS
V008518

MW OH FM THOMAS AIR
V010634

MW OH FM THOMAS AIR
103065-6360
Uniforms
PASSPORT #'5, HELMET STICKERS 103066-6361
Personal Protection Equipment

INTEREST
105525-6915
Interest/B on d s/COP's/Leases
CREDIT CARDS TRANSACTION FEES 102020-6025
Third Party Administration

HVAC MAINT/REPAIRS

HVAC MAINT/REPAIRS
103654-6290
Dept. Contract Services
103654-6290
Dept. Contract Services
103654-6290
Dept. Contract Services
103654-6290
Dept. Contract Services
103654-6290
Check Total:

AP062623
Check Total:

AP062623
Check Total:
386.00
2,000.00 MAY, 2023
2,000.00

57.92 062023

57.92 AP062623 2,103.12 29365
Check Total:

AP062623
Check Total:
2,103.12

77.41 803706

77.41 AP062623 20,594.20 30329100-JUN23
Check Total: 20,594.20
AP062623 571.03 34695642
Check Total:
571.03
AP062623 16,677.13 45161
AP062623 1,009.44 45207
AP062623 767.61 45290
AP062623 4,025.24 45291
AP062623 219.63 45331
P12468
P12468
P12468
P12468
P12468
00127611 06/29/2023
00127612 06/29/2023
00127613 06/29/2023
00127614 06/29/2023
00127615 06/29/2023
00127616 06/29/2023
00127617 06/29/2023
00127617 06/29/2023
00127617 06/29/2023
00127617 06/29/2023
00127617 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 22
07/05/2023 :Date
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City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V010634

MW OH FOREMOST PROMOTIONS
V011024

MW OH GALLS LLC
V000438

MW OH GLOBAL BUILDERS INC
V012514

MW OH GOLDEN STATE WATER
V000928

MW OH HERREN, MATT
V009898

PD PROMOTIONAL ITEMS

POLICE OFFICER SMILEY PENS

DISPATCH UNIFORMS

CONSTRUCTION SERVICES

MAY -JUN WATER CHARGES

PD TRAINING MEALS, MILEAGE
MW OH HF&H CONSULTANTS LLC MAY SB 1383 CONSULTING SVS
V010575

MW OH HF&H CONSULTANTS LLC MAY SW BENCHMARK STUDY
V010575

MW OH HI -WAY SAFETY RENTALS NO PARKING SIGN
Dept. Contract Services
503040-6301/50015-6301
Special Depai tuient Expenses
503040-6301/233001-6301
Special Department Expenses
101515-6360
Uniforms
302534-6401
Community Programs
109595-6335
Water
296561-6335
Water
213041-6250
Staff Training
374386-6099
Professional Services
103550-6099
Professional Services
103652-6301
Check Total: 22,699.05
• AP062623 3,854.97 S-2024436 P12902 00127618 06/29/2023 AP062623 5,165.63 S--2024533 P12943 00127618 06/29/2023 Check Total: 9,020.60
AP062623 565.94 024792789 00127619 06/29/2023
AP062623 P12831 00127620 06/29/2023
Check Total:
565.94
12,518.72 2023-2-3
Check Total: 12,518.72
AP062623 2,876.78 062023 00127621 06/29/2023
AP062623 131.60 062023 00127621 06/29/2023
Check Total: 3,008.38
AP062623 62.00 HERREN062223 00127622 06/29/2023
Check Total: 62.00
AP062623 2,046.25 9720305
AP062623 2,517.00 9720312
Check Total: 4,563.25
AP062623 699.74 142953
P12686 00127623 06/29/2023
P12802 00127623 06/29/2023
00127624 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 23
07/05/2023 :Date
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
V000459 Special Depatturent Expenses
MW OH HI -WAY SAFETY RENTALS TRAFFIC SIGN, GRAFFITI OVERLAY 103652-6310 V000459 Street Signs
MW OH HI -WAY SAFETY RENTALS PARK RULES SIGN 697303-6760 V000459 Infrastructure - Parks
MW OH HI -WAY SAFETY RENTALS PARK SIGNS POLES, BRACKETS 697303-6760 V000459 Infrastructure - Parks
MW OH HINDERLITER DE LLAMAS &APR -JUN TRANSACTION TAX AUDIT 102020-6099 V000465 Professional Services

MW OH IPERMIT
V012576

MW OH IRVINE, JEFFREY
V009851

MW OH JOHN L HUNTER &
V009056

MW OH JONES & MAYER
V009822
DOUBLE PERMIT - 50% REFUND 102532-4166
Heat/Ventilation Air Cond
DOUBLE PERMIT - 50% REFUND 740000-4302
General Plan Update Fee
DOUBLE PERMIT - 50% REFUND 750000-4303
Technology Fee
DOUBLE PERMIT - 50% REFUND 0044-2049
Health & Safety Collection
PD TRAINING MEALS, MILEAGE 213041-6250
Staff Training
MAY NPDES CONSULTING SVS 103593-6099
Professional Services
MAY LITIGATION SERVICES 101005-6006
Litigation
AP062623 141.11 143972 00127624 06/29/2023
AP062623 7,985.91 140264 P12933 00127624 06/29/2023
AP062623 6,086.29 140265 P12933 00127624 06/29/2023
Check Total: 14,913.05
AP062623 469.65 S1N029114 P12593 00127625 06/29/2023
Check Total: 469.65
AP062623 42.50 062023 00127626 06/29/2023
AP062623 15.00 062023 00127626 06/29/2023
AP062623 8.75 062023 00127626 06/29/2023
AP062623 2.50 062023 00127626 06/29/2023
Check Total: 68.75
AP062623 36.00 IRVINE062623 00127627 06/29/2023
Check Total: 36.00
AP062623 2,626.25 PLA1MS412305 P12470 00127628 06/29/2023 Check Total: 2,626.25
AP062623 121.88 11615 00127629 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 24
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH JONES & MAYER
V009822

MW OH LEADSONLINE LLC
V012207

MW OH LEHR AUTO
V009930

MW OH LEHR AUTO

MAY LITIGATION SERVICES

MAY LEGAL SERVICES

MAY LEGAL SERVICES
MAY LITIGATION SERVICES 10100.5-6006
Litigation

MAY LITIGATION SERVICES
MAY LITIGATION SERVICES 101005-6006
Litigation
MAY LITIGATION SERVICES 101005-6006
Litigation

MAY LEGAL SERVICES

MAY PROFESSIONAL SERVICES

RETAINER

INVESTIGATIVE SOFTWARE

STRIP PSO VEHICLE
FD VEHICLE REP. - BATTALION 1
OUTFIT PD UNIT 21
101005-6006
Litigation
101005-6005
Legal Services
101005-6005
Legal Services
101005-6006
Litigation
101005-6005
Legal Services
547525-6005
Legal Services
101005-6005
Legal Services
103042-6290
Dept. Contract Services
213041-6840
Machinery & Equipment
103066-6134
Vehicle Repair & Maintenance
108303-6840/229999-6840
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
AP062623
Check Total:
6,069.89 116494
463.16 116495
1,264.99 116497
1,807.21 116501
463.16 116507
341.28 116508

50.79 116510
2,598.48 116513

73.13 116516
48,409.95 116654
61,663.92
AP062623 6,031.00 40591
Check Total:
6,031.00
AP062623 630.00 SI89003
AP062623 1,092.35 SI89005
AP062623 19,208.37 SI88761
00127629 06/29/2023
00127629 06/29/2023
00127629 06/29/2023
00127629 06/29/2023
00127629 06/29/2023
00127629 06/29/2023
00127629 06/29/2023
00127629 06/29/2023
00127629 06/29/2023
00127629 06/29/2023
00127630 06/29/2023
00127631 06/29/2023
00127631 06/29/2023
P12931 00127631 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 25
07/05/2023 :Date
07:53:12 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V009930

MW OH LN CURTIS & SONS
V011267

MW OH LOMELI, CATHY
V011463

MW OH MC FADDEN-DALE
V000635

MW OH MICHAEL BAKER
V010699

MW OH OFFICE INDUSTRIES
V007477

PD UNIFORMS - BUTTS

FD TRAINING MEALS, TRAVEL

MAINTENANCE SUPPLIES

APR SDMP CONSULTING SVS
Machinery & Equipment
103040-6360
Uniforms
103065-6245
Meetings & Conferences
103654-6301
Special Department Expenses
103654-6301
Special Department Expenses
794201-6751
Infrastructure - Storm Drain
MAY SDMP CONSULTING SVS 794201-6751
Infrastructure - Storm Drain

OFFICE SUPPLIES

OFFICE SUPPLIES
103040-6315
Office Supplies
103040-6315
Office Supplies
MW OH ORANGE CENTRAL KOREANSENIOR CTR ACTIVITIES SUPPLIES 104079-6301 V012579 Special Department Expenses

MW OH ORANGE COUNTY
4QTR ANIMAL SHELTER CONST 103045-6130
Check Total:
20,930.72
AP062623 1,045.27 INV715231
Check Total:
1,045.27
AP062623 233.61 060323
Check Total:

AP062623
AP062623
Check Total:
233.61

52.04 516845/5

8.51 517113/5

60.55 AP062623 31,453.50 1179068
AP062623 29,326.25 1182426
Check Total: 60,779.75
AP062623 87.24 70071
AP062623 43.48 70075
Check Total:

AP062623
Check Total:
130.72
589.10 05302023
589.10
AP062623 15,473.37 AC2390086
00127632 06/29/2023
00127633 06/29/2023
00127634 06/29/2023
00127634 06/29/2023
P12538 00127635 06/29/2023
P12538 00127635 06/29/2023
00127636 06/29/2023
00127636 06/29/2023
00127637 06/29/2023
P12620 00127638 06/29/2023
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 26
07/05/2023 :Date
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City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V007306

MW OH PACIFIC EMBROIDERY
V008348

MW OH PRINCIPAL FINANCIAL
V000844

MW OH PRUDENTIAL OVERALL
V000836

MW OH QUENCH USA
V012472

COMMUNITY SVS UNIFORMS
JUL 2023 LIFE INSURANCE
JUL 2023 LIFE INSURANCE
LIFE INSURANCE - A. BURNETT
Repair & Maint/Facilities
104071-6360
Uniforms
109595-5110
Life Ins Allocation
395083-5163
Life Insurance Premiums
109595-5110
Life Ins Allocation
6/14 PW UNIFORM CLEANING SVS 103650-6360
Uniforms
JUN PD WATER/ICE MACHINE RENT 103041-6301
Special Department Expenses

MW OH RANGER INDUSTRIES LLC CHALLENGE COINS
V011449

MW OH REVARD, TAYLOR
V011038

MW OH RIO HONDO COLLEGE
V001894

PD TRAINING MEALS
101515-6301
Special Department Expenses
213041-6250
Staff Training
DISPATCHER TRAINING COURSE 101515-6250
Staff Training
Check Total:
15,473.37
AP062623 1,241.28 88745
Check Total:

AP062623
AP062623
AP062623
Check Total:

AP062623
Check Total:

AP062623
Check Total:
1,241.28
1,156.54 124125313000-01
390.40 124125313000-01
306.00 6259217
00127639 06/29/2023
00127640 06/29/2023
00127640 06/29/2023
00127640 06/29/2023
1,852.94
163.29 62817812 P12480 00127641 06/29/2023
163.29
170.80 IN V 05 821151 00127642 06/29/2023
170.80
1,015.00 1015775 00127643 06/29/2023
1,015.00
333.00 REVARD061923 00127644 06/29/2023
333.00
280.00 062823 00127645 06/29/2023
280.00
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 27
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City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH RODRIGUEZ, DONNA
V005014

MW OH SANTIAGO ROOFING
V001614

FEB-MAY SERVICES

ROOFIND BOND REFUND
MW OH SECO ELECTRIC & LIGHTINQ.ED LAMPS
V010182

MW OH SECO ELECTRIC & LIGHTING,ED LAMPS
V010182
MW OH SECO ELECTRIC & LIGHTINCPLL-24 LIGHTS
V010182

MW OH SELBERT PERKINS DESIGN
V012172

MW OH SIMMONS, PETER
V007953

MW OH SO CAL GAS
V000909

MW OH SOUTHERN CALIFORNIA
V000910

MAY WAYFINDING DESIGN SVS

MAY WAYFINDING DESIGN SVS
0044-2063
Placentia Community Chorus
0044-2033
Construction & Demo Deposit
103654-6301
Special Department Expenses
103654-6301
Special Department Expenses
103654-6301
Special Department Expenses
709201-6770
Infrastructure - Major Studies
729201-6770
Infrastructure - Major Studies
WEB HOSTING EXPENSES - REIMB. 0044-2063
Placentia Community Chorus

MAY -JUN GAS CHARGES

MAY -JUN ELECTRIC CHARGES

MAY -JUN ELECTRIC CHARGES
109595-6340
Natural Gas
109595-6330/21011-6330
Electricity
109595-6330
Electricity
AP062623
Check Total:

AP062623
Check Total:

AP062623
AP062623
AP062623
Check Total:

AP062623
AP062623
Check Total:

AP062623
Check Total:

AP062623
AP062623
520.00 06142023
520.00
100.00 30-23-329
100.00
1,348.28 7594
229.03 7814

42.85 8037
00127646 06/29/2023
00127647 06/29/2023
00127648 06/29/2023
00127648 06/29/2023
00127648 06/29/2023
1,620.16
900.00 20230511 P12539 00127649 06/29/2023
900.00 20230511 P12539 00127649 06/29/2023
1,800.00
109.00 061523
109.00
183.48 062023
183.48
179.07 062023
00127650 06/29/2023
00127651 06/29/2023
00127652 06/29/2023
4,310.48 062023 00127652 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 28
07/05/2023 :Date
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City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
MW OH TECHNICOLOR PRINTING AQUATICS UNIFORMS FOR SUMMER104071-6360 V010386 Uniforms
MW OH THINKSUPPLIES.COM PAPER
V007047
109595-6315
Office Supplies
MW OH TRANSTECH ENGINEERS IN(MAY ENGINEERING DESIGN SVS 501301-6740 V011220
Infrastructure - Streets
MW OH TRANSTECH ENGINEERS INUv1AY ENGINEERING DESIGN SVS 791301-6740 V011220
Infrastructure - Streets
MW OH TRANSTECH ENGINEERS IN®CT CM/INSPECTION SERVICES 332908-6741 V011220
MW OH TRILLIUM CNG (1720) CNG FUEL
V007952
MW OH TRILLIUM CNG (1720) CNG FUEL
V007952
MW OH TRILLIUM CNG (1720) CNG FUEL
V007952
MW OH WELLS FARGO VENDOR FIN6/15-7/14 COPIER SERVICES
V010076
MW OH WELLS FARGO VENDOR FIN6/15-7/14 PRINTERS SERVICES V010076

MW OH YUAN, JIAN
V012575

CANCELLATION DAY CAMPS
Infrastructure - Traffic
103658-6345
Gasoline & Diesel Fuel
103658-6345
Gasoline & Diesel Fuel
103658-6345
Gasoline & Diesel Fuel
109595-6175
Office Equipment Rental
109595-6175
Office Equipment Rental
104071-4346
Festival Revenue
Check Total:

AP062623
Check Total:

AP062623
4,489.55
353.55 7936
353.55
163.09 70061
Check Total: 163.09
AP062623 7,048.00 20233360 P12631
AP062623 1,762.00 20233360 P12631
AP062623 2,340.00 20222234R1 P12664
Check Total: 11,150.00
AP062623 39.72 23564923
AP062623 212.94 23604103
AP062623 78.53 23765990
Check Total: 331.19
AP062623
AP062623
Check Total:

AP062623
00127653 06/29/2023
00127654 06/29/2023
00127655 06/29/2023
00127655 06/29/2023
00127655 06/29/2023
00127656 06/29/2023
00127656 06/29/2023
00127656 06/29/2023
219.89 5025329994 P12928 00127657 06/29/2023
5,216.89 5025329995 P12928 00127657 06/29/2023
5,436.78
2,620.00 061523
00127658 06/29/2023
User: Gabriela Cahn
Report: AP1400M : AP: Warrant List - Machine
Page: 29
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
MW OH NGUYEN, MEGGIE T. PR# 013, RETURNED DIRECT DEP. 0010-1101 V012582 General Checking with Bank
Check Total: 2,620.00
AP063023 300.03 PR2301013
Check Total: 300.03
Type Total: 1,253,452.81
Check Total: 1,253,452.81
00127659 07/03/2023
User: Gabriela Galin
Report: AP1400M : AP: Warrant List - Machine
Page: 30
07/05/2023 :Date
07:53:12 :Time

City of Placentia
ACH Check Register
For 07/11//2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
Check Totals by ID
AP 445,476.39
EP 0.00
IP 0.00
OP 0.00
Fund Name
101 -General Fund (0010)
208-Sccssr Agncy Ret Oblg (0054)
227 -Explorer Grant NOC (0076)
228-NOC-Public Safety Grant(0061)
229 -Comm Trans Hous Grant (0062)
231 -Placentia Reg Nav Cent(0078)
240 -Sewer Construction (0024)
265 -Landscape Maintenance (0029)
275 -Sewer Maintenance (0048)
501 -Refuse Administration (0037)
601 -Employee Health & Wlfre (0039)
Check Totals by Fund
367,873.13
1,188.78
176.11
4,102.25

1.58 563.22
1,512.78
983.42
5,426.96
3,41438
60,233.58
Check Total: 445,476.39
ACH Payroll Direct Deposit for 06/30/2023: 565,616.61
Electronic Disbursement Total: 1,011,093.00
Grand Total: 445,476.39
Void Total:

Check Total:

Funds will be transferred from the Cash Basis Fund as needed to fund the warrants included on this warrant register

0.00 445,476.39
User: Gabriela Ca]in
Report: API400M : AP: Warrant List - Machine

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
MW OH PLACENTIA FIREFIGHTERS PFFA P/E 06/10/23 P/D 06/16/2 V011878

MW OH PLACENTIA POLICE
V000839

MW OH PLACENTIA POLICE
V003519

MW OH PLACENTIA POLICE
V003519
0010-2178
Placentia Police Assoc Dues
PPMA P/E 06/10/23 P/D 06/16/23 0010-2180
Police Mgmt Assn Dues
PPOA P/E 06/10/23 P/D 06/16/23
PPOA P/E 06/10/23 P/D 06/16/23
PPOA P/E 06/10/23 P/D 06/16/23
MW OH AMERICAN FIDELITY FSA P/E 06/6 PD 06/16
V010011
MW OH AMERICAN FIDELITY FSA P/E 06/6 PD 06/16
V010011
MW OH AMERICAN FIDELITY FSA P/E 06/6 PD 06/16
V010011
MW OH AMERICAN FIDELITY FSA P/E 06/6 PD 06/16
V010011
MW OH AMERICAN FIDELITY FSA P/E 06/6 PD 06/16
V010011
MW OH AMERICAN FIDELITY PR#11, PR#12
V010011
MW OH AMERICAN FIDELITY PR#11, PR#12
MW OH AMERICAN FIDELITY PR#11, PR#12
V010011
0010-2178
Placentia Police Assoc Dues
0061-2178
Placentia Police Assoc Dues
0076-2178
Placentia Police Assoc Dues
0010-2188
Health Care SSA
0037-2188
Health Care SSA
0054-2188
Health Care SSA
0048-2188
Health Care SSA
0010-2190
Dependent Care SSA
0062-2155
Per Sec Plan - Opt. Life
0048-2155
Per Sec Plan - Opt. Life
0054-2155
PY2301012
Check Total:

PY2301012
800.00 PR2301012
800.00
665.76 PR2301012
Check Total: 665.76
PY2301012 3,078.71 PR2301012
PY2301012 86.51 PR2301012
PY2301012 5.08 PR2301012
Check Total: 3,170.30
ACH062123 1,360.20 2178140A
ACH062123 10.57 2178140A
ACH062123 8.35 2178140A
ACH062123 36.35 2178140A
ACH062123 233.33 2178140A
ACH062123 1.58 D601980
ACH062123 109.90 D601980
ACH062123 10.26 D601980
00017471 06/22/2023
00017472 06/22/2023
00017473 06/22/2023
00017473 06/22/2023
00017473 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 1
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
V010011

MW OH AMERICAN FIDELITY
V010011

MW OH AMERICAN FIDELITY
V010011
PR#11, PR#12
PR#11, PR#12
PR#11, PR#12
PR#11, PR#12
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
V010053
MW OH CALIFORNIA PUBLIC PERS PE 05/27 PD 06/02
Per Sec Plan - Opt. Life
0010-2155
Per Sec Plan - Opt. Life
0029-2155
Per Sec Plan - Opt. Life
0037-2I55
Per Sec Plan - Opt. Life
395000-2187
Voluntary Plan Life
0021-2195
PERS Uniform
0010-2195
PERS Uniform
0073-2195
PERS Uniform
0048-2195
PERS Uniform
0061-2195
PERS Uniform
0050-2195
PERS Uniform
0029-2195
PERS Uniform
0029-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0010-2140
ACH062123 2,576.46 D601980
ACH062123 49.34 D601980
ACH062123 18.00 D601980
ACH062123 2,117.34 D601980
Check Total: 6,531.68
ACH062123 0.00 PR2301011
ACH062123 24.49 PR2301011
ACII062123 0.00 PR2301011
ACH062123 0.60 PR2301011
ACH062123 0.92 PR2301011
ACH062123 0.00 PR2301011
ACH062123 0.00 PR2301011
ACH062123 0.00 PR2301011
ACH062123 447.06 PR2301011
ACH062123 106,709.46 PR2301011
00017474 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
00017474 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
User: Gabriela Cahn
Report: AP1400M : AP: Warrant List - Machine
Page: 2
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
Employee PERS W/H
0024-2140
Employee PERS W/H
0078-2140
Employee PERS W/H
0076-2140
Employee PERS W/H
0076-2140
Employee PERS W/H
0058-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0050-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2145
Employee PERS Payback W/H
0054-2145
Employee PERS Payback W/H
0048-2145
Employee PERS Payback W/H
0010-2145
Employee PERS Payback W/H
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
792.67 PR2301011
214.29 PR2301011

0.00 PR2301011

35.91 PR2301011

0.00 PR2301011
1,528.85 PR2301011
1,917.29 PR2301011

0.00 PR2301011
424.12 PR2301011
1,332.13 PR2301011

18.11 PR2301011

12.94 PR2301011

4.40 PR2301011
220.71 PR2301011
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 3
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
PERS PE 05/27 PD 06/02
0029-2145
Employee PERS Payback W/H
0029-2150
Survivor Benefit Package
0010-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0054-2150
Survivor Benefit Package
0078-2150
Survivor Benefit Package
0062-2150
Survivor Benefit Package
0073-2150
Survivor Benefit Package
0048-2150
Survivor Benefit Package
0024-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0050-2150
Survivor Benefit Package
0058-2150
Survivor Benefit Package
0061-2150
Survivor Benefit Package
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
Check Total:

2.59 PR2301011

1.09 PR2301011
138.43 PR2301011

0.06 PR2301011

0.48 PR2301011

0.47 PR2301011

0.00 PR2301011

3.08 PR2301011

0.93 PR2301011

2.09 PR2301011

0.00 PR2301011

0.87 PR2301011
113,834.04
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
00017475 06/22/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 4
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH CALIFORNIA STATE
V004813

MW OH EMPLOYMENT
V010052

MW OH INTERNAL REVENUE
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
0010-2196
Garnishments W/H
0029-2196
Garnishments W/H
0037-2196
Garnishments W/H
0048-2196
Garnishments W/H
0010-2135
Calif Income Tax W/H
0024-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0061-2135
Calif Income Tax W/H
0076-2135
Calif Income Tax W/H
0078-2135
Calif Income Tax W/H
0010-2110
ACH062123
ACH062123
ACH062123
ACH062123
Check Total:
2,196.90 PR2301012

9.23 PR2301012

69.23 PR2301012

46.15 PR2301012
2,321.51
ACH062123 47,361.34 PR2301012
ACH062123 191.42 PR2301012
ACH062123 110.40 PR2301012
ACH062123 433.51 PR2301012
ACH062123 603.62 PR2301012
ACH062123 143.19 PR2301012
ACH062123 586.30 PR2301012
ACH062123 35.01 PR2301012
ACH062123 75.13 PR2301012
Check Total: 49,539.92
ACH062123 I07,246.68 PR2301012
00017476 06/22/2023
00017476 06/22/2023
00017476 06/22/2023
00017476 06/22/2023
00017477 06/22/2023
00017477 06/22/2023
00017477 06/22/2023
00017477 06/22/2023
00017477 06/22/2023
00017477 06/22/2023
00017477 06/22/2023
00017477 06/22/2023
00017477 06/22/2023
00017478 06/22/2023
User: Gabriela Galin
Report: AP 1400M : AP: Warrant List - Machine
Page: 5
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW OH

INTERNAL REVENUE
V010054
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
Federal Income Tax W/H
0024-2110
Federal Income Tax W/H
0061-2110
Federal Income Tax W/H
0078-2110
Federal Income Tax W/H
0076-2110
Federal Income Tax W/H
0048-2110
Federal Income Tax W/H
0029-2110
Federal Income Tax W/H
0037-2110
Federal Income Tax W/H
0054-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0076-2115
Employee Medicare W/H
0078-2115
Employee Medicare W/H
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
384.06 PR2301012
1,675.00 PR23010I2
152.93 PR2301012

75.93 PR2301012
1,630.55 PR2301012
237.20 PR2301012
1,029.97 PR2301012
375.29 PR2301012

45.16 PR2301012
131.18 PR2301012

46.56 PR2301012
209.30 PR2301012

7.58 PR2301012

22.70 PR2301012
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 6
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type
Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX P/E 06/06 PD 06/16
FED TAX WE 06/06 PD 06/16
MW OH MISSION SQUARE 100091 401 A P/E 06/06 PD 06/16
V012393
MW OH MISSION SQUARE 301387 PE 05/27 PD 06/02
0061-2115
Employee Medicare W/H
0024-2115
Employee Medicare W/H
0010-2115
Employee Medicare W/H
0010-2120
Employer Medicare Payable
0024-2120
Employer Medicare Payable
0061-2120
Employer Medicare Payable
0076-2120
Employer Medicare Payable
0078-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0029-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0010-2170
Deferred Comp Payable - ICMA
0010-2170
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
ACH062123
111.90 PR2301012

71.85 PR2301012
12,690.54 PR2301012
12,658.00 PR2301012

71.85 PR2301012
111.90 PR2301012

7.58 PR2301012

22.70 PR2301012
207.33 PR2301012

43.19 PR2301012

46.56 PR2301012
128.44 PR2301012
Check Total: 139,441.93
ACH062123 7,467.03 PR2301012
Check Total:
7,467.03
ACH062123 30,350.91 301387-PY012
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017478 06/22/2023
00017479 06/22/2023
00017480 06/22/2023
User: Gabnela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 7
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394

MW OH CALIFORNIA PUBLIC
V006234

MW OH LEGAL SHIELD
V008104

MW OH WASHINGTON STATE
V011597

MW OH ALDWIR, MAMOUN
PE 05/27 PD 06/02
PE 05/27 PD 06/02
PE 05/27 PD 06/02
PE 05/27 PD 06/02
PE 05/27 PD 06/02
PE 05/27 PD 06/02

JUL FIRE UAL PAYMENT

JUL FIRE UAL PAYMENT
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16
P/E 06/06 PD 06/16

JUL MEDICAL REIMBURSEMENT
Deferred Comp Payable - ICMA
0029-2170
Deferred Comp Payable - ICMA
0037-2170
Deferred Comp Payable - ICMA
0048-2170
Deferred Comp Payable - ICMA
0054-2170
Deferred Comp Payable - ICMA
0076-2170
Deferred Comp Payable - ICMA
0078-2170
Deferred Comp Payable - ICMA
105525-6906
Ca1PERS-Fire Term. Principal
105525-6916
CalPERS-Fire Tenn Interest
0010-2192
Police Legal Services
0048-2192
Police Legal Services
0010-2196
Garnishments W/H
395083-5161
ACH062123 33.39 301387-PY012
ACH062123 241.35 301387-PY012
ACH062123 636.41 301387-PY012
ACH062123 125.80 301387-PY012
ACH062123 8.96 301387-PY012
ACH062123 75.00 301387-PY012
Check Total: 31,471.82
ACH062123 30,552.86 23-JUL
ACH062123 1,111.10 23-JUL
Check Total: 31,663.96
ACH062123 190.22 21561 -JUNE
ACH062123 21.98 21561 -JUNE
Check Total: 212.20
ACH062123 240.00 PR2301012
Check Total:
240.00
RETJUN23 1,293.00 JUL-23
00017480 06/22/2023
00017480 06/22/2023
00017480 06/22/2023
00017480 06/22/2023
00017480 06/22/2023
00017480 06/22/2023
00017481 06/22/2023
00017481 06/22/2023
00017482 06/22/2023
00017482 06/22/2023
00017483 06/22/2023
00017484 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 8
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
E000113 Health Insurance Premiums
MW OH ANDERSON, MARLA JUL MEDICAL REIMBURSEMENT 395083-5161 E000071 Health Insurance Premiums
MW OH ARMSTRONG, JOHN T JUL MEDICAL REIMBURSEMENT 395083-5161 E000046 Health Insurance Premiums
MW OH AUDISS, JAY SCOTT JUL MEDICAL REIMBURSEMENT 395083-5161 E000125 Health Insurance Premiums
MW OH BABCOCK, CHARLES A JUL MEDICAL REIMBURSEMENT 395083-5161 E000015 Health Insurance Premiums
MW OH BEALS, SHARLENE JUL MEDICAL REIMBURSEMENT 395083-5161 E000076 Health Insurance Premiums

MW OH BERMUDEZ, ALBERT
E000124

MW OH BUNNELL, DONALD
E000062

MW OH BURGNER, ARTHUR
E000074

MW OH BUSSE, MICHAEL
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Check Total: 1,293.00
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 1,143.00 JUL-23
Check Total: 1,143.00
RETJUN23 1,821.00 JUL-23
Check Total: 1,821.00
RETJUN23 314.00 JUL-23
Check Total: 314.00
RETJUN23 191.39 JUL-23
Check Total: 191.39
RETJUN23 571.00 JUL-23
Check Total: 571.00
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 1,391.00 JUL-23
00017485 06/29/2023
00017486 06/29/2023
00017487 06/29/2023
00017488 06/29/2023
00017489 06/29/2023
00017490 06/29/2023
00017491 06/29/2023
00017492 06/29/2023
00017493 06/29/2023
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 9
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
E000131 Health Insurance Premiums
MW OH CHANDLER, JOHN P JUL MEDICAL REIMBURSEMENT 395083-5161 E000109 Health Insurance Premiums
MW OH CHANG, ROBERT JUL MEDICAL REIMBURSEMENT 395083-5161 E000107 Health Insurance Premiums
MW OH COBBETT, GEOFFREY JUL MEDICAL REIMBURSEMENT 395083-5161 E000007 Health Insurance Premiums
MW OH COOK, ARLENE M JUL MEDICAL REIMBURSEMENT 395083-5161 E000018 Health Insurance Premiums
MW OH D'AMATO, ROBERT JUL MEDICAL REIMBURSEMENT 395083-5161 E000056 Health Insurance Premiums
MW OH DAVID, PRESTON JUL MEDICAL REIMBURSEMENT 395083-5161 E000112 Health Insurance Premiums
MW OH DAVIS, CAROLYN AUG MEDICAL REIMBURSEMENT 395083-5161 E000005 Health Insurance Premiums
MW OH DEAN, ANDREW JUL MEDICAL REIMBURSEMENT 395083-5161 E000135 Health Insurance Premiums
MW OH DELOS SANTOS, JAMIE JUL MEDICAL REIMBURSEMENT 395083-5161 Check Total: 1,391.00
RETJUN23 1,391.00 JUL-23
Check Total: 1,391.00
RETJUN23 1,288.00 JUL-23
Check Total: 1,288.00
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 191.39 JUL-23
Check Total: 191.39
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 533.78 AUG-23
Check Total: 533.78
RETJUN23 1,821.00 JUL-23
Check Total: 1,821.00
RETJUN23 185.29 JUL-23
00017494 06/29/2023
00017495 06/29/2023
00017496 06/29/2023
00017497 06/29/2023
00017498 06/29/2023
00017499 06/29/2023
00017500 06/29/2023
00017501 06/29/2023
00017502 06/29/2023
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 10
07/05/2023 :Date
07:59:14 :Time

City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
E000045 Health Insurance Premiums
MW OH DICKSON, ROBERTA JO JUL MEDICAL REIMBURSEMENT 395083-5161 E000011 Health Insurance Premiums
MW OH DOWNEY, CAROL AUG MEDICAL REIMBURSEMENT 395083-5161 E000082 Health Insurance Premiums
MW OH ECKENRODE, NORMAN AUG MEDICAL REIMBURSEMENT 395083-5161 E000029 Health Insurance Premiums
MW OH ESCOBOSA, LILLIAN JUL MEDICAL REIMBURSEMENT 395083-5161 E000055 Health Insurance Premiums
MW OH ESPINOZA, ROSALINDA JUL MEDICAL REIMBURSEMENT 395083-5161 E000016 Health Insurance Premiums
MW OH FRICKE, JUERGEN JUL MEDICAL REIMBURSEMENT 395083-5161 E000075 Health Insurance Premiums
MW OH FULLER, GLENN H JUL MEDICAL REIMBURSEMENT 395083-5161 E000081 Health Insurance Premiums
MW OH GALLANT, KAREN JUL MEDICAL REIMBURSEMENT 395083-5161 E000008 Health Insurance Premiums
MW OH GARNER, JO ANN JUL MEDICAL REIMBURSEMENT 395083-5161 Check Total: 185.29
RETJUN23 191.39 JUL-23
Check Total: 191.39
RETJUN23 533.78 AUG-23
Check Total: 533.78
RETJUN23 533.78 AUG-23
Check Total: 533.78
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 571.00 JUL-23
Check Total: 571.00
RETJUN23 879.00 JUL-23
Check Total: 879.00
RETJUN23 879.00 JUL-23
Check Total: 879.00
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 533.78 JUL-23
00017503 06/29/2023
00017504 06/29/2023
00017505 06/29/2023
00017506 06/29/2023
00017507 06/29/2023
00017508 06/29/2023
00017509 06/29/2023
00017510 06/29/2023
00017511 06/29/2023
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID
Description
Account/Description
Batch ID
Amount Invoice#
PO # Check # Check Date
E000047

MW OH GARNER, KITTY
E000080

MW OH GRIMM, DENNIS L
E000042
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums

MW OH HOLTSCLAW, KATHERINE JUL MEDICAL REIMBURSEMENT
E000121

MW OH IRVINE, SUZETTE
E000019

MW OH JENKINS, ROBERT
E000084

MW OH JOHNSON, SHARON
E000099

MW OH JONES, ROBERT
E000053

MW OH JUAREZ, JANET
E000134

MW OH JUDD, TERRELL

JUL MEDICAL REIMBURSEMENT

JUL MEDICAL REIMBURSEMENT
395083-5161
Health Insurance Premiums
395083-5161
Health Insurance Premiums
395083-5161
Health Insurance Premiums
395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums

JUL MEDICAL REIMBURSEMENT
395083-5161
Health Insurance Premiums
AUG MEDICAL REIMBURSEMENT 395083-5161
Check Total:

RETJUN23
Check Total:

RETJUN23
Check Total:
533.78
876.44 JUL-23
876.44
314.00 JUL-23
314.00
571.00 JUL-23
571.00
533.78 JUL-23
533.78
689.04 JUL-23
689.04
191.39 JUL-23
191.39
148.68 JUL-23
148.68
148.68 JUL-23
148.68
RETJUN23 1,000.50 AUG-23
00017512 06/29/2023
00017513 06/29/2023
00017514 06/29/2023
00017515 06/29/2023
00017516 06/29/2023
00017517 06/29/2023
00017518 06/29/2023
00017519 06/29/2023
00017520 06/29/2023
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
E000115 Health Insurance Premiums
MW OH KIRKLAND, RICHARD L JUL MEDICAL REIMBURSEMENT 395083-5161 E000110 Health Insurance Premiums
MW OH LITTLE, DIANE M JUL MEDICAL REIMBURSEMENT 395083-5161 E000098 Health Insurance Premiums
MW OH LOOMIS, CORINNE JUL MEDICAL REIMBURSEMENT 395083-5161 E000122 Health Insurance Premiums
MW OH LOWREY, B J JUL MEDICAL REIMBURSEMENT 395083-5161 E000041 Health Insurance Premiums
MW OH MAERTZWEILER, MICHAEL 1A.UG MEDICAL REIMBURSEMENT 395083-5161 E000032 Health Insurance Premiums
MW OH MILANO, JAMES JUL MEDICAL REIMBURSEMENT 395083-5161 E000054 Health Insurance Premiums
MW OH MILLER, RICHARD JUL MEDICAL REIMBURSEMENT 395083-5161 E000106 Health Insurance Premiums
MW OH NAJERA, JOSEPH D. JUL MEDICAL REIMBURSEMENT 395083-5161 E000136 Health Insurance Premiums
MW OH OLEA, ARLENE J JUL MEDICAL REIMBURSEMENT 395083-5161 Check Total: 1,000.50
RETJUN23 148.68 JUL-23
Check Total: 148.68
RETJUN23 269.02 JUL-23
Check Total: 269.02
RETJUN23 571.00 JUL-23
Check Total: 571.00
RETJUN23 314.00 JUL-23
Check Total: 314.00
RETJUN23 533.78 AUG-23
Check Total: 533.78
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 1,143.00 JUL-23
Check Total: 1,143.00
RETJUN23 571.00 JUL-23
Check Total: 571.00
RETJUN23 533.78 JUL-23
00017521 06/29/2023
00017522 06/29/2023
00017523 06/29/2023
00017524 06/29/2023
00017525 06/29/2023
00017526 06/29/2023
00017527 06/29/2023
00017528 06/29/2023
00017529 06/29/2023
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
E000014 Health Insurance Premiums
MW OH PALMER, GEORGE JUL MEDICAL REIMBURSEMENT 395083-5161 E000094 Health Insurance Premiums
MW OH PASCARELLA, RICHARD JUL MEDICAL REIMBURSEMENT 395083-5161 E000129 Health Insurance Premiums
MW OH PASCUA, RAYNALD JUL MEDICAL REIMBURSEMENT 395083-5161 E000114 Health Insurance Premiums
MW OH PASPALL, MIHAJLO JUL MEDICAL REIMBURSEMENT 395083-5161 E000085 Health Insurance Premiums
MW OH PEREZ, ROBERT JUL MEDICAL REIMBURSEMENT 395083-5161 E000111 Health Insurance Premiums
MW OH PICHON, WALTER JUL MEDICAL REIMBURSEMENT 395083-5161 E000103 Health Insurance Premiums
MW OH PINEDA, MATEO JUL MEDICAL REIMBURSEMENT 395083-5161 E000127 Health Insurance Premiums
MW OI-I PISCHEL, STEPHEN JUL MEDICAL REIMBURSEMENT 395083-5161 E000130 Health Insurance Premiums
MW OH POINT, ERIC JUL MEDICAL REIMBURSEMENT 395083-5161 Check Total: 533.78
RETJUN23 1,143.00 JUL-23
Check Total: 1,143.00
RETJUN23 1,821.00 JUL-23
Check Total: 1,821.00
RETJUN23 1,726.00 JUL-23
Check Total: 1,726.00
RETJUN23 448.36 JUL-23
Check Total: 448.36
RETJUN23 148.68 JUL-23
Check Total: 148.68
RETJUN23 269.02 JUL-23
Check Total: 269.02
RETJUN23 415.50 JUL-23
Check Total: 415.50
RETJUN23 876.17 JUL-23
Check Total: 876.17
RETJUN23 1,821.00 JUL-23
00017530 06/29/2023
00017531 06/29/2023
00017532 06/29/2023
00017533 06/29/2023
00017534 06/29/2023
00017535 06/29/2023
00017536 06/29/2023
00017537 06/29/2023
00017538 06/29/2023
User: Gabriela Calin
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
E000133 Health Insurance Premiums
MW OH REDIFER, KIM R JUL MEDICAL REIMBURSEMENT 395083-5161 E000022 Health Insurance Premiums

MW OH RENDEN, BRIAN
E000083
MW OI-1 REYES, ROGER T
E000024
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH REYNOLDS, MATTHEW JUL MEDICAL REIMBURSEMENT 395083-5161 E000132 Health Insurance Premiums
MW OH RICE, RUSSELL J JUL MEDICAL REIMBURSEMENT 395083-5161 E000059 Health Insurance Premiums
MW OH RIVERA, AIDA JUL MEDICAL REIMBURSEMENT 395083-5161 E000026 Health Insurance Premiums
MW OH ROACH, MICHAEL JUL MEDICAL REIMBURSEMENT 395083-5161 E000105 Health Insurance Premiums
MW OH ROBB, SANDRA JUL MEDICAL REIMBURSEMENT 395083-5161 E000043 Health Insurance Premiums
MW OH ROSE, RICHARD D JUL MEDICAL REIMBURSEMENT 395083-5161 Check Total: 1,821.00
RETJUN23 879.00 JUL-23
Check Total: 879.00
RETJUN23 448.36 JUL-23
Check Total: 448.36
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 571.00 JUL-23
Check Total: 571.00
RETJUN23 1,391.00 JUL-23
Check Total: 1,391.00
RETJUN23 191.39 JUL-23
Check Total: 191.39
RETJUN23 1,391.00 JUL-23
Check Total: 1,391.00
RETJUN23 191.39 JUL-23
Check Total: 191.39
RETJUN23 1,288.00 JUL-23
00017539 06/29/2023
00017540 06/29/2023
00017541 06/29/2023
00017542 06/29/2023
00017543 06/29/2023
00017544 06/29/2023
00017545 06/29/2023
00017546 06/29/2023
00017547 06/29/2023
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
E000050 Health Insurance Premiums
MW OH SALE, LEER JUL MEDICAL REIMBURSEMENT 395083-5161
E000031 Health Insurance Premiums
MW OH SANCHEZ, LAURA JUL MEDICAL REIMBURSEMENT 395083-5161 E000058 Health Insurance Premiums

MW OH SCHLIEDER, BEVERLY
E000120

MW OH SMITH, WARD
E000128

MW OH SOTO, PHILIP J
E000052

MW OH SPRAGUE, GARY A
E000064

MW OH STEPHEN, JEFFREY
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JUL MEDICAL REIMBURSEMENT 395083-5161
E000119 Health Insurance Premiums
MW OH TAYLOR, DAVID M JUL MEDICAL REIMBURSEMENT 395083-5161 E000088 Health Insurance Premiums
MW OH TAYLOR, LINDA JUL MEDICAL REIMBURSEMENT 395083-5161 Check Total: 1,288.00
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 191.39 JUL-23
Check Total: 191.39
RETJUN23 876.44 JUL-23
Check Total: 876.44
RETJUN23 584.00 JUL-23
Check Total: 584.00
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 1,685.00 JUL-23
Check Total: 1,685.00
RETJUN23 1,288.00 JUL-23
Check Total: 1,288.00
RETJUN23 584.00 JUL-23
Check Total: 584.00
RETJUN23 529.37 JUL-23
00017548 06/29/2023
00017549 06/29/2023
00017550 06/29/2023
00017551 06/29/2023
00017552 06/29/2023
00017553 06/29/2023
00017554 06/29/2023
00017555 06/29/2023
00017556 06/29/2023
User: Gabriela Cahn
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City of Placentia
Check Register
For 07/05/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
E000126 Health Insurance Premiums
MW OH THOMANN, DARYLL L JUL MEDICAL REIMBURSEMENT 395083-5161 E000101 Health Insurance Premiums
MW OH TRIFOS, WILLIAM JUL MEDICAL REIMBURSEMENT 395083-5161 E000104 Health Insurance Premiums
MW OH VALENTINE, THOMAS JUL MEDICAL REIMBURSEMENT 395083-5161 E000118 Health Insurance Premiums
MW OH VERSTYNEN, WILLIAM JUL MEDICAL REIMBURSEMENT 395083-5161 E000092 Health Insurance Premiums
MW OH WAHL, KATHLEEN A JUL MEDICAL REIMBURSEMENT 395083-5161 E000030 Health Insurance Premiums
MW OH WIEST, STEPHEN JUL MEDICAL REIMBURSEMENT 395083-5161 E000079 Health Insurance Premiums
MW OH WORDEN, LARRY M JUL MEDICAL REIMBURSEMENT 395083-5161 E000116 Health Insurance Premiums
MW OH YAMAGUCHI, BRIAN JUL MEDICAL REIMBURSEMENT 395083-5161 E000123 Health Insurance Premiums
MW OH ZINN, JOHN JUL MEDICAL REIMBURSEMENT 395083-5161
Check Total: 529.37
RETJUN23 533.78 JUL-23
Check Total: 533.78
RETJUN23 879.00 JUL-23
Check Total: 879.00
RETJUN23 584.00 JUL-23
Check Total: 584.00
RETJUN23 148.68 JUL-23
Check Total: 148.68
RETJUN23 191.00 JUL-23
Check Total: 191.00
RETJUN23 534.00 JUL-23
Check Total: 534.00
RETJUN23 584.00 JUL-23
Check Total: 584.00
RETJUN23 1,391.00 JUL-23
Check Total: 1,391.00
RETJUN23 1,293.00 JUL-23
00017557 06/29/2023
00017558 06/29/2023
00017559 06/29/2023
00017560 06/29/2023
00017561 06/29/2023
00017562 06/29/2023
00017563 06/29/2023
00017564 06/29/2023
00017565 06/29/2023
User: Gabriela Calin
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City of Placentia
Check Register
For 07105/2023
Type Vendor Name/ID Description
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
E000009 Health Insurance Premiums
Check Total: 1,293.00
Type Total: 445,476.39
Check Total: 445,476.39
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 18
07/05/2023 :Date
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TO:

VIA:

FROM:

DATE:

Placentia City Council

AGENDA REPORT

CITY COUNCIL

CITY ADMINISTRATOR

DEPUTY CITY ADMINISTRATOR / PUBLIC SERVICES & INFRASTRUCTURE JULY 11, 2023
SUBJECT: AMENDMENT NO. 1 TO HVAC MAINTENANCE SERVICES AGREEMENT WITH F.M.THOMAS AIR CONDITIONING, INC.

FISCAL
IMPACT: EXPENSE:

AVAILABLE
BUDGET:

SUMMARY:
$ 82,747 AMENDMENT AMOUNT
$ 82,747
$ 25,000 FISCAL YEAR 2022-23 OPERATING BUDGET
(103654-6290)
S 57,787 FISCAL YEAR 2023-24 OPERATING BUDGET
$ 37,787 (103654-6290)
S 20,000 "103654-6130)
In November 2021, the City Council awarded a Maintenance Services Agreement to F.M. Thomas Air Conditioning, Inc. ("F.M. Thomas") to provide HVAC maintenance services. Staff is presenting this proposed amendment for City Council consideration to increase the cumulative contract not - to -exceed amount by $82,747 for the remainder of the contract term. The current contract term is set to expire on November 2, 2024; however Staff will soon be soliciting new competitive bids for these services. The recommended actions will allow the City to have sufficient contractual authority for expenditures that will be incurred in the remainder of the contract term. The proposed contract costs for HVAC maintenance services with F.M. Thomas are budgeted in the adopted Fiscal Year ("FY") 22-23 Operating Budget and FY 23-24 Operating Budget.

RECOMMENDATION:

It is recommended that the City Council take the following actions:

1. Approve Amendment No. 1 to the Maintenance Services Agreement with F.M. Thomas Air Conditioning, Inc., for HVAC Maintenance Services in an amount not -to -exceed $82,747 for a revised cumulative contract amount of $196,108 for the remainder of the contract term; and

1.c.

July 11, 2023

City Council Agenda
July 11, 2023

Page 2 of 3 ends

2. Authorize the City Administrator to approve contract change orders up to 10% of the revised cumulative contract amount; and

3. Authorize the City Administrator and/or his designee to execute all necessary documents, in a form approved by the City Attorney.

STRATEGIC PLAN STATEMENT:

There is no specific Strategic Plan Goal or Objective associated with this Council action.

DISCUSSION:

On November 2, 2021, the City Council approved a Maintenance Services Agreement with F.M.

Thomas Air Conditioning, Inc. ("F.M. Thomas") in the amount of $ $113,361.00 for an initial (3) three-year contract term. Under this contract, F.M. Thomas provides HVAC maintenance services for all City facilities including quarterly and annual preventive maintenance services as well as extraordinary repairs and maintenance. During the term of the agreement, the City has incurred extraordinary expenditures with FM Thomas for emergency repairs to the City's aging HVAC system.

Staff is recommending an agreement amendment to increase the cumulative contract amount by $82,747 to provide sufficient spending authority through the end of the contract. This will allow the City to have contractual authority for additional expenditures incurred in the current fiscal year and for maintenance and emergency repair services for Fiscal Year 2023-24.

All extraordinary work is included in the City's annual City facility maintenance budget and included in the contract scope of work and bid schedule which secures fixed unit bid pricing to control costs. Staff will soon be soliciting new competitive bids for these services to improve service quality provided due to the needed on -going repairs/maintenance of the City's aging HVAC system. The recommended actions will allow the City to have sufficient contractual authority for expenditures that will be incurred in the remainder of the contract term while Staff prepares the requests for proposal to obtain a new contractor.

FISCAL IMPACT:

The recommended actions will approve Amendment No. 1 to the Maintenance Services Agreement with F.M. Thomas increasing the annual contract amount by $82,747 for the remainder of the existing term for a revised annual contract amount of $196,108. The total cost of the services is included in the adopted FY 22-23 Operating Budget and FY 23-24 Operating Budget.

Prepared by:

Reviewed and approved:

Joel Card;'` as
Public W: ks Superintendent
Jennifer Lampman
Director of Finance

City Council Agenda
July 11, 2023

Page 3 of 3 ends

Reviewed an d approved:
i Ld
Luis Estevez
Deputy City Administrator
Reviewed and approved:

Damien R. Arrula
City Administrator
Attachment:

Amendment No. 1— F.M Thomas Air Conditioning, Inc.

AMENDMENT NO. 1 TO

MAINTENANCE SERVICES AGREEMENT
PROVISION OF HVAC MAINTENANCE SERVICES WITH F.M. THOMAS AIR CONDITIONING, INC.

This Amendment No. 1 ("Amendment") to Professional Services Agreement is made and entered into effective the 11 day of July, 2017, by and between the CITY OF PLACENTIA, a Charter City and Municipal Corporation ("CITY"), and F.M. THOMAS AIR CONDITIONING, INC. a California corporation (hereinafter "CONSULTANT"). CITY and CONSULTANT are sometimes hereinafter individually referred to as "Party" and or collectively referred to as the "Parties."
A. Recitals.
(i). CITY and CONSULTANT entered into a Professional Services Agreement ("Agreement") effective November 5, 2021, through which CONSULTANT has been providing professional services as more fully explained in the Scope of Services attached to the Agreement as Exhibit "A."
(ii). The Parties now seek to amend the Agreement to increase the cumulative contract not -to -exceed amount by Eighty -Two Thousand, Seven Hundred Forty -Seven Dollars ($82,747). (iii). All legal prerequisites to the making of this Amendment have occurred.

NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the Parties agree as follows:

B. Amendment to Agreement.

1. Section 2.1 of the Agreement is hereby amended to read as follows:

Contractor shall be paid in accordance with the fee schedule set forth in Exhibit "A." Contractor's total compensation shall not exceed a cumulative amount of One Hundred Ninety - Six Thousand, One Hundred Eight Dollars ($196,108.00) over the initial three-year contract.

2. Except as specifically modified herein, all of the terms, conditions and provisions of the Agreement shall remain in full force and effect.

3. The Agreement, all amendments together with this Amendment No. 1 and all Exhibits attached thereto, constitutes the entire Agreement between the Parties and supersedes all prior negotiations, arrangements, representations, and understandings, if any, made by or between the Parties with respect to the subject matter hereof. No amendment or other modification of the Agreement, as modified by this Amendment No. 1 shall be binding unless executed in writing by both Parties hereto, or their respective successors, assigns, or grantees.

Page 1 of 2 ends

4. Each of the undersigned represents and warrants that he or she is duly authorized to execute and deliver this Amendment No. 1 and that such execution is binding upon the entity for which he or she is executing this document.

IN WITNESS WHEREOF, the Parties have caused Amendment No. 1 to the Maintenance Services Agreement are to be executed as of the day and year first above written.

CONSULTANT CITY OF PLACENTIA
By: By:

Thomas Feyka Damien R. Arrula
President City Administrator
ATTEST:

By:

Robert S. McKinnell, City Clerk
APPROVED AS TO FORM:

By:

Christian L. Bettenhausen, City Attorney

Page 2 ends

ACORN®
L.... ----- CERTIFICATE OF LIABILITY INSURANCE

DATE (MMIDDIYYYY)
6/28/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR 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
Bowermaster Insurance Brokers
P.O. Box 6026
10805 Holder St Suite 350
Cypress CA 90630

CONTACT
Shea Henderson

PHONE FAX
(A/C. No. Ext): 714-733-6200 (A/C, No):

ADDRess: [email protected]

INSURER(S) AFFORDING COVERAGE
NAIC#
INSURERA: Valley Forge Insurance Company
20508
INSURED FMTHOMA-01
FM Thomas Air Conditioning, Inc.
231 Gemini Ave
Brea CA 92821
INSURER B : Continental Casualty Co.
20443
INSURER c : Insurance Company of the West
27847
INSURER D: Columbia Casualty Ins. Co.
31127
INSURER E : Continental Insurance Company
35289
INSURER F :

COVERAGES
CERTIFICATE NUMBER: 1608395577
REVISION NUMBER:

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

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

LTRINSR

TYPE OF INSURANCE

INS0
SUBR
WVD

POLICY NUMBER

POLICY EFF
(MM/DDIYYYY)

POLICY EXP
(MMIDD/YYW)
LIMITS
A
X

COMMERCIAL GENERAL LIABILITY
Y
Y
6057223216
4/1/2023
4/1/2024

EACH OCCURRENCE
$1,000,000

CLAIMS -MADE
X
OCCUR

DAMAGE TO RENTED
PREMISES (Ea occurrence)
$ 100,000
MED EXP (Any one person)
$ 15,000

PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
X

AGGREGATE
POLICY
OTHER:

LIMIT APPLIES
PRO-
JECT
PER:

LOC

GENERAL AGGREGATE
$ 2,000,000

PRODUCTS - COMP/OP AGG
$ 2,000,000
$
B

AUTOMOBILE
X
X

LIABILITY

ANY AUTO
OWNED

AUTOS ONLY
HIRED

AUTOS ONLY
X

SCHEDULED
AUTOS

NON -OWNED

AUTOS ONLY
Y
Y
6057258063
4/1/2023
4/1/2024

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

PROPERTY DAMAGE
(Per accident)
$
E
X

UMBRELLA LIAB

EXCESS LIAB
X
OCCUR

CLAIMS -MADE
6057258077
4/1/2023
4/1/2024

EACH OCCURRENCE
$4,000,000

AGGREGATE
$ 4,000,000
DED
X
RETENT ON $ ill nnn
$
c

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/PARTNERJEXECUTIVE
OFFICERJMEMBEREXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y I N
Y
N/A
Y
WSD505258303
1/1/2023
1/1/2024
X

STATUTE
OTH-
ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
D
Pollution Liability
7034395763
8/1/2022
8/1/2023
Aggregate
Each Occurrence
Self Insured Retentio
2,000,000
1,000,000
10,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Operations of Named Insured
The City of Placentia and its elected and appointed boards, officers, officials, agents, employees, and volunteers are additional insureds with respect to: liability arising out of activities performed by or on behalf of the Consultant pursuant to its contract with the City; products and completed operations of the Consultant; premises owned, occupied or used by the Consultant; automobiles owned, leased, hired, or borrowed by the Consultant are Additional Insured with respects General Liability and Automobile Liability per attached endorsement forms; Waivers of Subrogation and Primary Wording apply per attached endorsement forms. Umbrella coverage is following form.

CERTIFICATE HOLDER

CANCELLATION
City of Placentia
Attn: City Administrator
401 E. Chapman
Placentia CA 92870
USA

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

AUTHORI ED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.

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

Policy Number: 6057258063
CNA
CNA63359XX
(Ed. 04/12)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CONTRACTORS EXTENDED COVERAGE ENDORSEMENT
- BUSINESS AUTO PLUS -
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM
I. LIABILITY COVERAGE
A. Who Is An Insured
The following is added to Section II, Paragraph
A.1., Who Is An Insured:

1. a. Any incorporated entity of which the
Named Insured owns a majority of the
voting stock on the date of inception of
this Coverage Form; provided that,
b. The insurance afforded by this
provision A.1. does not apply to any
such entity that is an "insured" under
any other liability "policy" providing
"auto" coverage.

2. Any organization you newly acquire or form,
other than a limited liability company,
partnership or joint venture, and over which
you maintain majority ownership interest.

The insurance afforded by this provision
A.2.:
a. Is effective on the acquisition or
formation date, and is afforded only
until the end of the policy period of this
Coverage Form, or the next anniversary
of its inception date, whichever is
earlier.
b. Does not apply to:
(1) "Bodily injury" or "property damage"
caused by an "accident" that
occurred before you acquired or
formed the organization; or
(2) Any such organization that is an
"insured" under any other liability
"policy" providing "auto" coverage.

3. Any person or organization that you are
required by a written contract to name as
an additional insured is an "insured" but
only with respect to their legal liability for
acts or omissions of a person, who qualifies
as an "insured" under Section II — Who Is
An Insured and for whom Liability Coverage
is afforded under this policy. If required by
written contract, this insurance will be
primary and non-contributory to insurance
on which the additional insured is a Named
Insured.

CNA63359XX
(Ed. 04/12)

4. An "employee" of yours is an "insured"
while operating an "auto" hired or rented
under a contract or agreement in that
"employee's" name, with your permission,
while performing duties related to the
conduct of your business.
"Policy," as used in this provision A. Who Is An
Insured, includes those policies that were in
force on the inception date of this Coverage
Form but:

1. Which are no longer in force; or

2. Whose limits have been exhausted.

B. Bail Bonds and Loss of Earnings
Section II, Paragraphs A.2. (2) and A.2. (4)
are revised as follows:

1. In a.(2), the limit for the cost of bail bonds is
changed from $2,000 to $5,000; and

2. In a.(4), the limit for the loss of earnings is
changed from $250 to $500 a day.

C. Fellow Employee
Section II, Paragraph B.5 does not apply.

Such coverage as is afforded by this provision
C. is excess over any other collectible
insurance.

II. PHYSICAL DAMAGE COVERAGE
A. Glass Breakage — Hitting A Bird Or Animal —
Falling Objects Or Missiles
The following is added to Section III,
Paragraph A.3.:

With respect to any covered "auto," any
deductible shown in the Declarations will not
apply to glass breakage if such glass is
repaired, in a manner acceptable to us, rather
than replaced.

B. Transportation Expenses
Section III, Paragraph A.4.a. is revised, with
respect to transportation expense incurred by
you, to provide:
a. $60 per day, in lieu of $20; subject to
b. $1,800 maximum, in lieu of $600.

Includes copyrighted material of the Insurance Services Office used with its permission.

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CNA
C. Loss of Use Expenses
Section III, Paragraph A.4.b. is revised, with
respect to loss of use expenses incurred by
you, to provide:
a. $1,000 maximum, in lieu of $600.

D. Hired "Autos"
The following is added to Section III.

Paragraph A.:

5. Hired "Autos"
If Physical Damage coverage is provided under
this policy, and such coverage does not extend
to Hired Autos, then Physical Damage coverage
is extended to:
a. Any covered "auto" you lease, hire, rent
or borrow without a driver; and
b. Any covered "auto" hired or rented by
your "employee" without a driver, under
a contract in that individual
"employee's" name, with your
permission, while performing duties
related to the conduct of your business.
c. The most we will pay for any one
"accident" or "loss" is the actual cash
value, cost of repair, cost of
replacement or $75,000, whichever is
less, minus a $500 deductible for each
covered auto. No deductible applies to
"loss" caused by fire or lightning.
d. The physical damage coverage as is
provided by this provision is equal to
the physical damage coverage(s)
provided on your owned "autos."
e. Such physical damage coverage for
hired "autos" will:
(1)
Include loss of use, provided it is
the consequence of an "accident"
for which the Named Insured is
legally liable, and as a result of
which a monetary loss is sustained
by the leasing or rental concern.
(2) Such coverage as is provided by
this provision will be subject to a
limit of $750 per "accident."
E. Airbag Coverage
The following is added to Section III,
Paragraph B.3.:

The accidental discharge of an airbag shall not
be considered mechanical breakdown.

F. Electronic Equipment
CNA63359XX
(Ed. 04/12)
CNA63359XX
(Ed. 04/12)
Section III, Paragraphs B.4.c and B.4.d. are
deleted and replaced by the following:
c. Physical Damage Coverage on a covered
"auto" also applies to "loss" to any
permanently installed electronic equipment
including its antennas and other
accessories.
d. A $100 per occurrence deductible applies
to the coverage provided by this provision.

G. Diminution In Value
The following is added to Section III,
Paragraph B.6.:

Subject to the following, the "diminution in
value" exclusion does not apply to:
a. Any covered "auto" of the private
passenger type you lease, hire, rent or
borrow, without a driver for a period of
30 days or less, while performing duties
related to the conduct of your business;
and
b. Any covered "auto" of the private
passenger type hired or rented by your
"employee" without a driver for a period
of 30 days or less, under a contract in
that individual "employee's" name, with
your permission, while performing
duties related to the conduct of your
business.
c. Such coverage as is provided by this
provision is limited to a "diminution in
value" loss arising directly out of
accidental damage and not as a result
of the failure to make repairs; faulty or
incomplete maintenance or repairs; or
the installation of substandard parts.
d. The most we will pay for "loss" to a
covered "auto" in any one accident is
the lesser of:
(1) $5,000; or
(2) 20% of the "auto's" actual cash
value (ACV).

III. Drive Other Car Coverage — Executive Officers
The following is added to Sections II and III:

1. Any "auto" you don't own, hire or borrow is a
covered "auto" for Liability Coverage while
being used by, and for Physical Damage
Coverage while in the care, custody or control
of, any of your "executive officers," except:
a. An "auto" owned by that "executive officer"
or a member of that person's household; or
Copyright, CNA Corporation, 2000.

Includes copyrighted material of the Insurance Services Office used with its permission.

Page 2 of 3 ends

C'NA
b. An "auto" used by that "executive officer"
while working in a business of selling,
servicing, repairing or parking "autos."
Such Liability and/or Physical Damage
Coverage as is afforded by this provision.
(1)
Equal to the greatest of those
coverages afforded any covered "auto";
and
(2) Excess over any other collectible
insurance.

2. For purposes of this provision, "executive
officer" means a person holding any of the
officer positions created by your charter,
constitution, by-laws or any other similar
governing document, and, while a resident of
the same household, includes that person's
spouse.

Such "executive officers" are "insureds" while
using a covered "auto" described in this
provision.

IV. BUSINESS AUTO CONDITIONS
A. Duties In The Event Of Accident, Claim, Suit
Or Loss
The following is added to Section IV,
Paragraph A.2.a.:
(4) Your "employees" may know of an
"accident" or "loss." This will not mean
that you have such knowledge, unless
such "accident" or "loss" is known to
you or if you are not an individual, to
any of your executive officers or
partners or your insurance manager.

The following is added to Section IV,
Paragraph A.2.b.:
(6) Your "employees" may know of
documents received concerning a claim
or "suit." This will not mean that you
have such knowledge, unless receipt of
such documents is known to you or if
you are not an individual, to any of your
executive officers or partners or your
insurance manager.

B. Transfer Of Rights Of Recovery Against
Others To Us
CNA63359XX
(Ed. 04/12)
The following is added to Section IV,
Paragraph A.5. Transfer Of Rights Of
Recovery Against Others To Us:

We waive any right of recovery we may have,
because of payments we make for injury or
damage, against any person or organization for
whom or which you are required by written
contract or agreement to obtain this waiver from
US.

This injury or damage must arise out of your
activities under a contract with that person or
organization.

You must agree to that requirement prior to an
"accident" or "loss."
C. Concealment, Misrepresentation or Fraud
The following is added to Section IV,
Paragraph B.2.:

Your failure to disclose all hazards existing on the
date of inception of this Coverage Form shall not
prejudice you with respect to the coverage afforded
provided such failure or omission is not intentional.

D. Other Insurance
The following is added to Section IV,
Paragraph B.5.:

Regardless of the provisions of Paragraphs 5.a.
and 5.d. above, the coverage provided by this
policy shall be on a primary non-contributory
basis. This provision is applicable only when
required by a written contract. That written
contract must have been entered into prior to
"Accident" or "Loss."
E. Policy Period, Coverage Territory
Section IV, Paragraph B. 7.(5).(a). is revised
to provide:
a. 45 days of coverage in lieu of 30 days.

V. DEFINITIONS
Section V. Paragraph C. is deleted and replaced
by the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by a person, including mental
anguish, mental injury or death resulting from any of
these.

CNA63359XX
(Ed. 04/12)
Copyright, CNA Corporation, 2000.

Includes copyrighted material of the Insurance Services Office used with its permission.

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CNA
Business Auto Policy
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: F M THOMAS AIR CONDITIONING INC
Endorsement Effective Date: 4/1/2022

SCHEDULE
Name(s) Of Person(s) Or Organization(s):

ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS.

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

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

Form No: CA 04 44 10 13
Endorsement Effective Date:

Endorsement No: 4; Page: 1 of 1
Underwriting Company: Continental Casualty Company, 151 N Franklin St, Chicago, IL 60606 Endorsement Expiration Date:

Policy No: BUA 6057258063 I
Policy Effective Date:04/01/2023
Copyright Insurance Services Office, Inc., 2011

Policy Number: 6057223216
30020001660572232165895
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply.

TABLE OF CONTENTS

1. Additional Insureds

2. Additional Insured - Primary And Non -Contributory To Additional Insured's Insurance

3. Bodily Injury — Expanded Definition

4. Broad Knowledge of Occurrence/ Notice of Occurrence

5. Broad Named Insured

6. Broadened Liability Coverage For Damage To Your Product And Your Work

7. Contractual Liability - Railroads

8. Electronic Data Liability

9. Estates, Legal Representatives and Spouses

10. Expected Or Intended Injury — Exception for Reasonable Force

11. General Aggregate Limits of Insurance — Per Project

12. In Rem Actions

13. Incidental Health Care Malpractice Coverage

14. Joint Ventures/Partnership/Limited Liability Companies

15. Legal Liability — Damage To Premises I Alienated Premises / Property In The Named Insured's Care, Custody or Control

16. Liquor Liability

17. Medical Payments

18. Non -owned Aircraft Coverage

19. Non -owned Watercraft

20. Personal And Advertising Injury — Discrimination or Humiliation

21. Personal And Advertising Injury - Contractual Liability

22. Property Damage - Elevators

23. Supplementary Payments

24. Unintentional Failure To Disclose Hazards

25. Waiver of Subrogation — Blanket

26. Wrap -Up Extension: OCIP CCIP, or Consolidated (Wrap -Up) Insurance Programs CNA74705XX (1-15)

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VALLEY FORGE INSURANCE COMPANY
Insured Name: F M THOMAS AIR CONDITIONING INC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.

Policy No: 6057223216
Endorsement No: 2
Effective Date: 04/01/2023

CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement

1. ADDITIONAL INSUREDS
a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through H. below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement:
(1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to:
(a) the bodily injury or property damage; or
(b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage.
b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with:
(1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A. through H. below.

Any coverage granted by this endorsement shall apply only to the extent permissible by law.

A. Controlling Interest
Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury arising out of:

1. such person or organization's financial control of a Named Insured; or

2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises;
provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured.

B. Co-owner of Insured Premises
A co-owner of a premises co -owned by a Named Insured and covered under this insurance but only with respect to such co -owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises.

C. Lessor of Equipment
Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named Insured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease.

D. Lessor of Land
Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. The CNA74705XX (1-15) Policy No: 6057223216

Page 2 of 17 ends

VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2023 Insured Name: F M THOMAS AIR CONDITIONING INC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.

30020001660572232165896
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured.

E. Lessor of Premises
An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured.

F. Mortgagee, Assignee or Receiver
A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily injury, property damage or personal and advertising injury arising out of the Named Insured's ownership, maintenance, or use of a premises by a Named Insured.

The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured.

G. State or Governmental Agency or Subdivision or Political Subdivisions — Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily injury, property damage or personal and advertising injury arising out of:

1. the following hazards in connection with premises a Named Insured owns, rents, or controls and to which this insurance applies:
a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or b. the construction, erection, or removal of elevators; or c. the ownership, maintenance or use of any elevators covered by this insurance; or

2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf.

The coverage granted by this paragraph does not apply to:
a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included within the products -completed operations hazard.

With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured.

H. Trade Show Event Lessor

1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by:

CNA74705XX (1-15) Policy No: 6057223216

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CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
a. the Named Insured's acts or omissions; or
b. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade show event.

2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products -completed operations hazard.

2. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph:

If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization.

3. BODILY INJURY —EXPANDED DEFINITION
Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following:

Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury, sickness or disease.

4. BROAD KNOWLEDGE OF OCCURRENCE/ NOTICE OF OCCURRENCE
Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended to add the following provisions:

A. BROAD KNOWLEDGE OF OCCURRENCE
The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a partner, executive officer, manager or member of a Named Insured, or an employee designated by any of the above to give such notice.

B. NOTICE OF OCCURRENCE
The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give the Insurer notice of an occurrence, offense or claim and that failure is solely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However, the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence, offense or claim.

5. BROAD NAMED INSURED
WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following:

3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has management control:
a. on the effective date of this Coverage Part; or
CNA74705XX (1-15) Policy No: 6057223216

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30020001660572232165697
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
b. by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary, contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or narrower than that provided by this insurance.

But this BROAD NAMED INSURED provision does not apply to:
(a) any partnership, limited liability company or joint venture; or (b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part.

For the purpose of this provision, management control means:

A. owning interests representing more than 50% of the voting, appointment or designation power for the selection of a majority of the Board of Directors of a corporation; or B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust.

4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance does not apply to:
a. bodily injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases; nor
b. personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases.

5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names or under such other trading names or doing -business -as names (dba) as any Named Insured should choose to employ.

6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusions k. and I. and replace them with the following:

This insurance does not apply to:
k. Damage to Your Product
Property damage to your product arising out of it, or any part of it except when caused by or resulting from:
(1) fire;
(2) smoke;
(3) collapse; or
(4) explosion.

I. Damage to Your Work
Property damage to your work arising out of it, or any part of it and included in the products -completed operations hazard.

This exclusion does not apply:
(1) If the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor; or
CNA74705XX (1-15) Policy No: 6057223216

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CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
(2) If the cause of loss to the damaged work arises as a result of:
(a) fire;
(b) smoke;
(c) collapse; or
(d) explosion.

B. The following paragraph is added to LIMITS OF INSURANCE:

Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for the sum of damages arising out of any one occurrence because of property damage to your product and your work that is caused by fire, smoke, collapse or explosion and is included within the product -completed operations hazard. This sublimit does not apply to property damage to your work if the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor.

C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if an endorsement of the same name is attached to this policy.

7. CONTRACTUAL LIABILITY — RAILROADS
With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced by the following:

Insured Contract means:
a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner is not an insured contract; b. A sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to the Named Insured's business (including an indemnification of a municipality in connection with work performed for a municipality) under which the Named Insured assumes the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement.

Paragraph f. does not include that part of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage;
(2) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities.

8. ELECTRONIC DATA LIABILITY
CNA74705XX (1-15) Policy No: 6057223216

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30020001660572232165898
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following:

This insurance does not apply to:

Access Or Disclosure Of Confidential Or Personal Information And Data -related Liability Damages arising out of:
(1) any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data that does not result from physical injury to tangible property.

However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily injury.

This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named Insured or others arising out of that which is described in Paragraph (1) or (2) above.

B. The following paragraph is added to LIMITS OF INSURANCE:

Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for all damages arising out of any one occurrence because of property damage that results from physical injury to tangible property and arises out of electronic data.

C. The following definition is added to DEFINITIONS:

Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment.

D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of property damage in DEFINITIONS is replaced by the following:

Property damage means:
a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it; or
c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be deemed to occur at the time of the occurrence that caused it.

For the purposes of this insurance, electronic data is not tangible property.

E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that higher limit.

9. ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES
The estates, heirs, legal representatives and spouses of any natural person Insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for CNA74705XX (1-15) Policy No: 6057223216

Page 7 of 17 ends

CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
claims arising solely out of their capacity or status as such and, in the case of a spouse, where such claim seeks damages from marital community property, jointly held property or property transferred from such natural person Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business.

10. EXPECTED OR INTENDED INJURY - EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following:

This insurance does not apply to:

Expected or Intended Injury
Bodily injury or property damage expected or intended from the standpoint of the Insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property.

11. GENERAL AGGREGATE LIMITS OF INSURANCE - PER PROJECT A. For each construction project away from premises the Named Insured owns or rents, a separate Construction Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of:

1. All damages under Coverage A, except damages because of bodily injury or property damage included in the products -completed operations hazard; and

2. All medical expenses under Coverage C,
that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project.

B. AII:

1. Damages under Coverage B, regardless of the number of locations or construction projects involved;

2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project, except damages because of bodily injury or property damage included in the products -completed operations hazard; and

3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project,
will reduce the General Aggregate Limit shown in the Declarations.

C. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular construction project.

D. When coverage for liability arising out of the products -completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products -completed operations hazard will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved.

CNA74705XX (1-15)

Page 8 of 17 ends

VALLEY FORGE INSURANCE COMPANY
Insured Name: F M THOMAS AIR CONDITIONING INC
Copyright CNA AII Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.

Policy No: 6057223216
Endorsement No: 2
Effective Date: 04/01/2023

30020001660572232165699
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project.

F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated.

12. IN REM ACTIONS
A quasi in rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured.

13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE
Solely with respect to bodily injury that arises out of a health care incident:

A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following:
b. This insurance applies to bodily injury provided that the professional health care services are incidental to the Named Insured's primary business purpose, and only if:
(1) such bodily injury is caused by an occurrence that takes place in the coverage territory. (2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence; and
B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to:
i. add the following to the Employers Liability exclusion:

This exclusion applies only if the bodily injury arising from a health care incident is covered by other liability insurance available to the Insured (or which would have been available but for exhaustion of its limits).
ii. delete the exclusion entitled Contractual Liability and replace it with the following:

This insurance does not apply to:

Contractual Liability
the Insured's actual or alleged liability under any oral or written contract or agreement, including but not limited to express warranties or guarantees.
iii. add the following additional exclusions:

This insurance does not apply to:

Discrimination
any actual or alleged discrimination, humiliation or harassment, including but not limited to claims based on an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orientation.

Dishonesty or Crime
Any actual or alleged dishonest, criminal or malicious act, error or omission.

Medicare/Medicaid Fraud
CNA74705XX (1-15) Policy No: 6057223216

Page 9 of 17 ends

CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program.

Services Excluded by Endorsement
Any health care incident for which coverage is excluded by endorsement.

C. DEFINITIONS is amended to:
i. add the following definitions:

Health care incident means an act, error or omission by the Named Insured's employees or volunteer workers in the rendering of:
a. professional health care services on behalf of the Named Insured or b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received.

Professional health care services means any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required:
a. Physician;
b. Nurse;
c. Nurse practitioner;
d. Emergency medical technician;
e. Paramedic;
f. Dentist;
g. Physical therapist;
h. Psychologist;
i. Speech therapist;
j. Other allied health professional; or
Professional health care services does not include any services rendered in connection with human clinical trials or product testing.
ii. delete the definition of occurrence and replace it with the following:

Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute a single occurrence;
iii. amend the definition of Insured to:
a. add the following:
the Named Insured's employees are Insureds with respect to:
(1) bodily injury to a co -employee while in the course of the co -employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; and
CNA74705XX (1-15) Policy No: 6057223216

Page 10 of 17 ends

30020001660572232165900
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
(2) bodily injury to a volunteer worker while performing duties related to the conduct of the Named Insured's business;
when such bodily injury arises out of a health care incident. the Named Insured's volunteer workers are Insureds with respect to:
(1) bodily injury to a co -volunteer worker while performing duties related to the conduct of the Named Insured's business; and
(2) bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. b. delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED.

D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following:

Other Insurance
b. Excess Insurance
(1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage.

14. JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following:

No person or organization is an Insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations, except that if the Named Insured was a joint venturer, partner, or member of a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the policy period, such Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that:
a. any offense giving rise to personal and advertising injury occurred prior to such termination date, and the personal and advertising injury arising out of such offense first occurred after such termination date; b. the bodily injury or property damage first occurred after such termination date; and c. there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or limited liability company; and
If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up) insurance program, then such insurance will always be considered valid and collectible for the purpose of paragraph c. above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS.

Please see that provision for the definition of consolidated (wrap-up) insurance program.

15. LEGAL LIABILITY — DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED

INSURED'S CARE, CUSTODY OR CONTROL
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion j. Damage to Property in its entirety and replace it with the following:

This insurance does not apply to:

CNA74705XX (1-15) Policy No: 6057223216

Page 11 of 17 ends

CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
Damage to Property
Property damage to:
(1) Property the Named Insured owns, rents, or occupies, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property;
(2) Premises the Named Insured sells, gives away or abandons, if the property damage arises out of any part of those premises;
(3) Property loaned to the Named Insured;
(4) Personal property in the care, custody or control of the Insured; (5) That particular part of real property on which the Named Insured or any contractors or subcontractors working directly or indirectly on the Named Insured's behalf are performing operations, if the property damage arises out of those operations; or
(6) That particular part of any property that must be restored, repaired or replaced because your work was incorrectly performed on it.

Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire) to premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in LIMITS OF INSURANCE.

Paragraph (2) of this exclusion does not apply if the premises are your work.

Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement.

Paragraph (6) of this exclusion does not apply to property damage included in the products -completed operations hazard.

Paragraphs (3) and (4) of this exclusion do not apply to property damage to:
i. tools, or equipment the Named Insured borrows from others, nor ii. other personal property of others in the Named Insured's care, custody or control while being used in the Named Insured's operations away from any Named Insured's premises.

However, the coverage granted by this exception to Paragraphs (3) and (4) does not apply to:
a. property at a job site awaiting or during such property's installation, fabrication, or erection; b. property that is mobile equipment leased by an Insured; c. property that is an auto, aircraft or watercraft;
d. property in transit; or
e. any portion of property damage for which the Insured has available other valid and collectible insurance, or would have such insurance but for exhaustion of its limits, or but for application of one of its exclusions.

A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE as amended below.

CNA74705XX (1-15) Policy No: 6057223216

Page 12 of 17 ends

30020001660572232165901
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace it with the following:

Exclusions c. through n. do not apply to damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of premises rented to a Named Insured for a period of 7 or fewer consecutive days.

A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE.

C. The following paragraph is added to LIMITS OF INSURANCE:

Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other personal property of others in the Named Insured's care, custody or control, while being used in the Named Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, the Named Insured will promptly reimburse the Insurer for any such amount.

D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by the following:

6. Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit is the most the Insurer will pay under Coverage A for damages because of property damage to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, including contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days. The Damage To Premises Rented To You Limit is the greater of:
a. $500,000; or
b. The Damage To Premises Rented To You Limit shown in the Declarations.

E. Paragraph 4.b.(1)(a)(ii) of the Other Insurance Condition is deleted and replaced by the following:
(ii) That is property insurance for premises rented to the Named Insured, for premises temporarily occupied by the Named Insured with the permission of the owner; or for personal property of others in the Named Insured's care, custody or control;

16. LIQUOR LIABILITY
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Liquor Liability.

This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part.

17. MEDICAL PAYMENTS
A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the following:

7. Subject to Paragraph 5. above (the Each Occurrence Limit), the Medical Expense Limit is the most the Insurer will pay under Coverage C — Medical Payments for all medical expenses because of bodily injury sustained by any one person. The Medical Expense Limit is the greater of:
(1) $15,000 unless a different amount is shown here:
$N,NNN,NNN,NNN; or
(2) the amount shown in the Declarations for Medical Expense Limit.

CNA74705XX (1-15) Policy No: 6057223216

Page 13 of 17 ends

CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace Paragraph 1.a.(3)(b) with the following:
(b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and

18. NON -OWNED AIRCRAFT
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended as follows:

The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following:

This exclusion does not apply to an aircraft not owned by any Named Insured, provided that:

1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot;

2. the aircraft is rented with a trained, paid crew to the Named Insured; and

3. the aircraft is not being used to carry persons or property for a charge.

19. NON -OWNED WATERCRAFT
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the following.

This exclusion does not apply to:
(2) a watercraft that is not owned by any Named Insured, provided the watercraft is:
(a) less than 75 feet long; and
(b) not being used to carry persons or property for a charge.

20. PERSONAL AND ADVERTISING INJURY -DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort:

Discrimination or humiliation that results in injury to the feelings or reputation of a natural person.

B. Under COVERAGES, Coverage B — Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to:

1. delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following:

This insurance does not apply to:

Knowing Violation of Rights of Another
Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done intentionally by or at the direction of:
(a) the Named Insured; or
(b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a limited liability company) of the Named Insured.

2. add the following exclusions:

CNA74705XX (1-15) Policy No: 6057223216

Page 14 of 17 ends

30020001660572232165902
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
This insurance does not apply to:

Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any Insured.

Premises Related Discrimination
discrimination or humiliation arising out of the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any Insured.

Notwithstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination.

The coverage provided by this PERSONAL AND ADVERTISING INJURY -DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from Provision 1. ADDITIONAL INSURED of this endorsement; or attachment of an additional insured endorsement to this Coverage Part.

This PERSONAL AND ADVERTISING INJURY -DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part.

21. PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY A. Under COVERAGES, Coverage B —Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Contractual Liability.

B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS - COVERAGES A AND B:

1. Paragraph 2.d. is replaced by the following:
d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist between the interests of the Insured and the interests of the indemnitee;

2. The first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following:

So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of insurance.

C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part.

This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part.

22. PROPERTY DAMAGE — ELEVATORS
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators.

CNA74705XX (1-15) Policy No: 6057223216

Page 15 of 17 ends

CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph:

This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators.

23. SUPPLEMENTARY PAYMENTS
The section entitled SUPPLEMENTARY PAYMENTS - COVERAGES A AND B is amended as follows:

A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and
B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit.

24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure.

25. WAIVER OF SUBROGATION - BLANKET
Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following:

The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of:

1. the Named Insured's ongoing operations; or

2. your work included in the products -completed operations hazard.

However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement:

1. is in effect or becomes effective during the term of this Coverage Part; and

2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim.

26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap-up) insurance program by applicable state statute or regulation.

If the endorsement EXCLUSION - CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.I.P.) is attached, then the following changes apply:

A. The following wording is added to the above -referenced endorsement:

With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of:

1. Bodily injury, property damage, or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor
CNA74705XX (1-15) Policy No: 6057223216

Page 16 of 17 ends

30020001660572232165903
CNA

CNA PARAMOUNT
Contractors' General Liability Extension Endorsement

2. Bodily injury or property damage included within the products -completed operations hazard that arises out of those portions of the project that are not residential structures.

B. Condition 4. Other Insurance is amended to add the following subparagraph 4.b.(1)(c):

This insurance is excess over:
(c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available to the Named Insured as a result of the Named Insured being a participant in a consolidated (wrap-up) insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up) insurance program.

C. DEFINITIONS is amended to add the following definitions:

Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.C.I.P.).

Residential structure means any structure where 30% or more of the square foot area is used or is intended to be used for human residency, including but not limited to:

1. single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit developments; and

2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs, detached garages, guest houses or any similar structures).

However, when there is no individual ownership of units, residential structure does not include military housing, college/university housing or dormitories, long term care facilities, hotels or motels. Residential structure also does not include hospitals or prisons.

This WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part.

All other terms and conditions of the Policy remain unchanged.

This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy.

CNA74705XX (1-15) Policy No: 6057223216

Page 17 of 17 ends

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us).

The additional premium for this endorsement shall be 2% of the total California Workers' Compensation premium otherwise due.

Schedule
Person or Orcanization Job Description

ANY PERSON / ORG

WHEN REQUIRED BY

WRITTEN CONTRACT

ALL CA OPERATIONS
Policy Number: WSD 5052583 03 Insured: F M Thomas Air Conditioning Inc Endorsement Effective: 01/01/2023 Coverage Provided by: Insurance Co of the West Issue Date: 12/22/2022 Countersigned by:

WC 99 06 34
(Ed. 8-00)

Placentia City Council

AGENDA REPORT
TO: CITY COUNCIL
VIA: CITY ADMINISTRATOR
FROM: DEPUTY CITY ADMINISTRATOR / PUBLIC SERVICES & INFRASTRUCTURE DATE: JULY 11, 2023
SUBJECT: AWARD OF CONTRACT FOR FIRE STATIONS #1 AND #2 ROOF

REPLACEMENT PROJECT
FISCAL
IMPACT: EXPENSE: $234,555 PUBLIC WORKS AGREEMENT
$23,455 CONSTRUCTION CONTINGENCY
REVENUE: $258,010 FY 2023-24 CIP BUDGET
SUMMARY:

This project entails replacement of the existing roofs at both City fire stations. The planned improvements include removing the existing membrane roofing system and replacing the roofs with a new Ketone Ethlyne Ester (KEE) roofing system and all ancillary work. A total of three (3) cost proposals were received for this project. Staff recommends the City Council award a construction contract to the lowest responsive, responsible bidder, Letner Roofing Company, in the amount of $234,555. There has been an additional 10% construction contingency allocated for unknown conditions. Sufficient funds exist in the Capital Improvement Program Budget to cover the cost of this project.

RECOMMENDATION
It is recommended that the City Council take the following actions:

1. Award a Public Works Agreement to Letner Roofing Company, for the Fire Stations #1 and #2 Roof Replacement Project in the amount of $234,555; and

2. Authorize the City Administrator to approve contract change orders up to 10%, or $23,455 for a total project not -to -exceed contract amount of $258,010; and

3. Authorize the City Administrator and/or his designee to execute all necessary documents, in a form approved by the City Attorney.

STRATEGIC PLANNING OBJECTIVE STATEMENT
There is no specific Strategic Planning objective or goal associated with this agenda item.

1.d.

July 11, 2023

Public Works Superintendent
City Council Agenda
July 11, 2023

Page 2 ends

DISCUSSION:

The scope of this project entails the replacement of the roofs at Fire Stations #1 and #2 located at 110 S. Bradford Avenue and 1503 Valencia Ave. The current roofs are in poor condition and have reached the end of their useful service lives and require replacement. The scope of the project includes demolition and removal and replacement of the existing roofing systems. This includes removal and re -installation of counter flashing and coping metal, installation of new 1/4" deck dens and a Tremco single ply system, seal seams at the duct drops into the roof system and install new TPA penetration boots. The contractor will provide the City with a two (2) -year workmanship warranty with a 20 -year manufacturer's warranty for materials.

Staff solicited bids for this project and received three (3) bids from qualified contractors. The following table provides the proposal amounts received from each contractor:

Contractor
Proposal Amount
Letner Roofing Company
$234,555
Best Contracting Services, Inc.
$348,248
Rite -Way Roof Corporation
$408,299
Staff reviewed the proposals received and checked the references for Letner Roofing who received favorable reviews. Based on the cost proposals received and Letner Roofing's experience and references, Staff recommends awarding a Public Works Agreement to Letner Roofing Company for this project for a not -to -exceed amount of $234,555.

FISCAL IMPACT:

A total of $258,010 has been budgeted in the Fiscal Year 2023-24 CIP Budget for this project. As such, sufficient funds exist for the recommended actions.

Reviewed and approved:

Jennifer Lampman
Director of Finance
Reviewed anc4la•proved: Reviewed and approved:

Damien R: rrula
Luis Estevez
Deputy City Administrator
Attachment:

Public Works Agreement
City Administrator

Project No.

CITY OF PLACENTIA

PUBLIC WORKS AGREEMENT FOR
WITH
LETNER ROOFING CO.

THIS AGREEMENT (herein "Agreement") is made and entered into this 11TH day of JULY, 2023 by and between the CITY OF PLACENTIA, a municipal corporation and charter city, (herein "City") and LETNER ROOFING CO. (herein "Contractor").

The parties hereto agree as follows:

WITNESSETH:

A. WHEREAS, City requires the construction of FIRE STATION #1 AND #2 ROOFING REPLACEMENT as set forth more fully in this Agreement.

B. WHEREAS, Contractor represents to City that Contractor is qualified to perform said work and has submitted a proposal to City for the same.

C. WHEREAS, City desires to have Contractor perform said services on the terms and conditions set forth herein.

D. WHEREAS, no official or employee of City has a financial interest, within the provisions of Sections 1090-1092 of the California Government Code, in the subject matter of this Agreement.

NOW, THEREFORE, for and in consideration of the mutual covenants and conditions contained herein and for good and valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, City and Contractor hereby agree as follows:

1.0 DEFINITIONS

1.1 Definitions. As used in this Agreement, the following definitions shall be applicable:
(a) Contractor. Contractor shall mean LETNER ROOFING CO, a (California corporation, partnership, individual) located at 1490 N.

GLASSELL. ORANGE , CALIFORNIA 92867 UNITED STATES.
(b) City. City shall mean the City of Placentia, a Municipal Corporation and Charter City, located at 401 E. Chapman, Placentia, California 92870.
(c) City Council. City Council shall mean the City Council of the City of Placentia.
(d) Contract Officer shall mean the person designated by the City 1 Project No.

Administrator or City Engineer of City and shall have the duties set forth in Section 5.2.
(e) Services. Services shall mean the services to be performed by the Contractor pursuant to this Agreement.
(f) Satisfactory. Satisfactory shall mean satisfactory to the City Administrator or his/her designee.

2.0 SERVICES OF CONTRACTOR

2.1 Scope of Services. In compliance with all terms and conditions of this Agreement, the Contractor shall provide those services specified in the "Scope of Services" attached hereto as Exhibit "A" and incorporated herein by this reference, which services may be referred to herein as the "services" or "work" hereunder. As a material inducement to the City entering into this Agreement, Contractor represents and warrants that Contractor is a provider of first class work and services and Contractor is experienced in performing the work and services contemplated herein and, in light of such status and experience, Contractor covenants that it shall follow the highest professional standards in performing the work and services required hereunder and that all materials will be of good quality, fit for the purpose intended.

2.2 Documents Included in Contract. This contract consists of this Agreement and any Exhibits, which are incorporated herein by this reference. In the event of an inconsistency, the terms of this Agreement shall govern.

2.3 Compliance with Law. All services rendered hereunder shall be provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of the City and any Federal, State or local governmental agency having jurisdiction in effect at the time service is rendered, including but not limited to, the claims procedure set forth in Public Contract Code Section 9204, a summary of which is attached to this agreement as Exhibit "E."

2.4 Licenses, Permits, Fees and Assessments. Contractor shall obtain at its sole cost and expense such licenses, permits and approvals as may be required by law for the performance of the services required by this Agreement, including registration with the Department of Industrial Relations of the State of California as required by Labor Code Section 1725.5 before commencing performance under this Agreement. Contractor shall have the sole obligation to pay for any fees, assessments and taxes, plus applicable penalties and interest, which may be imposed by law and arise from or are necessary for the Contractor's performance of the services required by this Agreement, and shall indemnify, defend and hold harmless City against any such fees, assessments, taxes penalties or interest levied, assessed or imposed against City hereunder.

Contractor shall be responsible for all subcontractors' compliance with this Section 2.4.

2.5 Familiarity with Work. By executing this Contract, Contractor warrants that Contractor (a) has thoroughly investigated and considered the scope of services to be performed, (b) has carefully considered how the services should be performed, and (c) fully understands the facilities, difficulties and restrictions attending performance of the services under this Agreement.

If the services involve work upon any site, Contractor warrants that Contractor has or will investigate the site and is or will be fully acquainted with the conditions there existing, prior to commencement of services hereunder. Should Contractor discover any latent or unknown 2 Project No.
conditions, which will materially affect the performance of the services hereunder, Contractor shall immediately inform the City of such fact and shall not proceed except at Contractor's risk until written instructions are received from the Contract Officer.

2.6 Standard of Performance. Contractor, its subcontractors and their employees, in the performance of Contractor's work under this Agreement shall be responsible for exercising the degree of skill and care required by customarily accepted good professional practices and procedures used in the Contractor's field.

Any costs for failure to meet the foregoing standard or to correct otherwise defective work that requires re -performance of the work, shall be borne in total by the Contractor and not by the City. The failure of a project to achieve the performance goals and objectives stated in this Agreement is not a basis for requesting re -performance unless the work conducted by Contractor and/or its subcontractors is deemed by the City to have failed the foregoing standard of performance.

In the event Contractor fails to perform in accordance with the above standard:

1. Contractor will re -perform, at its own expense, any task which was not performed to the reasonable satisfaction of City. Any work re -performed pursuant to this paragraph shall be completed within the time limitations originally set forth for the specific task involved. Contractor shall work any overtime required to meet the deadline for the task at no additional cost to the City;

2. The City shall provide a new schedule for the re -performance of any task pursuant to this paragraph in the event that re -performance of a task within the original time limitations is not feasible; and

3. The City shall have the option to direct Contractor not to re -perform any task which was not performed to the reasonable satisfaction of the City Project Manager pursuant to application of (1) and (2) above. In the event the City directs Contractor not to re - perform a task, the City shall negotiate a reasonable settlement for satisfactory work performed. No previous payment shall be considered a waiver of the City's right to reimbursement.

Nothing contained in this section is intended to limit any of the rights or remedies which the City may have under law.

2.7 Care of Work. The Contractor shall adopt reasonable methods during the life of the Agreement to furnish continuous protection to the work, and the equipment, materials, papers, documents, plans, studies and/or other components thereof to prevent losses or damages, and shall be responsible for all such damages, to persons or property, until acceptance of the work by City, except such losses or damages as may be caused by City's own negligence.

2.8 Further Responsibilities of Parties. Both parties agree to use reasonable care and diligence to perform their respective obligations under this Agreement. Both parties agree to act in good faith to execute all instruments, prepare all documents and take all actions as may be reasonably necessary to carry out the purposes of this Agreement. Unless hereafter specified, neither party shall be responsible for the service of the other. Contractor shall require all subcontractors to comply with the provisions of this agreement. 3 Project No.

2.9 Additional Services. City shall have the right at any time during the performance of the services, without invalidating this Agreement, to order extra work beyond that specified in the Scope of Services or make changes by altering, adding to or deducting from said work. No such extra work may be undertaken unless a written change order is first given by the Contract Officer to the Contractor, incorporating therein any adjustment in (i) the Contract Sum as set forth in Section 3.1, and/or (ii) the time to perform this Agreement, which said adjustments are subject to the written approval of the Contractor. Any increase in compensation of twenty five percent (25%) or less of the Contract Sum, or in the time to perform of one hundred eighty (180) days or less may be approved by the Contract Officer. Any increases, taken either separately or cumulatively, that result in the Contract Sum exceeding $25,000 must be approved by the City Council. It is expressly understood by Contractor that the provisions of this Section shall not apply to services specifically set forth in the Scope of Services or reasonably contemplated therein.

Contractor hereby acknowledges that it accepts the risk that the services to be provided pursuant to the Scope of Services may be more costly or time consuming than Contractor anticipates and that Contractor shall not be entitled to additional compensation therefore.

2.10 Prevailing Waqe Laws. Contractor represents and warrants that it is registered with the Department of Industrial Relations pursuant to SB 854 and Labor Code 1725.5. Contractor shall ensure that its subcontractors comply with said requirements. In accordance with Labor Code Section 1770 et seq., the Director of the Department of Industrial Relations of the State of California has ascertained a general prevailing rate of wages, which is the minimum amount, which shall be paid to all workers employed to perform the work pursuant to this Agreement. A copy of the general prevailing wage rate determination is on file in the Office of the City Clerk and is hereby incorporated by reference into this Agreement. In accordance with the provisions of Labor Code Section 1810 et seq., eight (8) hours is the legal working day.

Contractor must forfeit to the City Twenty Five Dollars ($25.00) a day for each worker who works in excess of the minimum working hours when Contractor does not pay overtime. Contractor is required to post a copy of such wage rates at all times at the contract site. The statutory penalties for failure to pay prevailing wage or to comply with State wage and hour laws will be enforced.

Contractor also shall comply with State law requirements to maintain payroll records and shall provide for certified records and inspection of records as required by California Labor Code Section 1770 et. seq., including Section 1776. Contractor shall comply with all statutory requirements relating to the employment of apprentices.

3.0 COMPENSATION

3.1 Contract Sum. For the services rendered pursuant to this Agreement, the Contractor shall be compensated as specified herein, but not exceeding the maximum contract amount of TWO HUNDRED THIRTY-FOUR THOUSAND FIVE HUNDRED, FIFTY- FIVE Dollars ($234,555.00) (herein "Contract Sum"), except as provided in Section 2.9. The Contract Sum shall include the attendance of Contractor at all project meetings reasonably deemed necessary by the City; Contractor shall not be entitled to any additional compensation for attending said meetings.

3.2 Procress Payments. Prior to the first day of the month, during the progress of the work, commencing on the day and month specified in the Agreement, Contractor shall submit to the Contract Officer a complete itemized statement of all labor and materials incorporated into the work during the preceding month and the portion of the contract sum applicable thereto. Upon approval in writing by the Contract Officer, payment shall be made in 4 Project No.
thirty (30) days. City shall pay Contractor a sum based upon ninety-five percent (95%) of the contract price apportionment of the labor and materials incorporated into the work under the contract during the month covered by said statement. The remaining five percent (5%) thereof shall be retained as performance security. Refer to Section 8.4 of this Agreement for retention of funds.

4.0 PERFORMANCE SCHEDULE

4.1 Time of Essence. Time is of the essence in the performance of this Agreement.

4.2 Schedule of Performance. Contractor shall commence the services pursuant to this Agreement upon receipt of a written notice to proceed and shall perform all services within the time period(s) established in the "Schedule of Performance" attached hereto as Exhibit "B", and incorporated herein by this reference. When requested by the Contractor, extensions to the time period(s) specified in the Scope of Services may be approved in writing by the Contract Officer.

4.3 Force Ma.eure. The time period(s) specified in the Scope of Services for performance of the services rendered pursuant to this Agreement shall be extended because of any delays due to unforeseeable causes beyond the control and without the fault or negligence of the Contractor, including, but not restricted to, acts of God or of the public enemy, unusually severe weather, fires, earthquakes, floods, epidemics, quarantine restrictions, riots, strikes, freight embargoes, wars, litigation, and/or acts of any governmental agency, including the City, if the Contractor shall within ten (10) days of the commencement of such delay notify the Contract Officer in writing of the causes for the delay. The Contract Officer shall ascertain the facts and the extent of delay, and extend the time for performing the services for the period of the enforced delay when and if in the judgment of the Contract Officer such delay is justified. The Contract Officer's determination shall be final and conclusive upon the parties to this Agreement.

4.4 Term. Unless earlier terminated in accordance with Section 8.9 of this Agreement, this Agreement shall continue in full force and effect until final approval and acceptance of the project by the Contract Officer. Notwithstanding the foregoing, this Agreement shall terminate no later than JULY 11TH , 2024, unless the parties mutually agree in writing to extend the term.

5.0 COORDINATION OF WORK

5.1 Representative of Contractor. The following principals of Contractor are hereby designated as being the principals and representatives of Contractor authorized to act in its behalf with respect to the work specified herein and make all decisions in connection therewith:

GERMAN GONZALEZ

ASSISTANT VICE PRESIDENT
It is expressly understood that the experience, knowledge, capability and reputation of the foregoing principals were a substantial inducement for City to enter into this Agreement.

Therefore, the foregoing principals shall be responsible during the term of this Agreement for 5 Project No.
directing all activities of Contractor and devoting sufficient time to personally supervise the services hereunder. For purposes of this Agreement, the foregoing principals may not be replaced nor may their responsibilities be substantially reduced by Contractor without the express written approval of City.

5.2 Contract Officer. The Contract Officer shall be such person as may be designated by the City Administrator or City Engineer of City. It shall be the Contractor's responsibility to assure that the Contract Officer is kept informed of the progress of the performance of the services and the Contractor shall refer any decisions that must be made by City to the Contract Officer. Unless otherwise specified herein, any approval of City required hereunder shall mean the approval of the Contract Officer. The Contract Officer shall have authority to sign all documents on behalf of the City required hereunder to carry out the terms of this Agreement.

5.3 Prohibition Against Assignment. The experience, knowledge, capability and reputation of Contractor, its principals and employees were a substantial inducement for the City to enter into this Agreement. Neither this Agreement nor any interest herein may be transferred, assigned, conveyed, hypothecated or encumbered voluntarily or by operation of law, whether for the benefit of creditors or otherwise, without the prior written approval of City. Transfers restricted hereunder shall include the transfer to any person or group of persons acting in concert of more than twenty five percent (25%) of the present ownership and/or control of Contractor, taking all transfers into account on a cumulative basis. In the event of any such unapproved transfer, including any bankruptcy proceeding, this Agreement shall be void. No approved transfer shall release the Contractor or any surety of Contractor of any liability hereunder without the express consent of City.

5.4 Independent Contractor. Neither the City nor any of its employees shall have any control over the manner, mode or means by which Contractor, its subcontractors, agents or employees, performs the services required herein, except as otherwise set forth herein. City shall have no voice in the selection, discharge, supervision or control of Contractor's employees, subcontractors, servants, representatives or agents, or in fixing their number, compensation or hours of service. Contractor shall perform all services required herein as an independent contractor of City and shall remain at all times as to City a wholly independent contractor with only such obligations as are consistent with that role. Contractor shall not at any time or in any manner represent that it or any of its subcontractors, agents or employees are agents or employees of City. City shall not in any way or for any purpose become or be deemed to be a partner of Contractor in its business or otherwise or a joint venture or a member of any joint enterprise with Contractor.

5.5 Identity of Persons Performing Work. Contractor represents that it employs or will employ at its own expense all personnel required for the satisfactory performance of any and all tasks and services set forth herein. Contractor represents that the tasks and services required herein will be performed by Contractor or under its direct supervision, and that all personnel engaged in such work shall be fully qualified and shall be authorized and permitted under applicable State and local law to perform such tasks and services.

5.6 Utility Relocation. City is responsible for removal, relocation, or protection of existing main or trunkline utilities to the extent such utilities were not identified in the invitation for bids or specifications. City shall reimburse contractor for any costs incurred in locating, repairing damage not caused by contractor and removing or relocating such unidentified utility facilities, 6 Project No.
including equipment idled during such work. Contractor shall not be assessed liquidated damages for delay arising from the removal or relocation of such unidentified utility facilities.

5.7 Trenches or Excavations. Pursuant to California Public Contract Code Section 7104, in the event the work included in this Agreement requires excavations more than four (4) feet in depth, the following shall apply.
(a) Contractor shall promptly, and before the following conditions are disturbed, notify City, in writing, of any: (1) material that Contractor believes may be material that is hazardous waste, as defined in Section 25117 of the Health and Safety Code, that is required to be removed to a Class I, Class II, or Class I II disposal site in accordance with provisions of existing law; (2) Subsurface or latent physical conditions at the site different from those indicated; or (3) Unknown physical conditions at the site of any unusual nature, different materially from those ordinarily encountered and generally recognized as inherent in work of the character provided for in the contract.
(b) City shall promptly investigate the conditions, and if it finds that the conditions do materially so differ, or do involve hazardous waste, and cause a decrease or increase in Contractor's cost of, or the time required for, performance of any part of the work shall issue a change order per Section 2.9 of this Agreement.
(c) That, in the event that a dispute arises between City and Contractor whether the conditions materially differ, or involve hazardous waste, or cause a decrease or increase in Contractor's cost of, or time required for, performance of any part of the work, Contractor shall not be excused form any scheduled completion date provided for by the contract, but shall proceed with all work to be performed under the contract.

Contractor shall retain any and all rights provided either by contract or by law, which pertain to the resolution of disputes and protests between the contracting parties.

6.0 INSURANCE, INDEMNIFICATION AND BONDS

6.1 Insurance. The Contractor and all subcontractors, if any, shall procure and maintain, at its sole cost and expense, in a form and content satisfactory to City, during the entire term of this Agreement including any extension thereof, insurance as set forth in Exhibit "C" attached hereto and incorporated herein by this reference.

Conditions:

In accordance with Public Contract Code Section 20170, the insurance of surety companies who provide or issue the policy shall have been admitted to do business in the State of California with a credit rating of A- or better. 7 Project No.

This insurance shall not be canceled, limited in scope or coverage or non -renewed until after thirty (30) days prior written notice has been given to the Community Development Director, City of Placentia, 401 E. Chapman Ave., Placentia, California 92870.

Any insurance maintained by the City of Placentia shall apply in excess of and not combined with insurance provided by this policy.

The City of Placentia, its officers, employees, representatives, attorneys, and volunteers shall be named as additional named insureds.

Prior to commencement of any work under this contract, Contractor shall deliver to the City insurance endorsements confirming the existence of the insurance required by this contract, and including the applicable clauses referenced above.

Such endorsements shall be signed by an authorized representative of the insurance company and shall include the signator's company affiliation and title. Should it be deemed necessary by the City, it shall be Contractor's responsibility to see that the City receives documentation, acceptable to the City, which sustains that the individual signing said endorsements is indeed authorized to do so by the insurance company.

If the Contractor fails to maintain the aforementioned insurance, or secure and maintain the aforementioned endorsement, the City may obtain such insurance, and deduct and retain the amount of the premiums for such insurance from any sums due under the agreement. However, procuring of said insurance by the City is an alternative to other remedies the City may have, and is not the exclusive remedy for failure of Contractor to maintain said insurance or secure said endorsement. In addition to any other remedies the City may have upon Contractor's failure to provide and maintain any insurance or policy endorsements to the extent and within the time herein required, the City shall have the right to order Contractor to stop work hereunder, and/or withhold any payment(s) which became due to Contractor hereunder until Contractor demonstrates compliance with the requirements hereof.

Nothing herein contained shall be construed as limiting in any way the extent to which Contractor may be held responsible for payments of damages to persons or property resulting from Contractor's or its subcontractor's performance of the work covered under this agreement.

Each contract between the Contractor and any subcontractor shall require the subcontractor to maintain the same policies of insurance that the Contractor is required to maintain pursuant to this Section 6.1.

6.2 Certificates of Insurance. Contractor shall provide to City certificates of insurance showing the insurance coverages and required endorsements described above, in a form and content approved by City, prior to performing any services under this Agreement. The certificates of insurance and endorsements shall be attached to this Agreement as Exhibit "D", and are incorporated herein by this reference.

6.3 Indemnification. Contractor shall defend, indemnify, hold free and harmless the City of Placentia, its elected and appointed officials, officers, agents and employees, at Contractor's sole expense, from and against any and all actions, suits, claims, damages to persons or property, losses, costs, penalties, obligations, errors, omissions or liabilities, (herein 8 Project No.
"claims or liabilities") that may be asserted or claimed by any person, firm or entity arising or alleged to arise out of or in connection with the performance of the work, operations or activities of Contractor, its agents, employees, subcontractors, or invitees, provided for herein, or arising or alleged to arise from the negligent acts or omissions of Contractor hereunder, or arising or alleged to arise from Contractor's performance of or failure to perform any term, provision, covenant or condition of this Agreement.
(a) Contractor will defend any action or actions filed in connection with any of said claims or liabilities and will pay all costs and expenses, including legal costs and attorneys' fees incurred in connection therewith. (b) Contractor will promptly pay any judgment rendered against the City, its officers, agents or employees for any such claims or liabilities arising or alleged to arise out of or in connection with Contractor's (or its agents', employees', subcontractors' or invitees') negligent performance of or failure to perform such work, operations or activities hereunder; and Contractor agrees to save and hold the City, its officers, agents, and employees harmless therefrom.
(c) In the event the City, its officers, agents or employees is made a party to any action or proceeding filed or prosecuted against Contractor for such damages or other claims arising or alleged to arise out of or in connection with the performance of or failure to perform the work, operation or activities of Contractor hereunder, Contractor shall pay to the City, its officers, agents or employees, any and all costs and expenses incurred by the City, its officers, agents or employees in such action or proceeding, including but not limited to, legal costs and attorneys' fees for counsel selected by City.
(d) Contractor's duty to defend and indemnify as set out in this Section 6.3 shall include any claims, liabilities, obligations, losses, demands, actions, penalties, suits, costs, expenses or damages or injury to persons or property arising or alleged to arise from, in connection with, as a consequence of or pursuant to any state or federal law or regulation regarding hazardous substances, including but not limited to the Federal Insecticide, Fungicide and Rodenticide Act ("FIFRA"), Comprehensive Environmental Response, Compensation and Liability Act of 1980 ("CERCLA"), Resource Conservation and Recovery Act of 1976 ("RCRA"), the Hazardous and Solid Waste Amendments of 1984, the Hazardous Material Transportation Act, the Toxic Substances control Act, the Clean Air Act, the Clean Water Act, the California Hazardous Substance Account Act, the California Hazardous Waste Control Law or the Porter -Cologne Water Quality Control Act, as any of those statutes may be amended from time to time.

Notwithstanding the foregoing, Contractor shall not be liable for the defense or indemnification of the City for claims, actions, complaints or suits arising out of the sole active negligence or willful misconduct of the City.
9 Project No.

The Contractor's indemnification obligations pursuant to this Section 6.3 shall survive the termination of this Agreement. Contractor shall require the same indemnification from all subcontractors.

6.4 Labor and Materials and Performance Bonds. Concurrently with execution of this Agreement, Contractor shall deliver to City a labor and materials bond and a performance bond each in the sum of the amount of this Agreement, in the forms provided by the City Clerk, which secures the faithful performance of this Agreement. The bonds shall contain the original notarized signature of an authorized officer of the surety and affixed thereto shall be a certified and current copy of his power of attorney. The bonds shall be unconditional and remain in force during the entire term of the Agreement and shall be null and void only if the Contractor promptly and faithfully performs all terms and conditions of this Agreement.

6.5 Sufficiency of Insurer or Surety. Insurance required by this Agreement shall be satisfactory only if issued by companies qualified to do business in California, rated "A" or better in the most recent edition of Best Rating Guide, The Key Rating Guide or in the Federal Register, and only if they are of a financial category Class VII or better, unless such requirements are waived by the Risk Manager of the City due to unique circumstances. In the event the Senior Management Analyst of City ("Senior Management Analyst") determines that the work or services to be performed under this Agreement creates an increased risk of loss to the City, the Contractor agrees that the minimum limits of the insurance policies required by this Section 6 may be changed accordingly upon receipt of written notice from the Senior Management Analyst; provided that the Contractor shall have the right to appeal a determination of increased coverage by the Senior Management Analyst to the City Council of City within ten (10) days of receipt of notice from the Senior Management Analyst.

6.6 Substitution of Securities. Pursuant to California Public Contract Code Section 22300, substitution of eligible equivalent securities for any monies withheld to ensure performance under the contract for the work to be performed will be permitted at the request and expense of the successful bidder.

7.0 RECORDS AND REPORTS

7.1 Reports. Contractor shall periodically prepare and submit to the Contract Officer such reports concerning the performance of the services required by this Agreement as the Contract Officer shall require. Contractor hereby acknowledges that the City is greatly concerned about the cost of work and services to be performed pursuant to this Agreement.

For this reason, Contractor agrees that if Contractor becomes aware of any facts, circumstances, techniques, or events that may or will materially increase or decrease the cost of the work or services contemplated herein or, if Contractor is providing design services, the cost of the project being designed, Contractor shall promptly notify the Contract Officer of said fact, circumstance, technique or event and the estimated increased or decreased cost related thereto and, if Contractor is providing design services, the estimated increased or decreased cost estimate for the project being designed.

7.2 Records. Contractor shall keep, and require subcontractors to keep, such books and records (including but not limited to payroll records as required herein) as shall be necessary to perform the services required by this Agreement and enable the Contract Officer to evaluate the performance of such services. The Contract Officer shall have full and free access 10 Project No.
to such books and records at all times during normal business hours of City, including the right to inspect, copy, audit and make records and transcripts from such records. Such records shall be maintained for a period of three (3) years following completion of the services hereunder, and the City shall have access to such records in the event any audit is required.

7.3 Ownership of Documents. All drawings, specifications, reports, records, documents and other materials prepared by Contractor, its employees, subcontractors and agents in the performance of this Agreement shall be the property of City and shall be delivered to City upon request of the Contract Officer or upon the termination of this Agreement, and Contractor shall have no claim for further employment or additional compensation as a result of the exercise by City of its full rights of ownership of the documents and materials hereunder. Contractor may retain copies of such documents for its own use. Contractor shall have an unrestricted right to use the concepts embodied therein. All subcontractors shall provide for assignment to City of any documents or materials prepared by them, and in the event Contractor fails to secure such assignment, Contractor shall indemnify City for all damages resulting therefrom.

7.4 Public Records Act Disclosure. Contractor has been advised and is aware that this Agreement and all reports, documents, information and data, including, but not limited to, computer tapes, discs or files furnished or prepared by Contractor, or any of its subcontractors, pursuant to this Agreement and provided to City may be subject to public disclosure as required by the California Public Records Act (California Government Code Section 6250 et seq.).

Exceptions to public disclosure may be those documents or information that qualify as trade secrets, as that term is defined in the California Government Code Section 6254.7, and of which Contractor informs City of such trade secret. The City will endeavor to maintain as confidential all information obtained by it that is designated as a trade secret. The City shall not, in any way, be liable or responsible for the disclosure of any trade secret including, without limitation, those records so marked if disclosure is deemed to be required by law or by order of the Court.

8.0 GENERAL PROVISIONS

8.1 Governing Law. This Agreement shall be construed and interpreted both as to validity and to performance of the parties in accordance with the laws of the State of California.

Legal actions concerning any dispute, claim or matter arising out of or in relation to this Agreement shall be instituted in the Superior Court of the County of Orange, State of California, or any other appropriate court in such county, and Contractor covenants and agrees to submit to the personal jurisdiction of such court in the event of such action.

8.2 Representatives. The City Administrator or his or her designee shall be the representative of City for purposes of this Agreement and may issue all consents, approvals, directives and agreements on behalf of the City, called for by this Agreement, except as otherwise expressly provided in this Agreement.

The Principal set forth in Section 5.1 above shall be the representative for Contractor for purposes of this Agreement, and shall be authorized to issue all consents, approvals, directives and agreements on behalf of Contractor called for by this Agreement, except as otherwise expressly provided in this Agreement.
11 Project No.

8.3 Disputes. In the event either party fails to perform its obligations hereunder, the nondefaulting party shall provide the defaulting party written notice of such default. The defaulting party shall have ten (10) days to cure the default; provided that, if the default is not reasonably susceptible to being cured within said ten (10) day period, the defaulting party shall have a reasonable time to cure the default, not to exceed a maximum of thirty (30) days, so long as the defaulting party commences to cure such default within ten (10) days of service of such notice and diligently prosecutes the cure to completion; provided further that if the default is an immediate danger to the health, safety and general welfare, the defaulting party shall take such immediate action as may be necessary. Notwithstanding the foregoing, the nondefaulting party may, in its sole and absolute discretion, grant a longer cure period. Should the defaulting party fail to cure the default within the time period provided in this Section, the nondefaulting party shall have the right, in addition to any other rights the nondefaulting party may have at law or in equity, to terminate this Agreement. Compliance with the provisions of this Section 8.3 shall be a condition precedent to bringing any legal action, and such compliance shall not be a waiver of any party's right to take legal action in the event that the dispute is not cured.

8.4 Retention of Funds. Progress payments shall be made in accordance with the provisions of Section 3.2 of this Agreement. In accordance with said section, City shall pay Contractor a sum based upon ninety-five percent (95%) of the contract price apportionment of the labor and materials incorporated into the work under the contract during the month covered by said statement. The remaining five percent (5%) thereof shall be retained as performance security to be paid to the Contractor within sixty (60) days after final acceptance of the work by the City Council, after Contractor shall have furnished City with a release of all undisputed contract amounts if required by City. In the event there are any claims specifically excluded by Contractor from the operation of the release, the City may retain proceeds (per Public Contract Code 7107) of up to 150% of the amount in dispute. City's failure to deduct or withhold shall not affect Contractor's obligations hereunder.

8.5 Waiver. No delay or omission in the exercise of any right or remedy by a nondefaulting party on any default shall impair such right or remedy or be construed as a waiver.

A party's consent to or approval of any act by the other party requiring the party's consent or approval shall not be deemed to waive or render unnecessary the other party's consent to or approval of any subsequent act. Any waiver by either party of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of this Agreement.

8.6 Rights and Remedies. Rights and Remedies are cumulative except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the parties are cumulative and the exercise by either party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other party.

8.7 Legal Action. In addition to any other rights or remedies, either party may take legal action, in law or in equity, to cure, correct or remedy any default, to recover damages for any default, to compel specific performance of this Agreement, to obtain declaratory or injunctive relief, or to obtain any other remedy consistent with the purposes of this Agreement.

8.8 Liquidated Damages. Since the determination of actual damages for any delay in performance of this Agreement would be extremely difficult or impractical to determine in the event of a breach of this Agreement, the Contractor and its sureties shall be liable for and 12 Project No.
shall pay to the City Five Hundred Dollars ($500) as liquidated damages for each working day of delay in the performance of any service required hereunder, as specified in the Scope of Services (Exhibit A) or Schedule of Performance (Exhibit B). The City may withhold from any monies payable on account of services performed by the Contractor any accrued liquidated damages.

8.9 Termination for Default of Contractor. If termination is due to the failure of the Contractor to fulfill its obligations under this Agreement, Contractor shall vacate any City owned property which Contractor is permitted to occupy hereunder and City may, after compliance with the provisions of Section 8.3, take over the work and prosecute the same to completion by contract or otherwise, and the Contractor shall be liable to the extent that the total cost for completion of the services required hereunder exceeds the compensation herein stipulated (provided that the City shall use reasonable efforts to mitigate such damages), and City may withhold any payments to the Contractor for the purpose of setoff or partial payment of the amounts owed the City as previously stated.

8.10 Notice. Any notice, demand, request, document, consent, approval, or communication either party desires or is required to give to the other party or any other person shall be in writing and shall be deemed to be given when served personally or deposited in the US Mail, prepaid, first-class mail, return receipt requested, addressed as follows:

To City:

To Contractor:

City of Placentia
401 E. Chapman Ave
Placentia, California 92870
Attn.: Joel Cardenas
LETNER ROOFING CO.
1490 N,GLASSELL
ORANGE,CA,CALIFORNIA 92867
ATTN.: GERMAN GONZALEZ

ASSISTANT VICE PRESIDENT
(714) 633-0030

8.11 Non -liability of City Officers and Employees. No officer or employee of the City shall be personally liable to the Contractor, or any successor in interest, in the event of any default or breach by the City or for any amount which may become due to the Contractor or to its successor, or for breach of any obligation of the terms of this Agreement.

8.12 Conflict of Interest. The Contractor warrants that it has not paid or given and will not pay or give any third party any money or other consideration for obtaining this Agreement.

Contractor and its officers, employees, associates and subcontractors, if any, will comply with all conflict of interest statutes of the State of California applicable to Contractor's services under this agreement, including, but not limited to, the Political Reform Act (Government Code Sections 81000, et seq.) and Government Code Section 1090. During the term of this Agreement, Contractor and its officers, employees, associates and subcontractor 13 Project No.
shall not, without the prior written approval of the City Representative, perform work for another person or entity for whom Contractor is not currently performing work that would require Contractor or one of its officers, employees, associates or subcontractors to abstain from a decision under this Agreement pursuant to a conflict of interest statute.

8.13 Covenant Against Discrimination. Contractor covenants that, by and for itself, its heirs, executors, assigns, and all persons claiming under or through them, that there shall be no discrimination against or segregation of, any person or group of persons on account of race, color, creed, religion, sex, marital status, national origin, or ancestry in the performance of this Agreement. To the extent required by law, contractor shall take affirmative action to insure that applicants are employed and that employees are treated during employment without regard to their race, color, creed, religion, sex, marital status, national origin, or ancestry.

8.14 Interpretation. The terms of this Agreement shall be construed in accordance with the meaning of the language used and shall not be construed for or against either party by reason of the authorship of this Agreement or any other rule of construction which might otherwise apply.

8.15 Severability. In the event that any one or more of the phrases, sentences, clauses, paragraphs, or sections contained in this Agreement shall be declared invalid or unenforceable by a valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs, or sections of this Agreement which are hereby declared as severable and shall be interpreted to carry out the intent of the parties hereunder unless the invalid provision is so material that its invalidity deprives either party of the basic benefit of their bargain or renders this Agreement meaningless.

8.16 Hiring of Illegal Aliens Prohibited. Contractor shall not hire or employ any person to perform work within the City of Placentia or allow any person to perform work required under this Agreement unless such person is properly documented and legally entitled to be employed within the United States. Further, Contractor shall comply with the following:
(a) Unauthorized Aliens. Contractor hereby represents and warrants that it will comply with all of the provisions of the Federal Immigration and Nationality Act, 8 U.S.C.A. §§ 1101, et seq., as amended, and in connection therewith, shall not employ unauthorized aliens as defined therein. Should Contractor so employ such unauthorized aliens for the performance of any work and/or services under this Agreement, and should any liability or sanctions be imposed against City for such use of unauthorized aliens, Contractor hereby agrees to reimburse City for any and all liabilities, actions, suits, claims, demands, losses, costs, judgments, arbitration awards, settlements, damages, demands, orders, or penalties which arise out of or are related to such employment, together with any and all costs, including attorneys' fees, incurred by City.
(b) E -Verify. If Contractor is not already enrolled in the U.S. Department of Homeland Security's E -Verify program, Contractor shall enroll in the E - Verify program within fifteen (15) days of the effective date of this Agreement to verify the employment authorization of employees assigned to perform work hereunder. Contractor shall verify employment 14 Project No.
authorization within three (3) days of hiring a new employee to perform work under this Agreement. Information pertaining to the E -Verify program can be found at http://www.uscis.gov , or access the registration page at https://e-verify.uscis.gov/enroll . Contractor shall certify its registration with E -Verify and provide City its registration number within sixteen days of the effective date of this Agreement. Failure to provide certification will result in withholding payment until full compliance is demonstrated.

8.17 Unfair Business Practices Claims. In entering into a public works contract or a subcontract to supply goods, services or materials pursuant to a public works contract, the contractor or subcontractor offers and agrees to assign to the awarding body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C.

Sec. 15) or under the Cartwright Act (Chapter 2, (commencing with Section 16700) of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, services or materials pursuant to the public works contract or the subcontract. This assignment shall be made and become effective at the time the awarding body renders final payment to the contractor without further acknowledgment by the parties. (Sec. 7103.5, California Public Contract Code).

8.18 Corporate Authority. The persons executing this Agreement on behalf of the parties hereto warrant that (i) such party is duly organized and existing, (ii) they are duly authorized to execute and deliver this Agreement on behalf of said party, (iii) by so executing this Agreement, such party is formally bound to the provisions of this Agreement, and (iv) the entering into this Agreement does not violate any provision of any other Agreement to which said party is bound.

8.19 PERS Eligibility Indemnification. In the event that Contractor or any employee, agent, or subcontractor of Contractor providing services under this Agreement claims or is determined by a court of competent jurisdiction or the California Public Employees Retirement System (PERS) to be eligible for enrollment in PERS as an employee of the City, Contractor shall indemnify, defend, and hold harmless City for the payment of any employee and/or employer contributions for PERS benefits on behalf of Contractor or its employees, agents, or subcontractors, as well as for the payment of any penalties and interest on such contributions, which would otherwise be the responsibility of City.

Notwithstanding any other agency, state or federal policy, rule, regulation, law or ordinance to the contrary, Contractor and any of its employees, agents, and subcontractors providing service under this Agreement shall not qualify for or become entitled to, and hereby agree to waive any claims to, any compensation, benefit, or any incident of employment by City, including but not limited to eligibility to enroll in PERS as an employee of City and entitlement to any contribution to be paid by City for employer contribution and/or employee contributions for PERS benefits.

8.20 Cooperation. In the event any claim or action is brought against City relating to Contractor's performance or services rendered under this Agreement, Contractor shall render any reasonable assistance and cooperation which City might require.

8.21 Legal Responsibilities. The Contractor shall keep itself informed of City, State, and Federal laws, ordinances and regulations, which may in any manner affect the performance of its services pursuant to this Agreement. The Contractor shall at all times observe 15 Project No.
and comply with all such laws, ordinances and regulations. Neither the City, nor its officers, agents, or employees shall be liable at law or in equity as a result of the Contractor's failure to comply with this section.

8.22 Termination for Convenience. The City may terminate this Agreement without cause for convenience of the City upon giving contractor 30 days prior written notice of termination of the Agreement. Upon receipt of the notice of termination the Contractor shall cease all further work pursuant to the Agreement. Upon such termination by the City the Contractor shall not be entitled to any other remedies, claims, actions, profits, or damages except as provided in this paragraph. Upon the receipt of such notice of termination Contractor shall be entitled to the following compensation:

1. The contract value of the work completed to and including the date of receipt of the notice of termination, less the amount of progress payments received by contractor.

2. Actual move -off costs including labor, rental fees, equipment transportation costs, the costs of maintaining on -site construction office for supervising the mover -off.

3. The cost of materials custom made for this Agreement which cannot be used by the Contractor in the normal course of his business, and which have not been paid for by City in progress payments.

4. All costs shall not include any markups as might otherwise be allowed by any plans or specifications which were a part of the Agreement.

The provisions of this paragraph shall supersede any other provision of the Agreement or any provision of any plans, specification, addendums or other documents which are or may become a part of this Agreement. City and Contractor agree that the provisions of this paragraph are a substantive part of the consideration for this Agreement.

8.23 Responsibility for Errors. Contractor shall be responsible for its work and results under this Agreement. Contractor, when requested, shall furnish clarification and/or explanation as may be required by the City's representative, regarding any services rendered under this Agreement at no additional cost to City. In the event that an error or omission attributable to Contractor occurs, then Contractor shall, at no cost to City, provide all necessary design drawings, estimates and other Contractor professional services necessary to rectify and correct the matter to the sole satisfaction of City and to participate in any meeting required with regard to the correction.

8.24 Order of Precedence. In the event of an inconsistency in this Agreement and any of the attached Exhibits, the terms set forth in this Agreement shall prevail. If, and to the extent this Agreement incorporates by reference any provision of any document, such provision shall be deemed a part of this Agreement. Nevertheless, if there is any conflict among the terms and conditions of this Agreement and those of any such provision or provisions so incorporated by reference, this Agreement shall govern over the document referenced.

8.25 Costs. Each party shall bear its own costs and fees incurred in the preparation and negotiation of this Agreement and in the performance of its obligations hereunder except as expressly provided herein.
16 Project No.

8.26 No Third Party Beneficiary Rights. This Agreement is entered into for the sole benefit of City and Contractor and no other parties are intended to be direct or incidental beneficiaries of this Agreement and no third party shall have any right in, under or to this Agreement.

8.27 Headings. Paragraphs and subparagraph headings contained in this Agreement are included solely for convenience and are not intended to modify, explain or to be a full or accurate description of the content thereof and shall not in any way affect the meaning or interpretation of this Agreement.

8.28 Construction. The parties have participated jointly in the negotiation and drafting of this Agreement. In the event an ambiguity or question of intent or interpretation arises with respect to this Agreement, this Agreement shall be construed as if drafted jointly by the parties and in accordance with its fair meaning. There shall be no presumption or burden of proof favoring or disfavoring any party by virtue of the authorship of any of the provisions of this Agreement.

8.29 Counterparts. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original. All counterparts shall be construed together and shall constitute one agreement.

8.30 Funding Source Conditions — Contractor's Obligation. Contractor acknowledges that the City may be paying for the Project by using funds it receives or will receive from various funding sources in the form of grants and/or subsidies, and the like under certain terms and conditions. Contractor acknowledges and agrees that any failure of the Contractor and/or its subcontractors to perform its obligations under the Contract, including, but not limited to, timely submitting accurate reports and records, that in any way results in the City not meeting the terms and conditions placed on the funds by the funding source, or forfeiting its entitlement to or, otherwise, not receiving, the funds, then the Contractor shall be liable to pay the City for the funds not granted to the City on the Project.

8.31 Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to any matter referenced herein and supersedes any and all other prior writings and oral negotiations. This Agreement may be modified only in writing, and signed by the parties in interest at the time of such modification. The terms of this Agreement shall prevail over any inconsistent provision in any other contract document appurtenant hereto, including exhibits to this Agreement.

IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the date first written above.

ATTEST:

CITY OF PLACENTIA,
A municipal corporation and Charter City
17 Project No.

WARD SMITH
City Administrator or Mayor
ATTEST:

Robert S. McKinnell, City Clerk
APPROVED AS TO FORM:

CONTRACTOR
Signature
Name and Title
Social Security or Taxpayer ID Number
Christian L. Bettenhausen, City Attorney
APPROVED AS TO INSURANCE:

Rosanna Ramirez, Director of
Administrative Services
APPROVED AS TO CONTENT:

Date:

Joel Cardenas, Public Works Superintendent Date:

Project Manager
DEPARTMENTAL APPROVAL:

Luis Estevez, Deputy City Administrator Date:
18 Date: JULY11,2023

Project No.

Page 1 of 2 ends

(Use of City Bond Form is Required)

LABOR AND MATERIAL PAYMENT BOND

PUBLIC WORK (CALIFORNIA)
KNOW ALL MEN BY THESE PRESENT:

WHEREAS, , as Principal, has
entered into a contract dated , with the City of Placentia (Obligee) referred to and made a part hereof to perform the following work, to wit:
and all appurtenant work in accordance with PROJECT NO. , which requires Principal to file this bond to secure claims made in relation to the project.

NOW THEREFORE, we, , as Principal,
and , a corporation organized under the
laws of and duly authorized to transact business in the State of California, as Surety, are held firmly bound unto the City of Placentia, as Obligee, and all sub- contractors, laborers, material persons and other persons employed in the performance of the referenced agreement, in the sum of
Dollars (S .00', lawful money of the United States of America, for the payment whereof well and truly to be made the Principal and Surety bind themselves, their heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

If the above bounden PRINCIPAL, his or its heirs, executors, administrators, successors, assigns, or any of his or its sub -contractors, fails to pay for any materials, provisions, provender, or other supplies, or teams, implements or machinery, used in, upon, for or about the performance of the work contracted to be done, or for any work or labor to persons named in Section 9100 or the Civil Code, thereon of any kind, or for amounts due under the Unemployment Insurance Code with respect to such work or labor deducted, withheld and paid over to the Employment Development Department from the wages of employees of the contractor and sub -contractors pursuant to Section 13020 of the Unemployment Insurance Code, that the SURETY on this bond will pay the same, in an amount not exceeding the sum specified in this bond, AND ALSO, in case suit is brought upon this bond, a reasonable attorney's fee, which shall be awarded by the court to the prevailing party in said suit, said attorney's fee to be taxed as costs in said suit and to be included in the judgment herein rendered.

As part of the obligation secured hereby, the SURETY shall not be exonerated or released from the obligation of the bond by any change, alteration, or modification in or of any contract, plans, specifications, or agreement pertaining or relating to any scheme or work of improvement or pertaining or relating to the furnishing of labor, materials, or equipment therefor, nor by any change or modification of any terms of payment or extension of the time for any payment pertaining or relating to any scheme of work of improvement, nor by any rescission or attempted rescission of the contract, agreement or bond, nor by any conditions precedent or subsequent in the bond attempting to limit the right of recovery of claimants otherwise entitled to recover under

Project No.

Page 2 of 2 ends

any such contract or agreement, or under the bond, nor, where the bond is given for the benefit of claimants, by any fraud practiced by any person other than the claimant seeking to recover on the bond.

This bond shall inure to the benefit of any and all persons, companies and corporations entitled to file claims under the Civil Code so as to give them a right of action in a suit on this bond.

This bond is executed for the purpose of complying with the laws of the State of California and shall inure to the benefit of any of the persons named in Section 9100 of the Civil Code of the State of California.

IN WITNESS THEREOF, we have hereunto set our hands and seals this day of , 20_
(Corporate Seal)
Principal
By
Title
(Corporate Seal)
Principal
By
Title
APPROVED AS TO FORM:
/s/ Christian L. Bettenhausen
City Attorney

Project No.

Page 1 of 1 ends

(Use of City form is required)

SUPPLEMENTAL INFORMATION TO BE COMPLETED BY PRINCIPAL
If an individual, so state. If a firm or co -partnership, state the firm and give the names of all individual co-partners composing the partnership. If a Corporation, state legal name of corporation; state also the names of the president, secretary, treasurer and manager thereof.

Business Address:

Telephone Number:

Date:

Print Name:

Principal
Signature:

Title

Project No.

Page 1 of 1 ends

(Use of City form
is required)

TAX IDENTIFICATION NUMBER
The Tax Equity and Fiscal Responsibility Act of 1982 requires the payer (City of Placentia) to report to the Internal Revenue Service taxable payments to payees.

You (as a payee) are required by law to provide us with your Taxpayer Identification Number (if an individual or partnership, your Social Security Number). If you do not provide us with your correct identification number, you may be subject to a penalty imposed by the Internal Revenue Service. The payments subject to withholdings may include, but are not limited to, interest, dividends, or other payments the City of Placentia and/or the Placentia Redevelopment Agency made to you. Other payments may include rents, royalties, commissions and fees for service of non -employees.

If you are exempt from income tax, we are still required, by law, to maintain a Tax Identification Number on file. PLEASE PROVIDE YOUR TAX IDENTIFICATION NUMBER next to the appropriate listing below, sign, date and return to:

CITY OF PLACENTIA FINANCE DEPARTMENT
401 E. Chapman
Placentia, CA 92870
Exempt: Yes No Telephone
CORPORATION:

U.S.A. OR ANY AGENCIES THEREOF:

IRS CODE #501 TAX-EXEMPT ORGANIZATION:

A NON-COMMISSIONED CITY OF PLACENTIA EMPLOYEE:

SOLE PROPRIETOR:

A PARTNERSHIP:

OTHER: (Explain)
Signature/Title: Date:

Project No.

BID GUARANTEE

TO THE CITY OF PLACENTIA
PROJECT NO.

As a material inducement to the City to award the contract for Project No. to
, the undersigned ("Guarantor") has agreed to enter into this guarantee. The Guarantor hereby unconditionally guarantees to the fullest extent allowed by law the following work included in this project: ("the work").

Guarantor guarantees that the materials and equipment used by itself and its subcontractors will be free from defects and that the work will conform to the plans and specifications. Should any of the materials or equipment prove defective or should the work as a whole, or any part thereof, prove defective for any reason whatsoever (except due to intentional torts by the City), or should the work as a whole or any part thereof fail to operate properly or fail to comply with the plans and specifications, Guarantor will, at the City's sole election: 1) reimburse the City, upon written demand, for all of the City's expenses incurred replacing or restoring any such equipment or materials, including the cost of any work necessary to make such replacement or repairs; or 2) replace any such defective material or equipment and repair said work completely, all without any cost to the City. Guarantor further guarantees that any such repair work will conform to the plans and specifications for the project. This guarantee will remain in effect for five years from the date on which the contracted for work is accepted for use by the City.

Guarantor understands and agrees that the City shall have the unqualified option to make any replacements or repairs itself or to have such replacement, repair, performed by the undersigned. The City shall have no obligation to consult with Guarantor before the City proceeds to perform any repair, replacement, or work itself. If the City elects to have Guarantor perform said repair, replacement, or work, Guarantor agrees that the repair, replacement, or work shall be performed within 15 days after receipt of a written demand from the City.

If the City elects to perform the replacement, repairs itself, Guarantor agrees to make reimbursement payment within 15 days after receipt of a written demand for payment from the City.

If the Guarantor fails or refuses to comply with this guarantee, the City shall be entitled to all costs and expenses, including attorneys and expert fees, reasonably incurred by reason of Guarantor's failure or refusal.

Guarantor
Contractor:

Title:

Date:

By:

Project No.

STATEMENT OF NON COLLUSION BY CONTRACTOR
The undersigned who submits herewith to the City of Placentia a bid or proposal does hereby certify:
a. That all statements of fact in such bid or proposal are true; b. That such bid or proposal was not made in the interest of or on behalf of any undisclosed person, partnership, company, association, organization or corporation; c. That such bid or proposal is genuine and not collusive or sham; d. That said bidder has not, directly or indirectly by agreement, communication or conference with anyone, attempted to induce action prejudicial to the interest of the City of Placentia or of any other bidder or anyone else interested in the proposed procurement; e. Did not, directly or indirectly, collude, conspire, connive or agree with anyone else that said bidder or anyone else would submit a false or sham bid or proposal, or that anyone should refrain from bidding or withdraw his bid or proposal;
f. Did not in any manner, directly or indirectly seek by agreement, communication or conference with anyone to raise or fix the bid or proposal price of said bidder or of anyone else, or to raise or fix any overhead, profit or cost element of his bid or proposal price, or that of anyone else; Did not, directly or indirectly, submit his bid or proposal price or any breakdown thereof, or the contents thereof, or divulge information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member agent thereof, or to any individual or group of individuals, except to the City of Placentia, or to any person or persons who have a partnership or their financial interest with said bidder in his business. h. Did not provide, directly or indirectly to any officer or employee of the City of Placentia any gratuity, entertainment, meals, or anything of value, whatsoever, which could be objectively construed as intending to invoke any form of reciprocation or favorable treatment. i. That no officer or principal of the undersigned firm is related to any officer or employee of the city by blood or marriage within the third degree or is employed, either full or part time, by the City of Placentia either currently or within the last two (2) years.

That no officer or principal of the undersigned firm nor any subcontractor to be engaged by the principal has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy or any other act in violation of any state or federal antitrust law in connection with the bidding upon award of, or performance of, any public work contract, with any public entity, within the last three years.
g.
j•
I certify, under penalty of perjury under the laws of the State of California, that the foregoing is true and correct and that this certification was executed:

On at California.

Firm
Street
City State Zip
(Signature)
(Print Name & Title)

Project No.

EXHIBIT A

SCOPE OF SERVICES

Project No.

EXHIBIT B

SCHEDULE OF PERFORMANCE

Project No.

EXHIBIT C

INSURANCE REQUIREMENTS
Contractor shall maintain and shall require all of its subcontractors, consultants, and other agents to maintain the insurance listed below. Any requirement for insurance to be maintained after completion of the work shall survive this agreement.

CITY reserves the right to review any and all of the required insurance policies and/or endorsements, but has no obligation to do so. Failure to demand evidence of full compliance with the insurance requirements set forth in this agreement or failure to identify any insurance deficiency shall not relieve Contractor from, nor be construed or deemed a waiver of, its obligation to maintain the required insurance at all times during the performance of this agreement.

A. Workers Compensation & Employers Liability Insurance • Workers Compensation insurance with statutory limits as required by the Labor Code of the State of California.
• Employers Liability with limits of $1,000,000 per Accident; $1,000,000 Disease per employee; $1,000,000 Disease per policy.
• The policy shall include a written waiver of the insurer's right to subrogate against CITY.
• Required Evidence Of Coverage:

1. Subrogation waiver endorsement; and

2. Properly completed Certificate of Insurance.

B. General Liability Insurance
• Commercial General Liability Insurance no less broad than Insurance Services Office (ISO) form CG 00 01.
• Coverage shall be on a standard occurrence form. Claims -Made forms are not acceptable without prior written consent. Modified, limited or restricted Occurrence forms are not acceptable without prior written consent.
• Minimum Limits: $1,000,000 per Occurrence; $2,000,000 General Aggregate; $2,000,000 Products/Completed Operations Aggregate. The

Project No.

General Aggregate shall apply separately to each project. The required limits may be provided by a combination of General Liability Insurance and Commercial Excess or Umbrella Liability Insurance. If contractor maintains higher limits than the specified minimum limits, CITY requires and shall be entitled to coverage for the higher limits maintained by contractor.
• Any deductible or self -insured retention shall be shown on the Certificate of Insurance. If the deductible or self -insured retention exceeds $25,000 it must be approved in advance by CITY. Contractor is responsible for any deductible or self -insured retention and shall fund it upon CITY'S written request, regardless of whether Contractor has a claim against the insurance or is named as a party in any action involving CITY. • Coverage shall be continued for one (1) year after completion of the work. • CITY shall be endorsed as an additional insured for liability arising out of ongoing and completed operations by or on behalf of the contractor. CITY shall continue to be an additional insured for completed operations for (1) year after completion of the work.
• The policy definition of "insured contract" shall include assumptions of liability arising out of both ongoing operations and the products -completed operations hazard ("f" definition of insured contract in ISO form CG 00 01, or equivalent).
• The insurance provided to the additional insureds shall be primary to, and non-contributory with, any insurance or self-insurance program maintained by them.
• The policy shall cover inter -insured suits and include a "Separation of Insureds" or "severability" clause which treats each insured separately. • The policy shall be endorsed to include a written waiver of the insurer's right to subrogate against all persons or entities that are, or are required to be, additional insureds.
• The policy shall not contain a Contractors' Warranty or other similar language which eliminates or restricts insurance because of a

Project No.
subcontractor's failure to carry specific insurance or to supply evidence of such insurance.
• Required Evidence of Coverage:

1. Copy of the additional insured endorsement or policy language granting additional insured status;

2. Copy of the endorsement or policy language indicating that coverage applicable to the additional insureds is primary and non-contributory;

3. Properly completed Certificate of Insurance; and

4. Completed and signed Agent/Broker Questionnaire with supporting documentation as required.

C. Automobile Liability Insurance
• Minimum Limit: $1,000,000 combined single limit per accident. • Coverage shall apply to all owned, hired and non -owned vehicles. • CITY shall qualify as an insured.
• Required Evidence of Coverage:

1. Copy of the endorsement or policy language indicating that CITY is an insured; and

2. Properly completed Certificate of Insurance.

D. Contractors Pollution Liability Insurance
• Minimum Limits: $1,000,000 per Pollution Incident; $1,000,000 Aggregate; • Coverage shall apply to pollution incidents at or from any location at which Contractor is performing work under this agreement.
• Any deductible or self -insured retention shall be shown on the Certificate of Insurance. If the deductible or self -insured retention exceeds $25,000 it shall be approved in advance by CITY. Contractor is responsible for any deductible or self -insured retention and shall fund it upon CITY written request, regardless of whether Contractor has a claim against the insurance or is named as a party in any action involving CITY.

Project No.
• CITY shall be endorsed as an additional insured for liability arising out of ongoing and completed operations by or on behalf of the Contractor.

Additional insured status shall continue for one (1) year after completion of the work.
• The insurance provided to the additional insureds shall apply on a primary and non-contributory basis with respect to any insurance or self-insurance program maintained by them.
• If the insurance is on a Claims -Made basis, the retroactive date shall be no later than the commencement of work.
• The insurance shall be continued for one (1) year after completion of the work. If the insurance is on a Claims -Made basis, the continuation coverage may be provided by: (a) renewal of the existing policy; (b) an extended reporting period endorsement; or (c) replacement insurance with a retroactive date no later than the commencement of the work. • Required Evidence of Coverage:

1. Copy of the additional insured endorsement or policy language granting additional insured status;

2. Copy of the endorsement or policy language indicating that coverage for the additional insureds is primary and non- contributory;

3. Properly completed Certificate of Insurance.

E. Surety Bonds
• Bid bond.
• Performance and payment bonds for the entire contract price. • The surety must be authorized to issue these bonds in the State of California.

F. Standards for Insurance Companies
• Insurers, other than the California State Compensation Insurance Fund, shall have an A.M. Best's rating of at least A:VII.

Project No.

G. Documentation
• The Certificate of Insurance shall include the following reference:
• The name and address for Additional Insured endorsements and Certificates of Insurance is: City of Placentia
• Contractor shall provide immediate written notice if: (1) any of the required insurance policies is terminated; (2) the limits of any of the required policies are reduced; or (3) the deductible or self -insured retention is increased.
• Current Evidence of Coverage shall be provided for the entire required period of insurance.
• Upon written request, certified copies of required insurance policies shall be provided within thirty (30) days.

Project No.

EXHIBIT D

CERTIFICATES OF INSURANCE AND ENDORSEMENTS

Project No.

EXHIBIT E

CLAIMS PROCEDURE
SUMMARY OF PUBLIC CONTRACT CODE § 9204
The following procedure will apply to any claims by the Contractor on the City:

A "claim" is a separate demand on the City by a contractor on a public works project and sent by registered mail or certified mail with return receipt requested, for one or more of the following:
• A time extension, including relief from penalties for delay • Payment by the City of money damages under the terms of the contract • Payment of an amount that is disputed by the City
Initial Review
The claim must be supported by appropriate documentation. The City has 45 days within which to review the claim and provide the contractor with a written statement identifying the disputed and undisputed portions of the claim. If the City does not issue a written statement, the claim is deemed rejected in its entirety. The City will pay any undisputed portion of the claim within 60 days of issuing the statement.

Meet & Confer
If the contractor disputes the City's written response, or if the City does not issue one, the contractor may request in writing an informal conference to meet and confer for possible settlement of the claim. The City will schedule the meet and confer conference within 30 days of this request and provide a written statement identifying the remaining disputed and undisputed portions of the claim within 10 business days of the meet and confer. The City will pay the undisputed portion within 60 days of issuing this statement.

Mediation
With respect to any disputed portion remaining after the meet and confer, the City and contractor will submit the matter to nonbinding mediation, agree to a mediator within 10 business days after issuing the written statement, and share mediation costs equally. If mediation is unsuccessful, then the terms of the public works agreement and applicable law will govern resolution of the dispute.

Miscellaneous Provisions
Amounts not paid by the City in a timely manner bear interest at 7% per annum. Subcontractors may submit claims via this procedure through the general contractor. The City and contractor may waive the requirement to mediate, but cannot otherwise waive these claim procedures.

May 2, 2023
Contractor:

Fax No:

Attention:

Leiner
ROOFING CO. ROOFING CO.

City Of Placentia
Joel Cardenas
Project: City of Fire station #1 and #2
Est. 1957
Lic. No. 689961
Thank you for the opportunity of providing you with a proposal for the above -mentioned project. This proposal is to furnish you with the following scope of work:

Spec Section 075416 KETONE ETHYLENE ESTER (KEE) ROOFING 073200 CLAY TILE
070150 PREPARATION FOR RE -ROOFING
Fire Station #1
• Demo existing Roof system Down to plywood substrate.
• Remove and re -install counter flashing and Coping metal for the installation of new roofing. • Install new 'A" dens deck and TREMCO single ply system mechanically attached over the prepared substrate. • Seal seams at the duct drops into the roof system.
• Install new TPA penetration boots.
• Provide owner with manufactures warranty and Letner labor warranty per specs.

Base Bid $ 109,255.00
Fire Station #2
• Demo existing Roof system Down to plywood substrate.
• Remove and re -install counter flashing and Coping metal for the installation of new roofing. • Install new %" dens deck and TREMCO single ply system mechanically attached over the prepared substrate. • Seal seams at the duct drops into the roof system.
• Install new TPA penetration boots.

Provide owner with manufactures warranty and Letner labor warranty per specs • At specified sections remove and re -install tiles and provide new single ply at valley for a watertight system.

Base Bid.....$ 125,300.00
Price to replace 'A" plywood 4'X8' S12.50 sq. ft.

Exclusions: Lead paint removal, Sheet metal not mentioned above, Wood nailers, Mechanical, Electrical not mentioned above and plumbing,
Bond Rate: 1.5% (not included)
Insurance Coverage: $5 million
Union: Yes
Sincerely,
LETNER ROOFING CO.

German Gonzalez
Assistant Vice President
1490 N. Glassell
Orange, CA 92867
e-mail: letner(a1etner.com 714.633.0030
www.lctner.corn Vax 714.(~33.0'_`30

'I
(eEst)
ntracting salvlces

ROOFING PROPOSAL

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Placentia City CouncilJuly 11, 2023

Placentia City Council
July 11, 2023