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Agenda packet

Placentia City Council
September 19, 2023

Document
Agenda packet
Meeting
September 19, 2023
Body
Placentia City Council
Pages
42
Original file
708 KB
Text extracted from the city's file for reading and search. Open the original on portal.laserfiche.com. That file is the official record.

Mayor Ward L. Smith
District 5
Mayor Pro Tem Jeremy B. Yamaguchi
Councilmember
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
September 19, 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
Mi4siork,Statement
Thee City Coi ncil'ia-com,tted'to-keepin.,Pla.ce'ttaaipleasantplaceby provCdin,g•a sclfefa4141,1yatww,,phere, superiorpul>i+cbevvLces-a.n.d/po-L+,cGos- that pro -note/ the hCg-heft atanu/c rd ,- of co run uty lid VC4,Con.Statement
The/ City of Placentia will ma.Gnta.Lw a w opew, han.e,st reapon ei, a.n.& inmovatwe goverwment that d e iverk quality services- it z a fair and/ equ,itab-le mavun.er while opt -64146v, ava.Cla b1e repo w'ce -.

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 Addressina 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, September 19, 2023

Page 1 of 5 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
September 19, 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 Charles Frost
PLEDGE OF ALLEGIANCE: Officer Alan Cleveland
PRESENTATIONS:
a. Introduction of Superintendent Dr. Alex Cherniss, Placentia Yorba Linda School District
Presenter: Mayor Smith
b. Proclamation of September 2023 as Service Clubs Month Presenter: Mayor Smith
Recipient: Turgut Cakiraga, Placentia Rotary Club
c. Proclamation of September 25, 2023 as Ataxia Awareness Day Presenter: Mayor Smith
Recipient: Cindy De Mint, Brothers on a Quest Foundation d. Proclamation of September 17-23, 2023 as Constitution Week Presenter: Mayor Smith
Recipient: Hilary White, Mojave Chapter, National Society of Daughters of the American Revolution
CLOSED SESSION REPORT: None
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:

Placentia City Council/Successor Agency/ICDA/PPFA Agenda, September 19, 2023 Page 2 of 5

1. CONSENT CALENDAR (Items 1.a. through 1.i.):

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.

1.b.

1.c.

1.d.

1.e.

Consideration to Waive Reading in Full of all Ordinances and Resolutions Fiscal Impact: None
Recommended Action: Approve
City Fiscal Year 2023-24 Registers for September 19, 2023 Check Register
Fiscal Impact: $ 879,465.06
Electronic Disbursement Register
Fiscal Impact: $1,366,016.32
Recommended Action: It is recommended that the City Council:
1) Receive and file
Resolution Authorizing the Submission of Applications for CalRecycle Grant and Payment Programs
Fiscal Impact: None
Recommended Action: It is recommended that the City Council:
1) Adopt Resolution R-2023-77, A Resolution of the City Council of the City of Placentia, California authorizing submittal of application(s) for all CalRecycle grants and payment programs for which the City of Placentia is eligible; and 2) Authorize the City Administrator and/or his designee to execute all necessary documents to apply for all grants, accept the grants, if awarded, and accept all grant renewals, if awarded.

Approval of Purchase of Office Furnishings with Sheridan Group for the Placentia Public Safety Center Project, No. 5213
Fiscal Impact:

Expense: $ 113,378.57
Available Budget: $21,616,963.00 FY 2023-24 CIP Budget
(105213-6840 JL#105213-2)
Recommended Action: It is recommended that the City Council:
1) Approve a purchase order with the Sheridan Group pursuant to OMNIA procurement contract BNR482 in the amount of $113,378.57, to manufacture, ship and install the new office furnishings for the Placentia Public Safety Center; and 2) Authorize the City Administrator to approve contract change orders up to 10% of the total not -to -exceed purchase order amount or $11,337; and 3) Authorize the City Administrator to execute the above-mentioned sales agreement, in a form approved by the City Attorney.

Purchase of Opticom Emergency Vehicle Traffic Signal Preemption Devices (Phase V)
Fiscal Impact:

Expense: $ 57,207.81 Total Purchase Price
Budget: $110,000.00 FY 2023-24 CIP Budget
(659800-6741, JL #24201)
Recommended Action: It is recommended that the City Council:
1) Authorize the City Administrator to approve a purchase order to DDL Traffic Inc., for the purchase and installation of five (5) Opticom EVS Traffic Signal Preemption Devices for a not -to -exceed amount of $57,207.81; and
2) Authorize the City Administrator to execute all necessary documents, in a form approved by the City Attorney.

Placentia City Council/Successor Agency/ICDA/PPFA Agenda, September 19, 2023 Page 3 of 5

1.f.

1.g.

1.h.

Purchase of one (1) Public Works Service Truck
Fiscal Impact:

Expense: $73,951.56 Purchase Price
5,000.00 Outfitting/Eauipment Costs
$78,951.56 Total Cost
Recommended Action: It is recommended that the City Council:
1) Approve the purchase of one (1) 2023 Ford F-150 Lightning Crew Cab work truck from Fairway Ford in the amount of $73,951.56 and an additional $5,000 for outfitting costs of the vehicle upon receipt; and
2) Adopt Resolution No. R-2023-78, 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 and/or his designee to issue a purchase order to Fairway Ford for this vehicle and execute all necessary documents, in a form approved by the City Attorney.

Approval of Plans & Specifications and Award of Construction Contract to Square Sign, LLC, for the Wayfinding Directional Signage Project Phase I, City Project No. 1403
Fiscal Impact:

Expense: $ 86,145.49 Construction Contract
$ 8,615.00 Total Contingency Amount
Budget: $200,000.00 FY 2023-24 CIP Budget
(109800-6740, JL 24103-6740)
Recommended Action: It is recommended that the City Council:
1) Approve the engineered construction plans & specifications prepared by Selbert Perkins Design, and approve a Public Works Agreement for this project with Square Sign in the amount of $86,145.49; 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 $8,615 for a total construction contract not -to - exceed amount of $94,761.49; and
4) Authorize the City Administrator and/or his designee to execute all necessary documents, in a form approved by the City Attorney.

Placentia Public Safety Communications Center Motorola Purchase and Upgrade Fiscal Impact:

Expense: $1,197,159.00 Total Purchase Price of Equipment Budget: $ 152,861.70 Lease Payment (105525-6935) FY 2024-25 Recommended Action: It is recommended that the City Council:
1) Authorize the City Administrator to approve a 10 -year financing agreement with Motorola Solutions for the total purchase not -to -exceed the amount of $1,197,159.00 (annual payments of $152,861.70); and
2) Authorize the City Administrator to execute all necessary documents, in a form approved by the City Attorney.

1.i. Resolution Authorizing the Transition of the City's Deferred Contribution Plan from Public Agency Retirement Services (PARS) to the ICMA Retirement Corporation Governmental Profit -Sharing Plan & Trust
Fiscal Impact: None
Recommended Action: It is recommended that the City Council:
1) Staff recommends City Council adopt Resolution R-2023-79 approving the transition of the City's Defined Contribution Plan for Eligible Employees from PARS to ICMA Retirement Corporation Governmental Profit -Sharing Plan and the discontinuance of the City's participation in the Public Agency Retirement System (PARS) Defined Contribution Plan and related services of PARS as Trust Administrator, U.S. Bank N.A. as Trustee, and John Hancock Retirement Services as Custodian/Record Keeper; and 2) Authorize the City Administrator to execute all necessary documents.

Placentia City Council/Successor Agency/ICDA/PPFA Agenda, September 19, 2023 Page 4 of 5

2. PUBLIC HEARINGS: None

3. REGULAR AGENDA:

3.a. Study Session: Community/Senior Center Update and Consideration of Additional 65% Design
Fiscal Impact: None
Recommended Action: It is recommended that the City Council:
1) Receive and file the Community/Senior Center Project presentation and Business Plan and provide Staff and the Blue -Ribbon Committee with feedback; and 2) If approved, direct Staff and the Blue -Ribbon Committee to proceed with 100% complete architectural and engineering design documents for the proposed Community/Senior Center; and
3) If approved, direct Staff to prepare Amendment No. 1 to the Professional Services Agreement with Group 4 Architecture, Research +Planning, Inc. to be brought back at the October 3, 2023 City Council Meeting; and
4) If approved, direct Staff to proceed with retaining a fundraising consultant to establish a donor program as outlined in the proposed Business Plan.

3.b. OPEB Mitigation Plan/Section 115 Trust Update
Fiscal Impact: None
Recommended Action: It is recommended that the City Council:
1) Receive and file this report updating the City Council on the City's OPEB mitigation effort; and,
2) Following discussion, provide policy direction to Staff.

3.c. Fire Department 2021-2022 Biennial Report
Fiscal Impact: None
Recommended Action: It is recommended that the City Council:
1) Receive and file a copy of the completed Biennial Report and Chief Dobine's presentation introducing the report.

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, October 3, 2023 at 5:30 p.m.

TENTATIVE AGENDA FORECAST
The Tentative Agenda Forecast is subject to change up until the posting of the Agenda for the Council Meeting listed below:
• PSA for FY 23-24 Street Resurfacing Project
• PSA Amendment Infrastructure Engineers
• Approval of design concept plan for playground renovations at Parque de los Ninos and Public Works Agreement with Playcore d.b.a. Gametime for purchase and installation of playground equipment, CIP Project No. 7402
• Purchase of Asset Management Software Module
• PSA for Staff Augmentation Services for the City Hall/Police Station Modernization Project • Approval of Contract Change Orders #8 & #9 for the Crowther Sewer Line Project • Maintenance Services Agreement for Stormwater Pump Station Maintenance Services

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 September 19, 2023 meetings of the City Council, Successor Agency, Industrial Commercial Development Authority, and the Placentia Public Financing Authority was posted on September 14, 2023.

Carole M. Wayman
Deputy City Clerk
Placentia City Council/Successor Agency/ICDA/PPFA Agenda, September 19, 2023 Page 5 of 5

Type Vendor Name/ID Description
Check Totals by ID
AP 879,465.06
EP 0.00
IP 0.00
OP 0.00
Fund Name
101 -General Fund (0010)
117 -Measure U Fund (0079)
205 -State Gas Tax (0017)
208-Sccssr Agncy Ret Oblg (0054)
225 -Asset Seizure (0021)
238 -City Traffic Impct Fees (0065)
243 -City Quimby In Lieu Fee (0069)
246-TOD Traffic Impact Fees (0070)
247-TOD Sewer Impact Fees (0071)
248-TOD Strscape Impct Fee (0072)
249-TOD District CFD (0080)
265 -Landscape Maintenance (0029)
270-CDBG Fund (0030)
275 -Sewer Maintenance (0048)
280 -Mise 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)
City of Placentia
Check Register
For 09/19/2023
Account/Description
Check Totals by Fund
591,406.61
126,791.29
53,338.00
2,548.88

65.38 2,169.90

27.06 360.00
2,200.00
360.00
909.49
8,352.24
50,000.00
179.31
20,627.00
9,092.15
321.98

60.00 9,009.77
1,646.00
Check Total: 879,465.06
Batch ID Amount Invoice#
Grand Total: 879,465.06
Void Total:

Check Total:

Funds will be transferred from the Cash Basis Fund as needed to fund the warrants included on this warrant register User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine

0.00 879,465.06
PO # Check # Check Date

1. b.

Sept. 19, 2023
09/13/2023 :Date
17:03:26 :Time

Type Vendor Name/ID
Description

MW OH ALLSTAR FIRE EQUIPMENT FIRE FIGHTING FOAM
V011950
MW OH ALTA PLANNING + DESIGN JUL ENGINEERING DESIGN SVS V012171
MW 011 ALTA PLANNING + DESIGN JUL ENGINEERING DESIGN SVS V012171
MW OH AMAZON CAPITAL SERVICES;S SUPPLIES
V012336
MW OH AMAZON CAPITAL SERVICEE.ITTER PICKER TOOL
V012336

MW OH AMAZON CAPITAL SERVICESNDOOR BULLETIN BOARD
V012336
MW 011 AMAZON CAPITAL SERVICEES SUPPLIES
V012336

MW OH AMAZON CAPITAL SERVICEES SUPPLIES
V012336
MW OH AMAZON CAPITAL SERVICES.IGHTS
V012336

MW OH AMAZON CAPITAL SERVICES)AY CAMP SUPPLIES
V012336

MW OH AMAZON CAPITAL SERVICESPHONE CHRGER CORDS
V012336
MW 011 AMAZON CAPITAL SERVICEES SUPPLIES
V012336
MW OH AMAZON CAPITAL SERVICES;RGONOMIC OFFICE EQUIPMENT V012336
MW 011 AMAZON CAPITAL SERVICEKINDLE SCRIBE, CASE
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
103066-6301
Special Department Expenses
502003-6741
Infrastructure - Traffic
692003-6741
Infrastructure - Traffic
104071-6301
Special Department Expenses
103655-6301
Special Department Expenses
103654-6130
Repair & Maint/Facilities
104071-6301
Special Department Expenses
104071-6301
Special Department Expenses
103654-6130
Repair & Maint/Facilities
104071-6301
Special Department Expenses
103066-6315
Office Supplies
104071-6301
Special Department Expenses
101512-6301
Special Department Expenses
104071-6301
Page: 1
Batch ID Amount Invoice# PO # Check # Check Date
AP082823 2,314.34 249266 P13011 00128257 08/31/2023
Check Total:

AP082823
AP082823
Check Total:

AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
2,314.34

60.00 304.0002021.133P13071 00128258 08/31/2023

27.06 304.0002021.133P13071 00128258 08/31/2023

87.06 36.29 13 WT -P4 WL -

35.89 13XQ-CCYT-
611.70 149P-WY6L-

8.70 14QD-HGH7-
275.91 14RN-FW9C-
292.54 176G -6W WF -
129.95 17T1 -4H43-

15.20 17T1-4H43-JTJT
1,019.76 19G1 -H9HQ-
783.44
9G1-H9HQ-
783.44 19K4 -7G11-
412.14 1FPH-Q4C4-
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
00128259 08/31/2023
09/13/2023 :Date
17:03:26 :Time

City of Placentia
Check Register
For 09/13/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICEBD STATION SUPPLIES 103066-6301 AP082823 13.90 1GFN-GCFD- 00128259 08/31/2023 V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICEOFFICE SUPPLIES 103066-6315 AP082823 16.30 1GPP-K3KT- 00128259 08/31/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICEES SUPPLIES 104071-6301 AP082823 249.10 1KNV-L4H4- 00128259 08/31/2023 V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICEEARTRIDGE 103066-6301 AP082823 52.19 1PDH-NGR3- 00128259 08/31/2023 V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICEEIGHTS 103654-6130 AP082823 206.58 1PGR-4V7V- 00128259 08/31/2023 V012336 Repair & Maint/Facilities
MW OH AMAZON CAPITAL SERVICERS SUPPLIES 104071-6301 AP082823 408.71 IPJR-VRJ7- 00128259 08/31/2023 V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICERS SUPPLIES 104071-6301 AP082823 271.80 1RWD-JX9P- 00128259 08/31/2023 V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICEOFFICE SUPPLIES 102532-6315 AP082823 65.82 1 T 1 D-RL76- 00128259 08/31/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICE9AY CAMP SUPPLIES 104071-6301 AP082823 34.23 1THY-YQC9- 00128259 08/31/2023 V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICEEFFICE SUPPLIES 101512-6315 AP082823 126.32 1V6Y-RJWF- 00128259 08/31/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICEEV CHARGER 103654-6130 AP082823 325.16 1VNJ-9QLQ- 00128259 08/31/2023 V012336 Repair & Maint/Facilities
Check Total: 5,391.63
MW OH AMERICAN OFFICE OFFICE FURNITURE 103654-6855 AP082823 560.06 14412 00128260 08/31/2023 V009212 Furniture & Fixtures
Check Total: 560.06
MW OH ANAHEIM FULLERTON 9/27 TOWING SERVICES 103047-6181 AP082823 185.00 22-0927-20112 User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 2
00128261 08/31/2023
09/13/2023 :Date
17:03:26 :Time

City of Placentia
Check Register
For 09/13/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date V006631 Towing Services
MW OH ANAHEIM FULLERTON 10/10 TOWING SERVICES 103047-6181 AP082823 101.75 22-1010-20585 00128261 08/31/2023 V006631 Towing Services
MW OH ANAHEIM FULLERTON 10/28 TOWING SERVICES 103047-6181 AP082823 101.75 22-1028-21308 00128261 08/31/2023 V006631 Towing Services
MW OH ANAHEIM FULLERTON 5/4 TOWING SERVICE 103047-6181 AP082823 185.00 23-0504-27735 00128261 08/31/2023 V006631 Towing Services
MW OH ANAHEIM FULLERTON 5/18 5/4 TOWING SERVICE 103047-6181 AP082823 67.00 23-0518-28187B 00128261 08/31/2023 V006631 Towing Services
Check Total: 640.50
MW OH AT & T 8/2-9/1 FD1 INTERNET 109595-6215 AP082823 53.50 306204658 00128262 08/31/2023 V008736 Telephone/Internet
MW OH AT & T 8/13-9/12 KOCH PARK INTERNET 109595-6215 AP082823 63.49 KP AUG 23 00128262 08/31/2023 V008736 Telephone/Intemet
Check Total: 116.99
MW OH AT & T MOBILITY 7/27-8/30 IPAD CHARGES 109595-6215 AP082823 482.69 X08152023 00128263 08/31/2023 V008709 Telephone/Internet
Check Total: 482.69
MW OH AT&T JUL-AUG PHONE CHARGES 109595-6215 AP082823 7,893.31 082223 00128264 08/31/2023 V004144 Telephone/Internet
MW OH AT&T JUL-AUG PHONE CHARGES 109595-6215 / 21008-6215 AP082823 10.19 082223 00128264 08/31/2023 V004144 Telephone/Internet
MW OH AT&T JUL-AUG PHONE CHARGES 296561-6215 AP082823 1,648.17 082223 00128264 08/31/2023 V004144 Telephone/Internet
Check Total: 9,551.67
MW OH B & M LAWN & GARDEN LANDSCAPE EQUIPMENT SUPPLIES 103655-6301 AP082823 45.21 605035 00128265 08/31/2023 V000127 Special Department Expenses
MW OH B & M LAWN & GARDEN HAND TOOLS REPAIRS 103066-6137 AP082823 59.51 607518 00128265 08/31/2023 User: Gabriela Calin 09/13/2023 :Date
Page: 3
Report: AP1400M : AP: Warrant List - Machine 17:03:26 :Time

Type
Vendor Name/ID
V000127
Description

MW OH BLUE SCOPE CONSTRUCTION JL CONSTRUCTION SVS
V012441

MW OH BOA ARCHITECTURE
V010118

MW OH BRENNAN ESTIMATING
V011259

MW OH BUTTS, BRAD
V002941

MW OH CANON FINANCIAL SERVIC
V008979

ARCHITECTURAL DESIGN SVS
City of Placentia
Check Register
For 09/13/2023
Account/Description
Repair Maint/Equipment
105213-6850
Building & Facilities
795307-6850
Building & Facilities
AUG FIRE ALARM MONITORING SVS103654-6127
Alarm Monitoring
ROTARY MEETING MEALS REIMS. 103040-6245
Meetings & Conferences
1-31 COPIER LEASE CHARGE
MW OH CHARTER COMMUNICATIONiS14-9/13
V004450
MW OH CHARTER COMMUNICATIONiti16-9/15
V004450
MW OH CHARTER COMMUNICATIOM14-9/13
V004450
MW OH
CHARTER COMMUNICATIONi812-9/11
V004450

PD FIBER INTERNET

NAV CTR INTERNET

WHITTEN CTR INTERNET

BACKS BLDG INTERNET

MW OH CITY OF BREA BUSINESS CARDS
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
109595-6175
Office Equipment Rental
109595-6215
Telephone/Intemet
109595-6215
Telephone/Internet
109595-6215
Telephone/Intemet
109595-6215
Telephone/Internet
101512-6315
Page: 4
Batch ID
Check Total:

AP082823
Check Total:

AP082823
Check Total:

Amount Invoice#
104.72
256,312.80 22740-04
256,312.80
8,820.00 23-3011-3
8,820.00
AP082823 360.00 10577
Check Total:

AP082823
Check Total:

AP082823
Check Total:

AP082823
AP082823
AP082823
AP082823
Check Total:

AP082823
360.00

93.12 083023

93.12 115.89 31061842
115.89
619.00 0528002081423
298.99 0570178081623
138.94 0619546081423
299.98 0629685081223
1,356.91

27.27 ASR0000242
PO # Check # Check Date
P13074 00128266 08/31/2023
P13073 00128267 08/31/2023
P13006 00128268 08/31/2023
00128269 08/31/2023
00128270 08/31/2023
00128271 08/31/2023
00128271 08/31/2023
00128271 08/31/2023
00128271 08/31/2023
00128272 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID
V005832

MW OH COMLOCK
V003166

MW OH COMLOCK
V003166

MW OH COMLOCK
V003166
Description

DOOR KEYS

DUPLICATE KEYS

DOOR REPAIR SUPPLIES
MW OH COMMERCIAL AQUATIC JUL FOUNTAIN MAINT.

V005203

MW OH COMMERCIAL AQUATIC
V005203

MW OH DENNIS GRUBB &
V012137

MW OH DENNIS GRUBB &
V012137
City of Placentia
Check Register
For 09/13/2023
Account/Description
Office Supplies
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
Batch ID Amount Invoice# PO # Check # Check Date
Check Total: 27.27
AP082823 81.67 845415 00128273 08/31/2023
AP082823 76.95 845434 00128273 08/31/2023
103654-6130 AP082823 511.15 845436 00128273 08/31/2023
Repair & Maint/Facilities
103654-6290
Dept. Contract Services
Check Total: 669.77
AP082823 408.80 905951 P13046 00128274 08/31/2023
JUL FOUNTAIN MAINT - LIBRARY 103654-6290 / 21008-6290 AP082823 291.20 905951 P13046 00128274 08/31/2023 Dept. Contract Services
8/1-16 FD IPLAN CHECK SVS
8/1-16 FD INSPECTION SVS

MW OH DRULIAS, NICOLETTE TRAVEL REIMBURSEMENT
V012257
MW OH DUDEK & ASSOCIATES INC 7/1-28 ENG & CONST SVS
V004114

MW OH EL FAROLITO INC
V002115

SMALL BUSINESS GRANT
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
103066-6290
Dept. Contract Services
103066-6290
Dept. Contract Services
101511-6245
Meetings & Conferences
713101-6750
Infrastructure - Sewer
302534-6401/232502-6401
Community Programs
Page: 5
Check Total: 700.00
AP082823 970.00 002-30003 P12990 00128275 08/31/2023
AP082823 2,700.00 002-30004 P12990 00128275 08/31/2023
Check Total: 3,670.00
AP082823 424.96 082223 00128276 08/31/2023
Check Total: 424.96
AP082823 2,200.00 202306717 P13075 00128277 08/31/2023
Check Total:
2,200.00
AP082823 25,000.00 1
P13057 00128278 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type Vendor Name/ID Description

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842
MW 011 FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842
MW 011 FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842
MW 011 FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842
MW 011 FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842
User: Gabriela Calin
Report: AP I400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description Batch ID
Check Total:
103658-6134 AP082823
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
103658-6134
Vehicle Repair & Maintenance
Page: 6
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
Amount Invoice#
25,000.00

93.04 102-191434

82.88 102-191992

24.18 102-192091

56.25 102-192117
140.16 102-192274

34.87 102-192277

27.45 102-192317

16.60 102-192526
102.76 102-192533

61.61 102-192855

54.37 102-193013

27.26 102-193015

53.16 102-193440

18.72 12-192844
PO # Check # Check Date
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
P13045 00128279 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
Vendor Name/ID
Description

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

MW OH FAIRWAY FORD
V000376

MW OH FAIRWAY FORD
V000376

MW OH FAIRWAY FORD
V000376
MW OH

FAIRWAY FORD
V000376

VEHICLE PARTS

JUL - VEHICLE REBATE PROGRAM
FORD F-150
FORD F-150
MW OH FRANCHISE TAX BOARD FTB PE 8/19 PD 8/25
V000404

MW OH GOLDEN STATE WATER JUL-AUG WATER CHARGES
User: Gabriela Galin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID
103658-6134 AP082823
Vehicle Repair & Maintenance
103658-6134 AP082823
Vehicle Repair & Maintenance
103658-6134 AP082823
Vehicle Repair & Maintenance
103658-6134 AP082823
Vehicle Repair & Maintenance
103658-6134 AP082823
Vehicle Repair & Maintenance
103658-6134 AP082823
Vehicle Repair & Maintenance
103658-6134 AP082823
Vehicle Repair & Maintenance
Check Total:
103658-6134 AP082823
Vehicle Repair & Maintenance
102534-6363 AP082823
Resident Vehicle Rebate Prog
799800-6842/24802-6842 AP082823
Vehicles
799800-6842/24802-6842 AP082823
Vehicles
Check Total:
0010-2196
Garnishments W/H
109595-6335
Page: 7
AP082823
Check Total:

AP082823
Amount Invoice#

52.88 12-5392086

49.85 12-5393886
111.55 12-5395339

45.13 12-5399765
110.75 12-5423634

69.63 12-5428046

52.88 12-5435123
1,285.98

14.25 280858
3,000.00 JULY, 2023
42,383.69 081023
42,383.69 081823
87,781.63

7.73 PR2301017

7.73 9,558.43 082223
PO #
P13045
P13045
P13045
P13045
P13045
P13045
P13045
Check # Check Date
00128279 08/31/2023
00128279 08/31/2023
00128279 08/31/2023
00128279 08/31/2023
00128279 08/31/2023
00128279 08/31/2023
00128279 08/31/2023
00128280 08/31/2023
00128280 08/31/2023
P13051 00128280 08/31/2023
P13051 00128280 08/31/2023
00128281 08/31/2023
00128282 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID
V000928

MW OH GOLDEN STATE WATER
V000928
Description

JUL-AUG WATER CHARGES

MW OH HEALTHPOINTE MEDICAL JUL PRE-EMPL SCREENINGS
V010713
City of Placentia
Check Register
For 09/13/2023
Account/Description
Water
296561-6335
Water
101512-6099
Professional Services
MW OH HF&H CONSULTANTS LLC JUL SW BENCHMARKING STUDY 103550-6017 V010575 Special Studies

MW OH HI -WAY SAFETY RENTALS TRAFFIC MARKERS
V000459

MW OH HR GREEN PACIFIC INC
V010735

MW OH HR GREEN PACIFIC INC
V010735

MW OH IDS GROUP INC
V012534

ENG & LANDSCAPE DESIGN

ENG & LANDSCAPE DESIGN
103652-6305
Traffic Control Devices
109202-6770/229999-6770
Infrastructure - Major Studies
799202-6770/229999-6770
Infrastructure - Major Studies
JUL ARCHITECTURAL & DESIGN SVS505003-6840
Machinery & Equipment

MW OH JACOB GREEN & ASSOCIATEBJL - PROFESSIONAL SERVICE V012276
MW OH JOHN HANCOCK USA -PARS PARS PE 8/19 PD 8/25
V010625
MW OH JOHN HANCOCK USA -PARS PARS PE 8/19 PD 8/25
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
109595-6999
Other Expenditure
0010-2131
Employer PARS/ARS Payable
0010-2131
Page: 8
Batch ID
AP082823
Check Total:

AP082823
Check Total:

AP082823
Check Total:

AP082823
Check Total:

Amount Invoice#
6,289.91 082223
15,848.34
901.00 30601-4102199
901.00
1,252.33 9720464
1,252.33
251.49 145958
251.49
AP082823 24,323.56 165642
AP082823 23,369.69 165642
Check Total: 47,693.25
PO # Check # Check Date
00128282 08/31/2023
00128283 08/31/2023
00128284 08/31/2023
00128285 08/31/2023
P13078 00128286 08/31/2023
P13078 00128286 08/31/2023
AP082823 19,108.00 22X094.01-1 P13076 00128287 08/31/2023 Check Total: 19,108.00
AP082823 200.00 2338 00128288 08/31/2023
Check Total: 200.00
AP082823 843.02 PR2301017 00128289 08/31/2023
AP082823 917.81 PR2301017 00128289 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
Vendor Name/ID
V010625

JOHN HANCOCK USA -PARS
V010625

JOHN HANCOCK USA -PARS
V010625

JOHN HANCOCK USA -PARS
V010625

JOHN HANCOCK USA -PARS
V010625

JOHN HANCOCK USA -PARS
V010625

JOHN HANCOCK USA -PARS
V010625

JOHN HANCOCK USA -PARS
V010625

JOHN HANCOCK USA -PARS
V010625

MW OH KOA CORPORATION
V006654

MW OH KOA CORPORATION
V006654

MW OH LEHR AUTO
V009930

MW OH LN CURTIS & SONS
V011267
Description
PARS PE 8/19 PD 8/25
PARS PE 8/19 PD 8/25
PARS PE 8/19 PD 8/25
PARS PE 8/19 PD 8/25
PARS PE 8/19 PD 8/25
PARS PE 8/19 PD 8/25
PARS PE 8/19 PD 8/25
PARS PE 8/19 PD 8/25
City of Placentia
Check Register
For 09/13/2023
Account/Description Batch ID
Employer PARS/ARS Payable
0010-2131 AP082823
Employer PARS/ARS Payable
0029-2131 AP082823
Employer PARS/ARS Payable
0037-2131 AP082823
Employer PARS/ARS Payable
0037-2131 AP082823
Employer PARS/ARS Payable
0048-2131 AP082823
Employer PARS/ARS Payable
0048-2131 AP082823
Employer PARS/ARS Payable
0054-2131 AP082823
Employer PARS/ARS Payable
0054-2131 AP082823
Employer PARS/ARS Payable
Check Total:

LOCAL ROADWAY SAFETY PLAN 339303-6770 AP082823
Infrastructure - Major Studies
LOCAL ROADWAY SAFETY PLAN 659303-6770 AP082823
Infrastructure - Major Studies
Check Total:

E2 REPAIRS 103066-6134 AP082823 894.38 SI91302
Amount Invoice#
675.90 PR2301017
19A7 PR2301017
230.17 PR2301017

76.49 PR2301017
110.24 PR2301017

54.63 PR2301017

43.71 PR2301017

4.92 PR2301017
PO # Check # Check Date
00128289 08/31/2023
00128289 08/31/2023
00128289 08/31/2023
00128289 08/31/2023
00128289 08/31/2023
00128289 08/31/2023
00128289 08/31/2023
00128289 08/31/2023
2,976.06
8,679.60 JC32033-1 P12984 00128290 08/31/2023
2,169.90 JC32033-1 P12984 00128290 08/31/2023
10,849.50

PARTS/MAINTENANCE
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Vehicle Repair & Maintenance
103066-6301
Special Department Expenses
Page: 9
Check Total:

AP082823
00128291 08/31/2023
894.38

16.70 1NV716896 00128292 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type Vendor Name/ID

MW OH LN CURTIS & SONS
V011267

MW OH LONG BEACH BMW
V011294

MW OH LONG BEACH BMW
V011294

MW OH MARTINEZ, JOHN
V010060

MW OH MC FADDEN-DALE
V000635

MW OH MC FADDEN-DALE
V000635

MW OH MC FADDEN-DALE
V000635
MW OH

MC FADDEN-DALE
V000635
Description

PD UNIFORMS - RODRIGUEZ
City of Placentia
Check Register
For 09/13/2023
Account/Description
103043-6360
Uniforms
PD MOTORCYCLE REPAIRS 103658-6134
Vehicle Repair & Maintenance
PD MOTORCYCLE REPAIRS 103658-6134
Vehicle Repair & Maintenance

PD TRAINING MEAL, MILEAGE

PW MAINTENANCE SUPPLIES

PW MAINTENANCE SUPPLIES

PW MAINTENANCE SUPPLIES

PW MAINTENANCE SUPPLIES
MW OH MIDAMERICA Q2 2023 - 401A ADMIN FEES
V008972

MW OH EXPRESS SIGN & NEON PARKING LOT ID SIGN
V012561
MW 011 MOTOROLA SOLUTIONS 800 MHZ UPGRADE
V010749
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
213041-6250
Staff Training
Batch ID Amount Invoice# PO # Check # Check Date
AP082823 710.97 INV736357 P13019 00128292 08/31/2023
Check Total:

AP082823
AP082823 2,617.10 47152
Check Total:
727.67

84.74 47370
AP082823
Check Total:
103658-6134 AP082823
Vehicle Repair & Maintenance
103654-6130 AP082823
Repair & Maint/Facilities
103658-6134 AP082823
Vehicle Repair & Maintenance
103654-6130 AP082823
Repair & Maint/Facilities
Check Total: 214.06
00128293 08/31/2023
P13055 00128293 08/31/2023
00128294 08/31/2023
00128295 08/31/2023
00128295 08/31/2023
00128295 08/31/2023
00128295 08/31/2023
2,701.84

65.38 MARTINEZ8212

65.38 18.53 521605/5

80.17 521643/5
109.69 521773/5

5.67 521867/5
395083-6025 AP082823 55.00 0221917 00128296 08/31/2023
Third Party Administration
105211-6850
Building & Facilities
105525-6905
Principal/Bonds/COP's/Leases
Page: 10
Check Total:

55.00 AP082823 13,770.00 CIPL082823-01 P13089 00128297 08/31/2023 Check Total:
13,770.00
AP082823 41,867.53 32100 P12975 00128298 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID

MW OH NAPA AUTO PARTS
V011456

MW OH NAPA AUTO PARTS
V011456

MW OH OCPCA
V010032

MW OH OFFICE INDUSTRIES
V007477

MW OH ORANGE COUNTY
V000699

MW OH ORANGE COUNTY
V000699

MW OH ORANGE COUNTY
V000699

MW OH ORANGE COUNTY
V000699

MW OH ORANGE COUNTY
V000699
MW OH

ORANGE COUNTY
V000699

MW OH PACIFIC EMBROIDERY
V008348
Description

ON -VEHICLE DISC BRAKE LATHE

SALES TAX
City of Placentia
Check Register
For 09/13/2023
Account/Description Batch ID
Check Total:
103658-6134 AP082823
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
PD TRAINING MEALS, MILEAGE 103041-6250
Staff Training

OFFICE SUPPLIES
OCEA PE 8/19 PD 8/25
OCEA PE 8/19 PD 8/25
OCEA PE 8/19 PD 8/25
OCEA PE 8/19 PD 8/25
OCEA PE 8/19 PD 8/25
OCEA PE 8/19 PD 8/25
103550-6315
Office Supplies
AP082823
Check Total:

AP082823
Check Total:

AP082823
Check Total:
0054-2176 AP082823
PCEA/OCEA Assoc Dues
0048-2176 AP082823
PCEA/OCEA Assoc Dues
0037-2176 AP082823
PCEA/OCEA Assoc Dues
0033-2176 AP082823
PCEA/OCEA Assoc Dues
0029-2176 AP082823
PCEA/OCEA Assoc Dues
0010-2176 AP082823
PCEA/OCEA Assoc Dues
Check Total:

SHIRTS EMBROIDERY - CODE ENF. 102533-6360
Uniforms
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 11
AP082823
Check Total:

Amount Invoice#
41,867.53
18,985.75 827315
1,471.40 827315
20,457.15

50.00 HERREN82123

50.00 45.25 70146

45.25 0.23 PR2301017

13.29 PR2301017

14.10 PR2301017

11.55 PR2301017

7.51 PR2301017
484.62 PR2301017
531.30
122.50 89491
122.50
PO # Check # Check Date
P12982 00128299 08/31/2023
P12982 00128299 08/31/2023
00128300 08/31/2023
00128301 08/31/2023
00128302 08/31/2023
00128302 08/31/2023
00128302 08/31/2023
00128302 08/31/2023
00128302 08/31/2023
00128302 08/31/2023
00128303 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID
MW OH PCEA C/0 NORTH 0
V000679
MW OH PCEA C/0 NORTH 0
V000679
MW OH PCEA C/0 NORTH 0
V000679
MW OH PCEA C/0 NORTH 0
V000679
MW OH PCEA C/0 NORTH 0
V000679
MW OH PCEA C/0 NORTH 0
Description
RANGE C10EEA PE 8/19 PD 8/25
RANGE C EEA PE 8/19 PD 8/25
RANGE CECEA PE 8/19 PD 8/25
RANGE 092EA PE 8/19 PD 8/25
RANGE C6EEA PE 8/19 PD 8/25
RANGE ([®EEA PE 8/19 PD 8/25
V000679

MW OH PEST OPTIONS INC
V010037
City of Placentia
Check Register
For 09/13/2023
Account/Description
0054-2176
PCEA/OCEA Assoc Dues
0048-2176
PCEA/OCEA Assoc Dues
0037-2176
PCEA/OCEA Assoc Dues
0033-2176
PCEA/OCEA Assoc Dues
0029-2176
PCEA/OCEA Assoc Dues
0010-2176
PCEAJOCEA Assoc Dues
CHAMPIONS SC - PEST CONTROL 104076-6130
Repair & Maint/Facilities
MW 0H POWERSTRIDE BATTERY COBATTERY REPAIR
V000785

MW OH PRUDENTIAL OVERALL
V000836

MW OH PRUDENTIAL OVERALL
V000836

MW OH PRUDENTIAL OVERALL
V000836
8/2 UNIFORM CLEANING SVS
8/9 UNIFORM CLEANING SVS
8/16 UNIFORM CLEANING SVS
Batch ID
AP082823
AP082823
AP082823
AP082823
AP082823
AP082823
Amount Invoice#

0.02 PR2301017

1.15 PR2301017

1.22 PR2301017

1.00 PR2301017

0.65 PR2301017

41.96 PR2301017
PO # Check # Check Date
00128304 08/31/2023
00128304 08/31/2023
00128304 08/31/2023
00128304 08/31/2023
00128304 08/31/2023
00128304 08/31/2023
Check Total: 46.00
AP082823 2,330.00 429345 00128305 08/31/2023
103658-6134 AP082823 257.08 C 553566 00128306 08/31/2023 Vehicle Repair & Maintenance
Check Total:
2,330.00
103650-6360
Uniforms
103650-6360
Uniforms
103650-6360
Uniforms
MW OH REYES, STEFANIE ACOSTA APCO CONF REG, TRAVEL - REIMB 101515-6245 V011470 Meetings & Conferences
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 12
Check Total: 257.08
163.29 62831305 P12973 00128307 08/31/2023
163.29 62833213 P12973 00128307 08/31/2023
AP082823
AP082823
AP082823
Check Total:

AP082823
163.29 62835325 P12973 00128307 08/31/2023
489.87
1,049.84 082223
00128308 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID

MW OH RODRIGUEZ, PATRICIA
V012651

MW OH SDC LEGAL
V012652

MW OH SDC LEGAL
V012652
Description

ROOFING BOND REFUND

REFUND - DUPLICATE PAYMENT

REFUND - DUPLICATE PAYMENT

MW OH SECO ELECTRIC & LIGHTINWIMMERS
V010182

MW OH SELBERT PERKINS DESIGN
V012172

MW OH SELBERT PERKINS DESIGN
V012172
MW 011 SHADER, RHONDA
V010255

JUL WAYFINDING DESIGN SVS

JUL WAYFINDING DESIGN SVS
City of Placentia
Check Register
For 09/13/2023
Account/Description Batch ID
Check Total:
0044-2033 AP082823
Construction & Demo Deposit
100000-4101
Business License Fees
0044-2032
SB 1186 BL State Fee
795305-6850
Building & Facilities
Amount Invoice#
1,049.84
100.00 30-23-349
PO # Check # Check Date
00128309 08/31/2023
Check Total: 100.00
AP082823 113.00 083023 00128310 08/31/2023
AP082823 4.00 083023 00128310 08/31/2023
Check Total: 117.00
AP082823 9,834.22 8110 P13084 00128311 08/31/2023
Check Total:
709201-6770 AP082823
Infrastructure - Major Studies
729201-6770 AP082823
Infrastructure - Major Studies
ANNAUL LEAGUE CONE EXPENSES 101001-6245
Meetings & Conferences

MW OH SINATRA UNIFORMS INC PD MOTOR UNIFORM
V012644

MW OH SMITH, DONNA
V001269

MW OH SO CAL GAS
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
2023 SUMMER INSTRUCTOR

JUL-AUG GAS CHARGES
103047-6360
Uniforms
104071-6060
Instructional Services
109595-6340
Page: 13
Check Total:

AP082823
Check Total:

AP082823
Check Total:

AP082823
Check Total:

AP082823
9,834.22
360.00 20230735 P13083 00128312 08/31/2023
360.00 20230735 P13083 00128312 08/31/2023
720.00
172.50 08222023
172.50
452.22 SU10644
452.22
811.20 SUMMER 2023
811.20
532.56 082123
00128313 08/31/2023
00128314 08/31/2023
00128315 08/31/2023
00128316 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID
V000909
Description
MW OH SO CAL LAND MAINTENANCtFARK MAINTENANCE
V011102

MW OH SOUTHERN CALIFORNIA
V000910

MW OH SOUTHERN CALIFORNIA
V000910

MW OH SOUTHERN CALIFORNIA
V000910

MW OH SOUTHERN CALIFORNIA
V000910
MW OH
MW OH

SOUTHERN CALIFORNIA
V000910

SOUTHERN CALIFORNIA
V000910

JUL-AUG ELECTRICAL CHARGES

JUL-AUG ELECTRICAL CHARGES

JUL-AUG ELECTRICAL CHARGES

JUL-AUG ELECTRICAL CHARGES

JUL-AUG ELECTRICAL CHARGES

JUL-AUG ELECTRICAL CHARGES
City of Placentia
Check Register
For 09/13/2023
Account/Description
Natural Gas
104076-6130
Repair & Maint/Facilities
Batch ID
Check Total:

Amount Invoice#
532.56
AP082823 2,104.94 10683
Check Total: 2,104.94
109595-6330/21009-6330 AP082823 76.47 082223
Electricity
109595-6330/21010-6330 AP082823 17.57 082223
Electricity
109595-6330/21011-6330
Electricity
296561-6330
Electricity
800000-6330
Electricity
109595-6330
Electricity
AP082823 177.57 082223
AP082823 308.53 082223
AP082823 71.14 082223
AP082823 31,949.57 082223
PO # Check # Check Date
00128317 08/31/2023
00128318 08/31/2023
00128318 08/31/2023
00128318 08/31/2023
00128318 08/31/2023
00128318 08/31/2023
00128318 08/31/2023
Check Total: 32,600.85
MW OH SPECTRUM GAS PRODUCTS MEDICAL MASK/OXIGEN EQUIPMENII03066-6362 AP082823 1,695.95 00590096 00128319 08/31/2023 V011641 Emergency Medical Supples
Check Total: 1,695.95
MW OH SUSSEWELL, HAROLD SETTLEMENT AP082823 2,144.27 SETTLEMENT 00128320 08/31/2023 V012648
Check Total: 2,144.27
MW OH SWANA MEMBERSHIP - E. ROBINSON AP082823 320.00 2024-1945793 00128321 08/31/2023 V012650
Check Total: 320.00
MW OH SWANK MOTION PICTURES MOVIE LICESING FEE -SUMMER '23 104071-6299 / 79397-6299 AP082823 685.00 2021433 P12936 00128322 08/31/2023 404582-6210
Liability Claims
103550-6255
Dues & Memberships
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 14
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID
V004927
City of Placentia
Check Register
For 09/13/2023
Description Account/Description
Other Purchased Services
MW OH SWANK MOTION PICTURES MOVIE LICESING FEE -SUMMER '23 104071-6299 / 79397-6299 V004927

MW OH TASKA, KAREL
V012649

MW OH TEAM ONE MANAGEMENT
V010070

MW OH TEAM ONE MANAGEMENT
V010070

MW OH THE BRUERY LLC
V011645
MW OH THINKSUPPLIES.COM
V007047
REFUND CIT# 2331101, 2331102

JUL PARK RESTROOMS JANITORIAL

PARK RESTROOMS-ADDT'L WORK

SMALL BUSINESS GRANT
PAPER

MW OH TURBO DATA SYSTEMS INC JUL PARKING CITATION SVS
V001238

MW OH UNIQUE PRINTING
V010259

BUSINESS CARDS
MW OH US BANK PARS #6746022400 PARS PE 8/19 PD 8/25
V008781
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Other Purchased Services
I02533-4411
Administrative Citations
104076-6290
Dept. Contract Services
104076-6290
Dept. Contract Services
302534-6401/232502-6401
Community Programs
109595-6315
Office Supplies
103047-6290
Dept. Contract Services
103040-6230
Printing & Binding
Batch ID
AP082823
Check Total: 3,530.00
AP082823 300.00 CE23-311 00128323 08/31/2023
Amount Invoice# PO # Check # Check Date
2,845.00 2021434 P12936 00128322 08/31/2023
Check Total: 300.00
AP082823 7,231.25 87 P13060 00128324 08/31/2023
AP082823 1,390.00 87-X P13060 00128324 08/31/2023
Check Total: 8,621.25
AP082823 25,000.00 1
Check Total: 25,000.00
AP082823 271.82 70163
Check Total:

AP082823
Check Total:

AP082823
Check Total:
0010-2131 AP082823
Employer PARS/ARS Payable
Page: 15
Check Total:
271.82
1,289.99 40748
1,289.99

69.06 45262

69.06 2,418.64 PR2301017
2,418.64
P13058 00128325 08/31/2023
00128326 08/31/2023
P13052 00128327 08/31/2023
00128328 08/31/2023
00128329 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type Vendor Namc/ID
Description
MW OH US BANK PARS #6746022400 PARS PE 8/19 PD 8/25
V008781

MW OH VERIZON WIRELESS
V010521

MW OH VESERIS
V012647

MW OH WAYMAKERS
V012646

MW OH WEST COAST
V001124

MW OH WEST COAST
V001124

MW OH WEST COAST
V001124

MW OH WEST COAST
V001124

MW OH WEST COAST
V001124
MW OH

WEST COAST
V001124
City of Placentia
Check Register
For 09/13/2023
Account/Description
0010-2126
Employee PARS/ARS W/H
SMS CONTENT PPD CASE 22-03128 103042-6290
Dept. Contract Services

HERBICIDES & PESTICIDES
RESTITUTION CASE# 20NM l 1275
ARBORISTS INC/1-15 IVY WALL PRUNING
ARBORISTS INC/1-15 IVY WALL PRUNING
ARBORISTS INC./1-15 GRID & PALM PRUNING
ARBORISTS INC/1-15 GRID & PALM PRUNING
ARBORISTS INC/16-31 TREE TRIMMING SVS
ARBORISTS INC/16-31 TREE TRIMMING SVS

MW OH YORBA LINDA WATER
V001148

JUN-JUL WATER CHARGES
User: Gabriela Galin
Report: AP1400M : AP: Warrant List - Machine
103655-6301
Special Department Expenses
103040-4741
Reimbursements - SART Exam
103655-6116
Tree Maintenance
173555-6116
Tree Maintenance
103655-6116
Tree Maintenance
173555-6116
Tree Maintenance
103655-6116
Tree Maintenance
173555-6116
Tree Maintenance
109595-6335
Water
Page: 16
Batch ID
Amount Invoice#
AP082823 2,418.64 PR2301017
Check Total:

AP082823
Check Total:
2,418.64

50.00 9022326171

50.00 AP082823 2,232.63 IN -4149215
Check Total:
2,232.63
AP082823 300.00 20NMI1275
Check Total: 300.00
AP082823 625.00 202359
AP082823 625.00 202359
AP082823 12,035.00 202362
AP082823 12,035.00 202362
AP082823 40,678.00 202804
AP082823 40,678.00 202804
Check Total: 106,676.00
AP082823 271.52 082123
Check Total:
271.52
PO # Check # Check Date
P13061
P13061
P13061
P13061
P13061
P13061
00128330 08/31/2023
00128331 08/31/2023
00128332 08/31/2023
00128333 08/31/2023
00128334 08/31/2023
00128334 08/31/2023
00128334 08/31/2023
00128334 08/31/2023
00128334 08/31/2023
00128334 08/31/2023
00128335 08/31/2023
09/13/2023 :Date
17:03:26 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
MW OH ADMINSURE JUL WC CLAIM ADMINISTRATION 404580-6025 AP090523 4,995.00 16281 P13104 00128336 09/07/2023 V004980 Third Party Administration
Check Total: 4,995.00
MW OH AMAZON CAPITAL SERVICES'RAFFIC CONTROL HANDBOOK 103658-6301 AP090523 47.35 11L1-LHR9- 00128337 09/07/2023 V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICEOFFICE SUPPLIES 103650-6315 AP090523 73.92 11L1-LHR9- 00128337 09/07/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICEIDFFICE SUPPLIES 102532-6315 AP090523 17.61 17Q7-6663- 00128337 09/07/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICEDFFICE SUPPLIES 101512-6315 AP090523 26.58 1DXG-W9LC- 00128337 09/07/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICEERGONOMIC CHAIR 101512-6301 AP090523 97.16 1J94-YT4R- 00128337 09/07/2023 V012336 Special Department Expenses
MW OH AMAZON CAPITAL SERVICEOFFICE SUPPLIES 104072-6315 AP090523 373.65 IPXT-44KG- 00128337 09/07/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICEDFFICE SUPPLIES 103065-6315 AP090523 123.67 1RXY-RFYT- 00128337 09/07/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICES FFICE SUPPLIES - RETURN 101512-6315 AP090523 -2.88 1 V6Y-RJ WF- 00128337 09/07/2023 V012336 Office Supplies
MW OH AMAZON CAPITAL SERVICEBIRD SPIKES 105211-6850 / 105211-6850 AP090523 107.65 1XH9-J4YM- 00128337 09/07/2023 V012336 Building & Facilities
Check Total: 864.71
MW OH AMERICAN OFFICE OLD CH OFFICE FURNITURE 103065-6301 AP090523 1,800.85 14349 00128338 09/07/2023 V009212 Special Department Expenses

MW OH ANAHEIM ICE
Check Total: 1,800.85
SUMMER '23 - INSTRUCTOR 104071-6060 AP090523 308.75 SUMMER 2023 V000318 Instructional Services
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 17
Check Total: 308.75
00128339 09/07/2023
09/13/2023 :Date
17:03:26 :Time

Type Vendor Name/ID Description
MW OH ANTHEM LIFE INSURANCE SEP - LIFE: SMITH, WARD
V000046

MW OH AT&T
V004144

MW OH AT&T
V004144

MW OH B & M LAWN & GARDEN
V000127

MW OH B & M LAWN & GARDEN
V000127

MW OH B & M LAWN & GARDEN
V000127

MW OH B & M LAWN & GARDEN
V000127

MW OH B & M LAWN & GARDEN
V000127

MW OH BAEZ, JO
V012233

MW OH BREA ROOFING
V003463

MW OH BRENNAN ESTIMATING
V011259

JUL-AUG PHONE SERVICE

JUL-AUG PHONE SERVICE

LANDSCAPE SUPPLIES

LANDSCAPE SUPPLIES

LANDSCAPE SUPPLIES

LANDSCAPE SUPPLIES

LANDSCAPE SUPPLIES

HR INTERVIEW SUPPLIES

ROOFING BOND REFUND
City of Placentia
Check Register
For 09/13/2023
Account/Description
395083-5163
Life Insurance Premiums
109595-6215
Telephone/Internet
296561-6215
Telephone/Internet
Batch ID
AP090523
Check Total:

AP090523
AP090523
Check Total:
103655-6301 AP090523
Special Department Expenses
103655-6301 AP090523
Special Department Expenses
103655-6301 AP090523
Special Department Expenses
103655-6301 AP090523
Special Department Expenses
103655-6301 AP090523
Special Department Expenses
Check Total:
101512-6301
Special Department Expenses
0044-2033
Construction & Demo Deposit
4/24 FIRE & SECURITY ALARM SVS 103654-6127
Alarm Monitoring
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 18
AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

Amount Invoice#
PO # Check # Check Date

5.00 SEPTEMBER202

5.00 399.57 082923

78.30 082923
477.87

6.53 604532
208.97 604857

40.43 606057

1.94 606068

16.15 606701
274.02

94.80 082423

94.80 100.00 30-23-383
100.00
455.00 10079
455.00
00128340 09/07/2023
00128341 09/07/2023
00128341 09/07/2023
00128342 09/07/2023
00128342 09/07/2023
00128342 09/07/2023
00128342 09/07/2023
00128342 09/07/2023
00128343 09/07/2023
00128344 09/07/2023
P13006 00128345 09/07/2023
09/13/2023 :Date
17:03:26 :Time

Type Vendor Name/ID
Description
MW OH CHARTER COMMUNICATIOr' 21-9/20 BWC INTERNET
V012060

MW OH CITY OF ANAHEIM
V010186

MW OH CLEVELAND, ALAN
V012655
7/18-8/16 SHARED TS ELECTRIC

PD TRAINING MEALS, MILEAGE

MW OH CLIFTONLARSONALLEN LLIEINANCIAL AUDIT SVS
V012348
MW 01-1 COUNTY OF ORANGE
V005595

MW OH COUNTY OF ORANGE
V005595

MW OH COUNTY OF ORANGE
V008881

UNDERGROUND STORAGE TANK

HAZMAT CHEMICAL DISCLOSURE
City of Placentia
Check Register
For 09/13/2023
Account/Description
109595-6215
Telephone/Internet
109595-6330
Electricity
103041-6250
Staff Training
102020-6010
Accounting & Auditing Service
103658-6257
Licenses & Permits
103658-6301
Special Department Expenses
PRE -BOOKING, PRISONER FORMS 103040-6230
Printing & Binding
MW OH CREATIVE BRAIN LEARNINCEUMMER'23 - INSTRUCTOR
V012560

MW OH DAVID TAUSSIG AND JUL CONSULTANT FEES
V001040

MW OH EJ WARD INC
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine

VEHICLE DATA COLLECTOR
104071-6060
Instructional Services
109595-6999
Other Expenditure
103658-6301
Page: 19
Batch ID
AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
Amount Invoice#
1,308.60 11980240108222
1,308.60

63.03 081823

63.03 131.06 CLEVELAND83
131.06
1,697.50 3852015
Check Total: 1,697.50
AP090523 1,274.00 IN2649573
AP090523 140.00 IN2649805
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
1,414.00
217.70 SH 66203
217.70
682.50 SUMMER 2023
682.50
1,027.43 2307124
1,027.43
430.31 0084196 -IN
PO # Check # Check Date
00128346 09/07/2023
00128347 09/07/2023
00128348 09/07/2023
00128349 09/07/2023
00128350 09/07/2023
00128350 09/07/2023
00128351 09/07/2023
00128352 09/07/2023
P13091 00128353 09/07/2023
00128354 09/07/2023
09/13/2023 :Date
17:03:26 :Time

Type
MW OH
MW OH
MW OH
MW OH
Vendor Name/ID
Description
V001108

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842

FACTORY MOTOR PARTS PARTS & SUPPLIES
V010842
City of Placentia
Check Register
For 09/13/2023
Account/Description
Special Department Expenses
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
103658-6134
Vehicle Repair & Maintenance
MW OH FIRST AMERICAN TITLE CLTA COND. OF TITLE GUARANTEE 331801-6740 V010448
Infrastructure - Streets
MW OH GONZALEZ, SANDRA LADSCAPE ARCHITECTURAL SVS 102531-6099 V010618

MW OH GRAVES & KING LLP LITIGATION SERVICES
V012653

MW OH GRIFFITH, CHELSIE PD TRAINING MEALS, MILEAGE
V012175

MW OH HI -WAY SAFETY RENTALS TRAFFIC MARKERS
V000459

MW OH HI -WAY SAFETY RENTALS TRAFFIC MARKERS
V000459

MW OH HI -WAY SAFETY RENTALS TRAFFIC MARKERS
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Professional Services
404582-6006
Litigation
103043-6250
Staff Training
103652-6305
Traffic Control Devices
103652-6305
Traffic Control Devices
103652-6301
Page: 20
Batch ID
Check Total:

AP090523
AP090523
AP090523
AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
AP090523
AP090523
Amount Invoice#
PO # Check # Check Date
430.31

32.42 102-193941 P13045 00128355 09/07/2023

21.00 102-194187 P13045 00128355 09/07/2023

15.09 12-5455858 P13045 00128355 09/07/2023

30.57 12-5468274 P13045 00128355 09/07/2023

99.08 400.00 1250128787 00128356 09/07/2023
400.00
2,640.00 2694 P13110 00128357 09/07/2023
2,640.00
1,870.50 626 00128358 09/07/2023
1,870.50
305.90 SUMMER 2023 00128359 09/07/2023
305.90

24.80 145965 00128360 09/07/2023
226.53 146376 00128360 09/07/2023
220.89 146377 00128360 09/07/2023
09/13/2023 :Date
17:03:26 :Time

City of Placentia
Check Register
For 09/13/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date V000459 Special Department Expenses
MW OH HI -WAY SAFETY RENTALS CREDIT - RETURN 103652-6305 AP090523 -178.18 3732 00128360 09/07/2023 V000459 Traffic Control Devices
Check Total: 294.04
MW OH I CREATE PROFESSIONALS 8/9,11,16 COACHING SESSIONS 101515-6301 AP090523 1,375.00 8118 00128361 09/07/2023 V012502 Special Department Expenses
MW OH I CREATE PROFESSIONALS PROFESSIONAL SVS 101515-6301 AP090523 4,050.00 4424 P13096 00128361 09/07/2023 V012502 Special Department Expenses
Check Total: 5,425.00
MW OH KIM, BRANDON PD TRAINING MEALS, MILEAGE 103041-6250 AP090523 131.06 KIM083023 00128362 09/07/2023 V012386 Staff Training
Check Total: 131.06
MW OH KING ROOFING ROOFING BOND REFUND 0044-2033 AP090523 100.00 30-22-272 00128363 09/07/2023 V011536 Construction & Demo Deposit
MW OH KING ROOFING ROOFING BOND REFUND 0044-2033 AP090523 100.00 30-23-339 00128363 09/07/2023 V011536 Construction & Demo Deposit
Check Total: 200.00
MW OH KOA HILLS CONSULTING LLU7-18 CONSULTING SVS 102020-6099 AP090523 2,537.50 10057 PI3026 00128364 09/07/2023 V011519 Professional Services
Check Total: 2,537.50
MW OH LAGUNA 3P PRO PATROL SERGEANT BOARDS 103041-6301 AP090523 1,948.12 12154 00128365 09/07/2023 V012645 Special Department Expenses
Check Total: 1,948.12
MW OH LN CURTIS & SONS ID PATCHES 103041-6360 AP090523 291.99 INV737617 00128366 09/07/2023 V011267 Uniforms
MW OH LN CURTIS & SONS EXTRNAL CARRIER VESTS 103041-6360 AP090523 1,752.80 INV738023 00128366 09/07/2023 V011267 Uniforms
MW OH LN CURTIS & SONS PD UNIFORMS - SERVIN 103047-6360 AP090523 184.00 INV737252 P13019 00128366 09/07/2023 User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 21
09/13/2023 :Date
17:03:26 :Time

Type
MW OH
MW OH
Vendor Name/ID
V011267

LN CURTIS & SONS
V011267

LN CURTIS & SONS
V011267

MW OH MARTINEZ, JOHN
V010060

MW OH MARTINEZ, JOHN
V010060

MW OH MC FADDEN-DALE
V000635

MW OH MESTAZ, MATT
V012654

MW OH MILL STREET DESIGN
V003234
Description

PD UNIFORMS - TEJEDA

PD UNIFORMS - RODRIGUEZ
City of Placentia
Check Register
For 09/13/2023
Account/Description
Uniforms
103041-6360
Uniforms
103041-6360
Uniforms
PD TRAINING MEALS, MILEAGE 103041-6250
Staff Training
TUITION REIMBURSEMENT 109595-5150
Tuition Reimbursement
FLEET MAINTENANCE SUPPLIES 103658-6134

PARTIAL PERMIT REFUND
Vehicle Repair & Maintenance
102532-4166
Heat/Ventilation Air Cond
HISTORICAL COMMITTEE AFGHANS0044-2066
Historical Outreach
MW OH MUNICIPAL EMERGENCY PERSONAL PROTECTIVE EQUIPMENT03066-6361 V011423 Personal Protection Equipment

MW OH NAHILL, PATRICIA
V011087

MW OH NAHILL, PATRICIA
PROFESSIONAL SVS - VISTA ROSE 102531-6099 / 232503-6099 Professional Services

PROFESSIONAL SVS -
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
102531-6099/45069-6099
Page: 22
Batch ID
AP090523
AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
Check Total:

AP090523
AP090523
Amount Invoice#
192.27 INV737380
217.15 INV739607
PO # Check # Check Date
P13019 00128366 09/07/2023
P13019 00128366 09/07/2023
2,638.21

31.74 MARTINEZ8312

31.74 1,561.50 22-17
1,561.50

17.67 521947/5

17.67 217.00 B23-2093
217.00
1,242.00 1322
1,242.00
139.46 IN 1924941
139.46
1,500.00 433
3,000.00 435
00128367 09/07/2023
00128368 09/07/2023
00128369 09/07/2023
00128370 09/07/2023
00128371 09/07/2023
P12988 00128372 09/07/2023
P13101 00128373 09/07/2023
P13101 00128373 09/07/2023
09/13/2023 :Date
17:03:26 :Time

City of Placentia
Check Register
For 09/13/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date V011087 Professional Services
MW OH NAHILL, PATRICIA PROFESSIONAL SVS 102531-6099 / 45069-6099 AP090523 5,700.00 436 P13101 00128373 09/07/2023 V011087 Professional Services
Check Total: 10,200.00
MW OH OMEGA INDUSTRIAL SUPPLYRAFFITI REMOVER 103652-6132 AP090523 534.13 151753 00128374 09/07/2023 V011740 Repair & Maintenance/Streets
Check Total: 534.13
MW OH PACIFIC EMBROIDERY EMBROIDERY - CITY LOGO 103654-6301 AP090523 222.00 89443 00128375 09/07/2023 V008348 Special Department Expenses
Check Total: 222.00
MW OH PHONE SUPPLEMENTS DISPATCH HEADSETS, PHONE EQUIP101515-6137 AP090523 738.15 128409 00128376 09/07/2023 V012311 Repair Maint/Equipment
Check Total: 738.15
MW OH POWERSTRIDE BATTERY COBATTERY REPAIR 103658-6134 AP090523 227.64 C 68945 00128377 09/07/2023 V000785 Vehicle Repair & Maintenance
Check Total: 227.64
MW OH QUENCH USA SEP PD WATER & ICE MACHINE 103041-6301 AP090523 170.80 1NV06217632 00128378 09/07/2023 V012472 Special Department Expenses
Check Total: 170.80
MW OH RHA LANDSCAPE 6/26-7/25 LA PLAC1TA PARKETTE 507911-6760 AP090523 1,459.00 0720240 P13100 00128379 09/07/2023 V011993 Infrastructure - Parks
Check Total: 1,459.00
MW OH RIVERSIDE COUNTY PD FIRSTAID/CPR/AED INSTRUCTOR103041-6250 AP090523 268.00 LEMUS83123 00128380 09/07/2023 V008065 Staff Training
Check Total: 268.00
MW OH ROADLINE PRODUCTS CITY TRUCK MAINT - PARTS/LABOR103658-6134 AP090523 2,234.63 18916 00128381 09/07/2023 V004083 Vehicle Repair & Maintenance
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 23
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID

MW OH RUGGLES, JESSICA
V012640
Description
SUMMER 73 - INSTRUCTOR
City of Placentia
Check Register
For 09/13/2023
Account/Description
104071-6060
Instructional Services
MW OH SANTA ANA RIVER FLOOD FY 2023-24 - SARFPA MEMBERSHIP 101001-6255 V000943 Dues & Memberships

MW OH SECO ELECTRIC & LIGHTING'OWER LOGGER INSTALLATION V010182

MW OH SECO ELECTRIC & LIGHTINCLED/SOCKETS
V010182

MW OH SECO ELECTRIC & LIGHTINCLIGHTING REPAIR MATERIALS V010182

MW OH SECO ELECTRIC & LIGHTINCLIGHTING REPAIR MATERIALS V010182

MW OH SO CAL GAS
V000909

MW OH SOLAR ART
V012539

MW OH SOUTH COAST AQMD
V001190

MW OH SOUTH COAST AQMD
V001190

JUL-AUG WATER CHARGES
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
103654-6130
Repair & Maint/Facilities
103654-6130/21008-6130
Repair & Maint/Facilities
109595-6340
Natural Gas
WINDOW TINTING PED BRIDGE- DEP103654-6130
Repair & Maint/Facilities

LIQ FUEL DISPENSIG SYS- PERMIT

EMISSIONS FEE- PERMIT
MW OH SOUTHERN CALIFORNIA T2 REPAIRS
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
103654-6257
Licenses & Permits
103654-6257
Licenses & Permits
103066-6134
Page: 24
Batch ID
Check Total:

AP090523
Check Total:

AP090523
Amount Invoice#
2,234.63
727.20 SUMMER 2023
727.20
1,300.00 080923
Check Total: 1,300.00
AP090523 1,800.00 8111
AP090523 566.99 8113
AP090523 1,009.56 8134
AP090523 274.17 8134
Check Total: 3,650.72
PO # Check # Check Date
00128382 09/07/2023
00128383 09/07/2023
00128384 09/07/2023
00128384 09/07/2023
00128384 09/07/2023
00128384 09/07/2023
AP090523 32.15 082923 00128385 09/07/2023
Check Total: 32.15
AP090523 3,063.60 1015665D P13029 00128386 09/07/2023
Check Total: 3,063.60
AP090523 298.50 4217382 00128387 09/07/2023
AP090523 160.35 4218516 00128387 09/07/2023
Check Total: 458.85
AP090523 905.81 0C25285 00128388 09/07/2023
09/13/2023 :Date
17:03:26 :Time

Type
Vendor Name/ID
V012325

MW OH SOUTHERN CALIFORNIA
V012325

MW OH T -MOBILE
V004339

MW OH THE ART OF DANCE &
V011508

MW OH THE BEE MAN
V000117

MW OH TRAFFIC MANAGEMENT
V008463

MW OH TRAFFIC MANAGEMENT
V008463
MW OH TRILLIUM CNG (1720)
V007952

MW OH US BANK
V003824
Description
T2 REPAIRS
City of Placentia
Check Register
For 09/13/2023
Account/Description Batch ID
Vehicle Repair & Maintenance
103066-6134 AP090523
Vehicle Repair & Maintenance
Check Total:
7/21-/20 HVAC CONTROLLER INT. 109595-6215
Telephone/Internet
SUMMER '23 INSTRUCTOR
8/9 BEE REMOVAL SVS

ROADMAX PAINT

ROADMAX PAINT

JUL CNG FUEL
7/1/23-6/30/24 ADMIN FEES

MW OH V MONTOYA ENTERPRISES PLANTS
V012358
User: Gabriela Cahn
Report: AP1400M : AP: Warrant List - Machine
104071-6060
Instructional Services
103655-6301
Special Department Expenses
103652-6301
Special Department Expenses
103652-6301
Special Department Expenses
103658-6345
Gasoline & Diesel Fuel
547525-6030
Trustee Fees
800000-6115
Landscaping
Page: 25
Amount Invoice#
1,078.65 0C25302
1,984.46
AP090523 62.88 990643611
Check Total:

AP090523
Check Total:

AP090523

62.88 617.50 SUMMER 2023
617.50
245.00 124720
Check Total: 245.00
AP090523 580.07 06-10136
AP090523 799.67 06-10260
Check Total: 1,379.74
AP090523 18.64 231045076
Check Total: 18.64
AP090523 2,500.00 6998126
Check Total: 2,500.00
AP090523 838.35 30545
Check Total: 838.35
PO # Check # Check Date
00128388 09/07/2023
00128389 09/07/2023
00128390 09/07/2023
00128391 09/07/2023
00128392 09/07/2023
00128392 09/07/2023
00128393 09/07/2023
00128394 09/07/2023
00128395 09/07/2023
09/13/2023 :Date
17:03:26 :Time

Type Vendor Name/ID

MW OH VERIZON WIRELESS
V008735

MW OH VERIZON WIRELESS
V008735

MW OH VERIZON WIRELESS
V008735
Description
7/21-8/20 PD DEVICES INTERNET
7/21-8/20 IPADS INTERNET
7/21-8/20 COUNCIL IPADS INT
MW OH WELLS FARGO VENDOR FIN7/15-8/14 COPIER SVS
V010076
MW OH WELLS FARGO VENDOR FIN7/15-8/14 COPIER/PRINTER SVS V010076
MW OH WEST GROVE VOLLEYBALLSUMMER '23 - INSTRUCTOR
V011359
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
109595-6215
Telephone/Internet
109595-6215
Telephone/Internet
109595-6215
Telephone/Internet
109595-6175
Office Equipment Rental
109595-6175
Office Equipment Rental
104071-6060
Instructional Services
Page: 26
Batch ID
Amount Invoice#
PO # Check # Check Date
AP090523 3,600.03 9942493546 00128396 09/07/2023
AP090523 265.64 9942493548 00128396 09/07/2023
AP090523 179.26 9942493549 00128396 09/07/2023
Check Total: 4,044.93
AP090523 219.89 5025756510 PI3103 00128397 09/07/2023
AP090523 5,216.89 5025756511 P13103 00128397 09/07/2023 Check Total:

AP090523
Check Total:

Type Total:

Check Total:
5,436.78
1,117.20 SUMMER 2023
1,117.20
879,465.06
879,465.06
00128398 09/07/2023
09/13/2023 :Date
17:03:26 :Time

City of Placentia
ACH Check Register
For 09/19/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Grand Total: 780,138.95
Check Totals by ID
AP 780,138.95
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)
231 -Placentia Reg Nay Cent(0078)
240 -Sewer Construction (0024)
265 -Landscape Maintenance (0029)
275 -Sewer Maintenance (0048)
401 -City Capital Projects (0033)
501 -Refuse Administration (0037)
601 -Employee Health & Wlfre (0039)
605 -Risk Management (0040)
Check Totals by Fund
446,405.52
1,413.72
148.40

78.57 3,594.47
988.47
1,532.10
6,987.90
1,295.93
5,285.00
311,114.92
1,293.95
Check Total: 780,138.95
Void Total:

Check Total:

ACH Payroll Direct Deposit for 09/08/2023: 585,877.37
Electronic Disbursement Total: 1,366,016.32
Funds will be transferred from the Cash Basis Fund as needed to fund the warrants included on this warrant register User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine

0.00 780,138.95
09/13/2023 :Date
17:05:20 :Time

Type Vendor Namc/ID
Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH ALDWIR, MAMOUN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,293.00 SEP 2023 00017695 08/31/2023 E000113 Health Insurance Premiums
Check Total: 1,293.00
MW OH ANDERSON, MARLA SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017696 08/31/2023 E000071 Health Insurance Premiums
Check Total: 533.78
MW OH ARMSTRONG, JOHN T SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,143.00 SEP 2023 00017697 08/31/2023 E000046 Health Insurance Premiums
Check Total: 1,143.00
MW OH AUDISS, JAY SCOTT _ SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,821.00 SEP 2023 00017698 08/31/2023 E000125 Health Insurance Premiums
Check Total: 1,821.00
MW OH BABCOCK, CHARLES A SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 314.00 SEP 2023 00017699 08/31/2023 E000015 Health Insurance Premiums
Check Total: 314.00
MW OH BEALS, SHARLENE SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.39 SEP 2023 00017700 08/31/2023 E000076 Health Insurance Premiums
Check Total: 191.39
MW OH BERMUDEZ, ALBERT SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 571.00 SEP 2023 00017701 08/31/2023 E000124 Health Insurance Premiums
Check Total: 571.00
MW 011 BUNNELL, DONALD SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017702 08/31/2023 E000062 Health Insurance Premiums
Check Total: 533.78
MW OH BURGNER, ARTHUR SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017703 08/31/2023 E000074 Health Insurance Premiums
User: Gabriela Cahn
Report: AP 1400M : AP: Warrant List - Machine
Page: 1
Check Total: 533.78
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH BUSSE, MICHAEL SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,39L00 SEP 2023 00017704 08/31/2023 E000131 Health Insurance Premiums
Check Total: 1,391.00
MW OH CHANDLER, JOHN P SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,391.00 SEP 2023 00017705 08/31/2023 E000109 Health Insurance Premiums
Check Total: 1,391.00
MW OH CHANG, ROBERT SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,288.00 SEP 2023 00017706 08/31/2023 E000107 Health Insurance Premiums
Check Total: 1,288.00
MW OH COBBETT, GEOFFREY SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017707 08/31/2023 E000007 Health Insurance Premiums
Checic Total: 533.78
MW OH COOK, ARLENE M SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017708 08/31/2023 E000018 Health Insurance Premiums
Check Total: 533.78
MW OH D'AMATO, ROBERT SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.39 SEP 2023 00017709 08/31/2023 E000056 Health Insurance Premiums
Check Total: 191.39
MW OH DAVID, PRESTON SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017710 08/31/2023 E000112 Health Insurance Premiums
Check Total: 533.78
MW OH DAVIS, CAROLYN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017711 08/31/2023 E000005 Health Insurance Premiums
Check Total: 533.78
MW OH DEAN, ANDREW SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,821.00 SEP 2023 00017712 08/31/2023 E000135 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 2
Check Total: 1,821.00
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
MW OH DELOS SANTOS, JAMIE SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 185.29 SEP 2023 00017713 08/31/2023 E000045 Health Insurance Premiums
Check Total: 185.29
MW OH DICKSON, ROBERTA JO SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.39 SEP 2023 00017714 08/31/2023 E000011 Health Insurance Premiums
Check Total: 191.39
MW OH DOWNEY, CAROL SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017715 08/31/2023 E000082 Health Insurance Premiums
Check Total: 533.78
MW OH ECKENRODE, NORMAN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017716 08/31/2023 E000029 Health Insurance Premiums
Check Total: 533.78
MW OH ESCOBOSA, LILLIAN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017717 08/31/2023 E000055 Health Insurance Premiums
Check Total: 533.78
MW OH ESPINOZA, ROSALINDA SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 571.00 SEP 2023 00017718 08/31/2023 E000016 Health Insurance Premiums
Check Total: 571.00
MW OH FRICKE, JUERGEN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 879.00 SEP 2023 00017719 08/31/2023 E000075 Health Insurance Premiums
Check Total: 879.00
MW OH FULLER, GLENN 11 SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 879.00 SEP 2023 00017720 08/31/2023 E000081 Health Insurance Premiums
Check Total: 879.00
MW OH GALLANT, KAREN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017721 08/31/2023 E000008 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 3
Check Total: 533.78
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID Amount Invoice#
PO # Check # Check Date
MW OH GARNER, JO ANN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.39 SEP 2023 00017722 08/31/2023 E000047 Health Insurance Premiums
Check Total: 191.39
MW OH GARNER, KITTY SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 876.44 SEP 2023 00017723 08/31/2023 E000080 Health Insurance Premiums
Check Total: 876.44
MW OH GRIMM, DENNIS L SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 314.00 SEP 2023 00017724 08/31/2023 E000042 Health Insurance Premiums
Check Total: 314.00
MW OH HOLTSCLAW, KATHERINE SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 571.00 SEP 2023 00017725 08/31/2023 E000121 Health Insurance Premiums
Check Total: 571.00
MW OH IRVINE, SUZETTE SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017726 08/31/2023 E000019 Health Insurance Premiums
Check Total: 533.78
MW OH JENKINS, ROBERT SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 689.04 SEP 2023 00017727 08/31/2023 E000084 Health Insurance Premiums
Check Total: 689.04
MW OH JOHNSON, SHARON SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.39 SEP 2023 00017728 08/31/2023 E000099 Health Insurance Premiums
Check Total: 191.39
MW OH JONES, ROBERT SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 148.68 SEP 2023 00017729 08/31/2023 E000053 Health Insurance Premiums
Check Total: 148.68
MW OH JUAREZ, JANET SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 148.68 SEP 2023 00017730 08/31/2023 E000134 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 4
Check Total: 148.68
09/13/2023 :Date
17:05:20 :Time

City of Placentia
Check Register
For 09/13/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH JUDD, TERRELL SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,000.50 SEP 2023 00017731 08/31/2023 E000115 Health Insurance Premiums
Check Total: 1,000.50
MW OH KIRKLAND, RICHARD L SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 148.68 SEP 2023 00017732 08/31/2023 E000110 Health Insurance Premiums
Check Total: 148.68
MW OH LITTLE, DIANE M SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 269.02 SEP 2023 00017733 08/3I/2023 E000098 Health Insurance Premiums
Check Total: 269.02
MW OH LOOMIS, CORINNE SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 571.00 SEP 2023 00017734 08/31/2023 E000122 Health Insurance Premiums
Check Total: 571.00
MW OH LOWREY, B J SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 314.00 SEP 2023 00017735 08/31/2023 E000041 Health Insurance Premiums
Check Total: 314.00
MW OH MAERTZWEILER, MICHAEL EEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017736 08/31/2023 E000032 Health Insurance Premiums
Check Total: 533.78
MW OH MILANO, JAMES SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017737 08/31/2023 E000054 Health Insurance Premiums
Check Total: 533.78
MW OH MILLER, RICHARD SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,143.00 SEP 2023 00017738 08/31/2023 E000106 Health Insurance Premiums
Check Total: 1,143.00
MW OH NAJERA, JOSEPH D. SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 571.00 SEP 2023 00017739 08/31/2023 E000136 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 5
Check Total: 571.00
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH OLEA, ARLENE J SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017740 08/31/2023 E000014 Health Insurance Premiums
Check Total: 533.78
MW OH PALMER, GEORGE SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,143.00 SEP 2023 00017741 08/31/2023 E000094 Health Insurance Premiums
Check Total: 1,143.00
MW OH PASCARELLA, RICHARD SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,821.00 SEP 2023 00017742 08/31/2023 E000129 Health Insurance Premiums
Check Total: 1,821.00
MW OH PASCUA, RAYNALD SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,726.00 SEP 2023 00017743 08/31/2023 E000114 Health Insurance Premiums
Check Total: 1,726.00
MW OH PASPALL, MIHAJLO SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 448.36 SEP 2023 00017744 08/31/2023 E000085 Health Insurance Premiums
Check Total: 448.36
MW OH PEREZ, ROBERT SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 148.68 SEP 2023 00017745 08/31/2023 E000111 Health Insurance Premiums
Check Total: 148.68
MW OH PICHON, WALTER SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 269.02 SEP 2023 00017746 08/31/2023 E000103 Health Insurance Premiums
Check Total: 269.02
MW OH PINEDA, MATEO SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 415.50 SEP 2023 00017747 08/31/2023 E000127 Health Insurance Premiums
Check Total: 415.50
MW OH PISCHEL, STEPHEN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 876.17 SEP 2023 00017748 08/31/2023 E000130 Health Insurance Premiums
User: Gabriela Calin
Report: API400M : AP: Warrant List - Machine
Page: 6
Check Total: 876.17
09/13/2023 :Date
17:05:20 :Time

City of Placentia
Check Register
For 09/13/2023
Type Vendor Narne/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH POINT, ERIC SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,821.00 SEP 2023 00017749 08/31/2023 E000133 Health Insurance Premiums
Check Total: 1,821.00
MW OH REDIFER, KIM R SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 879.00 SEP 2023 00017750 08/31/2023 E000022 Health Insurance Premiums
Check Total: 879.00
MW OH RENDEN, BRIAN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 448.36 SEP 2023 00017751 08/31/2023 E000083 Health Insurance Premiums
Check Total: 448.36
MW OH REYES, ROGER T SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017752 08/31/2023 E000024 Health Insurance Premiums
Check Total: 533.78
MW OH REYNOLDS, MATTHEW SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 571.00 SEP 2023 00017753 08/31/2023 E000132 Health Insurance Premiums
Check Total: 571.00
MW OH RICE, RUSSELL J SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,391.00 SEP 2023 00017754 08/31/2023 E000059 Health Insurance Premiums
Check Total: 1,391.00
MW OH RIVERA, AIDA SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.39 SEP 2023 00017755 08/31/2023 E000026 Health Insurance Premiums
Check Total: 191.39
MW OH ROACH, MICHAEL SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,391.00 SEP 2023 00017756 08/31/2023 E000105 Health Insurance Premiums
Check Total: 1,391.00
MW OH ROBB, SANDRA SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.39 SEP 2023 00017757 08/31/2023 E000043 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 7
Check Total: 191.39
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH ROSE, RICHARD D SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,288.00 SEP 2023 00017758 08/31/2023 E000050 Health Insurance Premiums
Check Total: 1,288.00
MW OH SALE, LEE R SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017759 08/31/2023 E000031 Health Insurance Premiums
Check Total: 533.78
MW OH SANCHEZ, LAURA SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.39 SEP 2023 00017760 08/31/2023 E000058 Health Insurance Premiums
Check Total: 191.39
MW OH SCHLIEDER, BEVERLY SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 876.44 SEP 2023 00017761 08/31/2023 E000120 Health Insurance Premiums
Check Total: 876.44
MW OH SMITH, WARD SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 584.00 SEP 2023 00017762 08/31/2023 E000128 Health Insurance Premiums
Check Total: 584.00
MW OH SOTO, PHILIP J SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017763 08/31/2023 E000052 Health Insurance Premiums
Check Total: 533.78
MW OH SPRAGUE, GARY A SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,685.00 SEP 2023 00017764 08/31/2023 E000064 Health Insurance Premiums
Check Total: 1,685.00
MW OH STEPHEN, JEFFREY SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 1,288.00 SEP 2023 00017765 08/31/2023 E000119 Health Insurance Premiums
Check Total: 1,288.00
MW OH TAYLOR, DAVID M SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 584.00 SEP 2023 00017766 08/31/2023 E000088 Health Insurance Premiums
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 8
Check Total: 584.00
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH TAYLOR, LINDA SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 529.37 SEP 2023 00017767 08/31/2023 E000126 Health Insurance Premiums
Check Total: 529.37
MW OH THOMANN, DARYLL L SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 533.78 SEP 2023 00017768 08/31/2023 E000101 Health Insurance Premiums
Check Total: 533.78
MW OH TRIFOS, WILLIAM SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 879.00 SEP 2023 00017769 08/31/2023 E000104 Health Insurance Premiums
Check Total: 879.00
MW OH VALENTINE, THOMAS SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 584.00 SEP 2023 00017770 08/31/2023 E0001 18 Health Insurance Premiums
Check Total: 584.00
MW OH VERSTYNEN, WILLIAM SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 148.68 SEP 2023 00017771 08/31/2023 E000092 Health Insurance Premiums
Check Total: 148.68
MW 01-1 WAHL, KATHLEEN A SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 191.00 SEP 2023 00017772 08/31/2023 E000030 Health Insurance Premiums
Check Total: 191.00
MW OH WIEST, STEPHEN SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 534.00 SEP 2023 00017773 08/31/2023 E000079 Health Insurance Premiums
Check Total: 534.00
MW OH WORDEN, LARRY M SEP 23 - MED INS REIMBURSEMENT 395083-5161 RETSEP23 584.00 SEP 2023 00017774 08/31/2023 E000116 Health Insurance Premiums
Check Total: 584.00
MW OH YAMAGUCHI, BRIAN SEP 23 - MED INS REIMBURSEMENT 395083-516] RETSEP23 1,391.00 SEP 2023 00017775 08/31/2023 E000123 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 9
Check Total: 1,391.00
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID

MW OH ZINN, JOHN
E000009
Description
City of Placentia
Check Register
For 09/13/2023
Account/Description
SEP 23 - MED INS REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH PLACENTIA FIREFIGHTERS PFFA PE 8/19 PD 8/25
V011878

MW OH PLACENTIA POLICE
V000839

MW OH PLACENTIA POLICE
V003519

MW OH PLACENTIA POLICE
V003519

MW OH PLACENTIA POLICE
V003519
PPFMA PE 8/19 PD 8/25
PPOA PE 8/19 PD 8/25
PPOA PE 8/19 PD 8/25
PPOA PE 8/19 PD 8/25
MW OH AMERICAN FIDELITY FSA PE 8/19 PD 8/25
VO10011
MW OH AMERICAN FIDELITY FSA PE 8/]9 PD 8/25
V010011
MW OH AMERICAN FIDELITY FSA PE 8/19 PD 8/25
V010011
MW OH AMERICAN FIDELITY FSA PE 8/19 PD 8/25
VO10011
MW OH AMERICAN FIDELITY FSA PE 8/19 PD 8/25
V010011
MW OH AMERICAN FIDELITY PR# 016, 017
V010011
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
0010-2178
Placentia Police Assoc Dues
0010-2180
Police Mgmt Assn Dues
0010-2178
Placentia Police Assoc Dues
0076-2178
Placentia Police Assoc Dues
0078-2178
Placentia Police Assoc Dues
0054-2188
Health Care SSA
0048-2188
Health Care SSA
0037-2188
Health Care SSA
0010-2188
Health Care SSA
0010-2190
Dependent Care SSA
395000-2187
Voluntary Plan Life
Page: 10
Batch ID
Amount Invoice#
RETSEP23 1,293.00 SEP 2023
Check Total:
1,293.00
PY2301017 800.00 PR2301017
Check Total:
800.00
PY2301017 1,378.40 PR2301017
Check Total: 1,378.40
PY2301017 2,772.18 PR2301017
PY2301017 3.38 PR2301017
PY2301017 44.00 PR2301017
Check Total: 2,819.56
ACH083023 6.41 2I78144A
ACH083023 36.35 2178I44A
ACH083023 10.57 2178144A
ACH083023 1,362.14 2178144A
ACH083023 233.33 2178144A
ACH083023 2,117.34 D624974
PO # Check # Check Date
00017776 08/31/2023
00017777 08/31/2023
00017778 08/31/2023
00017779 08/31/2023
00017779 08/31/2023
00017779 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
09/13/2023 :Date
17:05:20 :Time

Type
Vendor Name/ID

MW OH AMERICAN FIDELITY
V010011

MW OH AMERICAN FIDELITY
V010011

MW OH AMERICAN FIDELITY
V010011

MW OH AMERICAN FIDELITY
V010011

MW OH AMERICAN FIDELITY
V010011

MW OH AMERICAN FIDELITY
V010011

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW OH
MW OH
MW 01-1 CALIFORNIA PUBLIC
V010053
MW OH
MW OH

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053
Description
PR# 016, 017
PR# 016, 017
PR# 016, 017
PR# 016, 017
PR# 016, 017
PR# 016, 017
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
User: Gabriela Calin
Report: API400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
0076-2155
Per Sec Plan - Opt. Life
0054-2155
Per Sec Plan - Opt. Life
0048-2155
Per Sec Plan - Opt. Life
0037-2155
Per Sec Plan - Opt. Life
0029-2155
Per Sec Plan - Opt. Life
0010-2155
Per Sec Plan - Opt. Life
0033-2150
Survivor Benefit Package
0010-2150
Survivor Benefit Package
0024-2150
Survivor Benefit Package
0078-2150
Survivor Benefit Package
0024-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2145
Employee PERS Payback W/H
Page: 11
Batch ID
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
Check Total:

ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
Amount Invoice#

1.88 D624974

5.13 D624974
109.90 D624974

18.00 D624974

49.34 D624974
2,581.29 D624974
6,531.68

1.39 PR2301015
135.05 PR2301015

0.93 PR2301015

0.92 PR2301015
987.54 PR2301015
557.42 PR2301015
1,590.61 PR2301015

18.11 PR2301015
PO #
Check # Check Date
00017780 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
00017780 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID
MW OH
MW 011
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH

CALIFORNIA PUBLIC
V010053
Description
PERS PE 7/22, PD 7/28
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
V010053
CALIFORNIA PUBLIC PERS PE 7/22, PD 7/28
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
0033-2140
Employee PERS W/H
0029-2145
Employee PERS Payback W/H
0054-2145
Employee PERS Payback W/H
0054-2150
Survivor Benefit Package
0061-2150
Survivor Benefit Package
0010-2140
Employee PERS W/H
0076-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0078-2140
Employee PERS W/H
0010-2145
Employee PERS Payback W/H
0048-2145
Employee PERS Payback W/H
0078-2195
PERS Uniform
0010-2195
Page: 12
Batch ID
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
Amount Invoice#
447.76 PR2301015

2.59 PR2301015

10.35 PR2301015

0.42 PR2301015

0.11 PR2301015
ACH083023 123,339.11 PR2301015
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023

44.13 PR2301015

78.46 PR2301015
2,165.99 PR2301015
471.25 PR2301015
1,265.79 PR2301015
223.30 PR2301015

4.40 PR2301015

0.52 PR2301015

24.83 PR2301015
PO # Check # Check Date
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
Description
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 7/22, PD 7/28
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
PERS Uniform
0029-2195
PERS Uniform
0048-2195
PERS Uniform
0029-2150
Survivor Benefit Package
0048-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0078-2195
PERS Uniform
0010-2195
PERS Uniform
0048-2195
PERS Uniform
0054-2145
Employee PERS Payback W/H
0010-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0076-2140
Employee PERS W/H
Page: 13
Batch ID
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
Amount Invoice#

0.05 PR2301015

0.61 PR2301015

1.16 PR2301015

2.95 PR2301015

2.09 PR2301015

0.06 PR2301015

0.04 PR2301016

0.52 PR23010I6

24.89 PR2301016

0.60 PR2301016

10.35 PR2301016
ACH083023 127,899.62 PR2301016
ACH083023 506.94 PR2301016
ACH083023 28.27 PR2301016
PO # Check # Check Date
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/ID

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
Description
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
PERS PE 8/5 PD 8/11
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
0054-2140
Employee PERS W/H
0054-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0029-2145
Employee PERS Payback W/H
0010-2145
Employee PERS Payback W/H
0037-2140
Employee PERS W/H
0037-2145
Employee PERS Payback W/H
0048-2145
Employee PERS Payback W/H
0033-2140
Employee PERS W/H
0078-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0029-2150
Survivor Benefit Package
0078-2150
Survivor Benefit Package
0033-2150
Survivor Benefit Package
0048-2150
Page: 14
Batch ID
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
Amount Invoice#
452.68 PR2301016

0.43 PR2301016

2.09 PR2301016

2.59 PR2301016
221.30 PR2301016
1,481.21 PR2301016

18.11 PR2301016

4.40 PR23010I6
416.63 PR2301016
1,167.89 PR2301016
2,021.64 PR2301016

1.09 PR2301016

0.93 PR2301016

1.39 PR2301016

2.93 PR2301016
PO # Check # Check Date
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
00017781 08/31/2023
09/13/2023 :Date
I7:05:20 :Time

Type
Vendor Name/ID
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA STATE
V004813
MW OH

MW OH CALIFORNIA STATE
V004813
MW OH

CALIFORNIA STATE
V004813

CALIFORNIA STATE
V004813
MW 011 EMPLOYMENT
V010052
MW 011 EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052
MW 011 EMPLOYMENT
V010052
MW 011 EMPLOYMENT
V010052
MW 011 EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052
MW 011 EMPLOYMENT
Description
PERS PE 8/5 PD 8/11
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
PE 8/19 PD 8/25
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
Survivor Benefit Package
0010-2150
Survivor Benefit Package
0048-2196
Garnishments W/H
0037-2196
Garnishments W/H
0029-2196
Garnishments W/H
0010-2196
Garnishments W/H
0033-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0040-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0076-2135
Calif Income Tax W/H
0078-2135
Calif Income Tax W/H
0029-2135
Page: 15
Batch ID Amount Invoice#
ACH083023 145.11 PR2301016
Check Total: 265,789.55
ACH083023 46.15 PR2301017
ACH083023 69.23 PR2301017
ACH083023 9.23 PR2301017
ACH083023 1,388.29 PR2301017
Check Total:

ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
1,512.90

59.35 PR2301017
450.09 PR2301017
439.43 PR2301017
450.55 PR2301017

90.21 PR2301017

17.13 PR2301017
236.74 PR2301017
123.47 PR2301017
PO # Check # Check Date
00017781 08/31/2023
00017782 08/31/2023
00017782 08/31/2023
00017782 08/31/2023
00017782 08/31/2023
00017783 08/31/2023
00017783 08/31/2023
00017783 08/31/2023
00017783 08/31/2023
00017783 08/31/2023
00017783 08/31/2023
00017783 08/31/2023
00017783 08/31/2023
09/13/2023 :Date
17:05:20 :Time

Type
Vendor Name/1D
V010052

MW OH EMPLOYMENT
V010052

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
Description
PE 8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description Batch ID Amount Invoice#
Calif Income Tax W/H
0010-2135 ACH083023 36,529.40 PR2301017
Calif Income Tax W/H
Check Total: 38,396.37
0010-2110 ACH083023 84,269.88 PR2301017
Federal Income Tax W/H
0078-2110 ACH083023 681.04 PR2301017
Federal Income Tax W/H
0048-2110 ACH083023 1,175.88 PR2301017
Federal Income Tax W/H
0033-2110 ACH083023 182.39 PR2301017
Federal Income Tax W/H
0054-2110 ACH083023 231.24 PR2301017
Federal Income Tax W/H
0037-2110 ACH083023 1,050.55 PR2301017
Federal Income Tax W/H
0029-2110 ACH083023 147.35 PR2301017
Federal Income Tax W/H
0076-2110 ACH083023 36.77 PR2301017
Federal Income Tax W/H
0040-2110 ACH083023 674.80 PR2301017
Federal Income Tax W/H
0040-2115 ACH083023 89.86 PR2301017
Employee Medicare W/H
0076-2115 ACH083023 3.83 PR2301017
Employee Medicare W/H
0029-2115 ACH083023 44.74 PR2301017
Employee Medicare W/H
0054-2115 ACH083023 32.70 PR2301017
Page: 16
PO # Check # Check Date
00017783 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
09/13/2023 :Date
17:05:20 :Time

Type
Vendor Name/ID
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 01-1 INTERNAL REVENUE
V010054
MW 0H INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 01-1 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
Description
FED TAX PE8/19 PD 8/25
FED TAX PE8/I9 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
FED TAX PE8/19 PD 8/25
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0033-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0010-2115
Employee Medicare W/H
0078-2115
Employee Medicare W/H
0078-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0029-2120
Employer Medicare Payable
0076-2120
Employer Medicare Payable
0033-2120
Employer Medicare Payable
0040-2120
Employer Medicare Payable
Page: 17
Batch ID
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
Amount Invoice#
140.37 PR2301017

39.15 PR2301017
184.02 PR2301017
11,637.02 PR2301017

60.56 PR2301017

60.56 PR2301017
11,543.80 PR2301017
178.47 PR2301017
132.61 PR2301017

28.26 PR2301017

44.74 PR2301017

3.83 PR2301017

39.15 PR2301017

89.86 PR2301017
PO # Check # Check Date
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
00017784 08/31/2023
09/13/2023 :Date
17:05:20 :Time

Type Vendor Name/1D
Description
MW OH MISSION SQUARE 100091 401A PE 8/19 PD 8/25
V012393
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 MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234
EE/ER EE LOANS PE 8/19 PD 08/
EE/ER EE LOANS PE 8/19 PD 08/
EE/ER EE LOANS PE 8/19 PD 08/
EE/ER EE LOANS PE 8/19 PD 08/
City of Placentia
Check Register
For 09/13/2023
Account/Description Batch ID
Check Total:
0010-2170 ACH083023
Deferred Comp Payable - ICMA
0010-2170
Deferred Comp
0029-2170
Deferred Comp
0033-2170
Deferred Comp
0037-2170
Deferred Comp
EE/ER EE LOANS PE 8/19 PD 08/ 0048-2170
Deferred Comp
EE/ER EE LOANS PE 8/19 PD 08/ 0054-2170
Deferred Comp
EE/ER EE LOANS PE 8/19 PD 08/ 0076-2170
Deferred Comp
EE/ER EE LOANS PE 8/19 PD 08/ 0078-2170
Deferred Comp

SEP MED INSURANCE

SEP MED INS NON -PERS

SEP MED INS NON -PERS
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
395000-4715
ISF Health Ins Reimbursement
395083-5161
Health Insurance Premiums
395000-4715
ISF Health Ins Reimbursement
Page: 18
Check Total:

ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
ACH083023
Check Total:

Amount Invoice#
112,803.43
9,102.90 PR2301017
9,102.90
30,371.99 301387-PY017

41.39 301387-PY017
108.72 301387-PY017
301.36 301387-PY017
586.42 301387-PY017

73.37 301387-PY017

9.08 301387-PY017

75.00 301387-PY017
31,567.33
PO # Check # Check Date
ACH083023 203,832.02 10000001725757
ACH083023
ACH083023
Check Total:
15,395.91 10000001725757
31,995.80 10000001725758
251,223.73
00017785 08/31/2023
00017786 08/31/2023
00017786 08/31/2023
00017786 08/31/2023
00017786 08/31/2023
00017786 08/31/2023
00017786 08/31/2023
00017786 08/31/2023
00017786 08/31/2023
00017787 08/31/2023
00017787 08/31/2023
00017787 08/31/2023
09/13/2023 :Date
17:05:20 :Time

Type
Vendor Name/ID

MW OH LEGAL SHIELD
V008104

MW OH LEGAL SHIELD
V008104

MW OH LEGAL SHIELD
V008104

MW OH WASHINGTON STATE
V011597
Description
LEGAL SHIELD PR# 16,17
LEGAL SHIELD PR# 16,17
LEGAL SHIELD PR# 16,17
PE 8/19 PD 08/25
User: Gabriela Galin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/13/2023
Account/Description
0054-2192
Police Legal Services
0048-2192
Police Legal Services
0010-2192
Police Legal Services
0010-2196
Garnishments W/H
Page: 19
Batch ID
ACH083023
ACH083023
ACH083023
Amount Invoice#

0.92 21561 -AUG

16.64 21561 -AUG
181.69 21561 -AUG
Check Total: 199.25
ACH083023 240.00 PR2301017
Check Total:

Type Total:

Check Total:
240.00
780,138.95
780,138.95
PO # Check # Check Date
00017788 08/31/2023
00017788 08/31/2023
00017788 08/31/2023
00017789 08/31/2023
09/13/2023 :Date
17:05:20 :Time

TO:

VIA:

FROM:

DATE:

Placentia City Council

AGENDA REPORT

CITY COUNCIL

CITY ADMINISTRATOR

DEPUTY CITY ADMINISTRATOR / PUBLIC SERVICES AND INFRASTRUCTURE SEPTEMBER 19, 2023
SUBJECT: RESOLUTION AUTHORIZING THE SUBMISSION OF APPLICATIONS FOR

CALRECYCLE GRANT AND PAYMENT PROGRAMS
FISCAL
IMPACT: NONE
SUMMARY:

The California Department of Resources Recycling and Recovery (CalRecycle) offers various funding opportunities to assist local agencies in their efforts to reduce, recycle, and reuse solid waste generated in the State of California. To apply for grants and other funding opportunities, the City Council must adopt a resolution authorizing Staff to apply for CalRecycle grants and payment programs as opportunities arise. The attached resolution will authorize the City Administrator to apply for all grant and payment programs for which the City is eligible to participate for the next five (5) years. The first grant to be applied for under this new resolution will be CalRecycle's SB 1383 Local Assistance Grant Program for Fiscal Year 2023-24.

RECOMMENDATION:

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

1. Adopt Resolution R-2023-77, A Resolution of the City Council of the City of Placentia, California authorizing submittal of application(s) for all CalRecycle grants and payment programs for which the City of Placentia is eligible; and

2. Authorize the City Administrator and/or his designee to execute all necessary documents to apply for all grants, accept the grants, if awarded, and accept all grant renewals, if awarded.

STRATEGIC PLAN STATEMENT:

This item is consistent with the City Council approved 5 -Year Strategic Goal #1 to ensure long-term fiscal sustainability, under Objective #1.2, which is to continue efforts to seek and obtain new sources of state and federal grants, including Federal and State earmarks and Biden Infrastructure Package.

1.c.

Sept. 19, 2023

City Council Agenda
September 19, 2023

Page 2 of 3 ends

DISCUSSION:

The California Department of Resources Recycling and Recovery (CalRecycle) administers various statewide recycling and waste management programs aimed at promoting increased recycling and reducing litter in the waste stream. In addition, they offer various funding and grant opportunities to jurisdictions throughout the state in furtherance of the statewide goals of reducing, reusing, and recycling solid waste generated and the preservation of landfill capacity in order to protect public health, safety, and the environment. In the past, the City has been the recipient of various grant awards from CalRecycle including:
• City/County Payment Program Beverage Container Recycling • Used Oil Payment Program
• Rubberized Pavement Grant Program
Most recently, the City received a grant award of $73,147 under the SB 1383 Local Assistance Grant Program in Fiscal Year (FY) 2021-22.

CalRecycle has recently approved the criteria for the SB 1383 Local Assistance Grant Program for the FY 2023-24 Cycle. This non-competitive grant program offers eligible jurisdictions a base grant award of $75,000, with remaining funding distributed on a per capita basis. The program provides funding to assist local jurisdictions with meeting the requirements below:
• Provide organics collection services to all residents and businesses. • Conduct education and outreach to the community.
• Secure access to recycling and edible food recovery capacity. • Establish edible food recovery program.
• Procure recyclable and recovered organic products.

CalRecycle anticipates that grant applications will be released this month, with a November due date. Once the application period is open, Staff will prepare and apply for funding to further support the City's SB 1383 outreach and implementation efforts.

CalRecycle's procedures for administering grants and payment programs require, among other things, an applicant's governing body to declare by resolution certain authorizations related to the administration of the payment and grant programs. To apply for the FY 2023-24 Cycle of the SB 1383 Local Assistance Grant Program, CalRecycle is requiring a new grant resolution and not accepting prior resolutions adopted by jurisdictions for other CalRecycle funding opportunities. As such, Staff recommends the City Council adopt the attached resolution (Attachment 1) to be eligible to apply for this funding. The recommend action will authorize the City Administrator to execute all required application documents, receive any grant awards, and execute any grant renewals through 2028. The proposed resolution shall also authorize the City Administrator and/or his designee as the signature authority to execute all documents necessary to implement and secure payment.

City Council Agenda
September 19, 2023

Page 3 of 3 ends

FISCAL IMPACT:

There is no fiscal impact associated with the recommended actions. If the City is awarded the grant funding, Staff will present to the City Council at a future date a resolution to allocate the funds received and approval of grant expenditures which require Council approval.

Prepared by:

Elsa Y. Robinson
Senior Management Analyst
Reviewed and approved:

Damien R. Arrula
City Administrator
Reviewed d approved:

Luis Estevez
Deputy City Administrator
Attachment:

Resolution No. R-2023-77 — Authorizing Submittal of CalRecycle Grant Applications

RESOLUTION NO. R-2023-77

A RESOLUTION OF THE CITY COUNCIL OF THE CITY

OF PLACENTIA, CALIFORNIA AUTHORIZING

SUBMITTAL OF APPLICATION(S) FOR ALL

CALRECYCLE GRANT AND PAYMENT PROGRAMS FOR

WHICH THE CITY OF PLACENTIA IS ELIGIBLE
A. Recitals
(i). Public Resources Code sections 48000 et seq. authorize the Department of Resources Recycling and Recovery (CalRecycle) to administer various grant programs (grants) in furtherance of the State of California's (state) efforts to reduce, recycle and reuse solid waste generated in the state thereby preserving landfill capacity and protecting public health and safety and the environment; and (ii). In furtherance of this authority CalRecycle is required to establish procedures governing the administration of the payment programs; and administration of the application, awarding, and management of the grant programs; and (iii). CalRecycle grant application procedures require, among other things, an applicant's governing body to declare by resolution certain authorizations related to the administration of CalRecycle payment and grant programs.

B. Resolution

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF PLACENTIA DOES HEREBY FIND, DETERMINE AND RESOLVE AS FOLLOWS:

1. The City Council of the City of Placentia authorizes the submittal of application(s) to CalRecycle for any and all grant and payment programs offered; and

2. The City Administrator, Deputy City Administrator or his/her designee is hereby authorized and empowered to execute in the name of the City of Placentia all grant documents, including but not limited to, applications, agreements, amendments, and requests for payment, necessary to secure grant funds and implement the approved grant or payment project; and

3. These authorizations are effective for five (5) years from the date of adoption of this Resolution.

APPROVED and ADOPTED this 19th day of September 2023.

Ward L. Smith, Mayor
Resolution R-2023-77

Page 1 of 2 ends

ATTEST:

Robert S. McKinnell, City Clerk

STATE OF CALIFORNIA

COUNTY OF ORANGE
I, Robert S. McKinnell, City Clerk of the City Of Placentia do hereby certify that the foregoing Resolution was adopted at a regular meeting of the City Council held on the 19th day of September 2023 by the following vote:

AYES: Councilmembers:

NOES: Councilmembers:

ABSENT: Councilmembers:

ABSTAIN: Councilmembers:

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

Christian L. Bettenhausen, City Attorney
Resolution R-2023-77

Page 2 ends

Placentia Cit Council

AGENDA REPORT
TO: CITY COUNCIL
VIA: CITY ADMINISTRATOR
FROM: DEPUTY CITY ADMINISTRATOR / PUBLIC SERVICES & INFRASTRUCTURE DATE: SEPTEMBER 19, 2023
SUBJECT: APPROVAL OF PURCHASE OF OFFICE FURNISHINGS WITH SHERIDAN

GROUP FOR THE PLACENTIA PUBLIC SAFETY CENTER PROJECT,
NO. 5213
FISCAL
IMPACT: EXPENSE: $ 113,378.57
AVAILABLE BUDGET: $ 21,616,963 FY 2023-24 CIP BUDGET
(105213-6840 JL#105213-2)
SUMMARY:

A request for approval of the purchase of office furnishings for the Placentia Public Safety Center is presented to the City Council for its consideration. The City Council previously approved the revised project financing package for the public safety building as well as a construction contract for the second phase of the project. This proposed purchase of office furnishings will fully equip all office and conference room spaces and the emergency operations center with the requisite office and conference room furniture. The procurement of these furnishings has been facilitated using the piggyback provision in the City's existing purchasing policy. This process allows the City to purchase goods and services through leveraged procurement agreements that have been previously competitively bid by other governmental agencies.

Staff proposes to purchase the new furnishings through OMNIA Partners, which is a leveraged procurement system available to school districts and local governments and the new furnishings were previously bid by OMNIA for inclusion within their existing procurement system. The City has previously purchased other items through leveraged procurement agreements in the past. As an example, the Butler Building and shooting range equipment was purchased through Sourcewell, which is a different leveraged procurement system available for local governments to purchase goods and services through.

RECOMMENDATION:

It is recommended that City Council take the following actions:

Approve a purchase order with the Sheridan Group pursuant to OMNIA procurement contract BNR482 in the amount of $113,378.57, to manufacture, ship and install the new office furnishings for the Placentia Public Safety Center; and

1.d.

Sept. 19, 2023

City Council Agenda
September 19, 2023

Page 2 of 3 ends

2. Authorize the City Administrator to approve contract change orders up to 10% of the total not -to -exceed purchase order amount or $11,337; and

3. Authorize the City Administrator to execute the above-mentioned sales agreement, in a form approved by the City Attorney.

STRATEGIC PLAN STATEMENT:

This item conforms to Strategic Plan Goal 5, Implement Public Infrastructure to Meet Community Needs, and Objective 5.4, Construct the Placentia Public Safety Center.

DISCUSSION:

On March 1, 2022, the City Council selected a preferred project alternative for the Placentia Public Safety Center and directed Staff to finalize the construction drawings and bid documents to construct this facility. The new 18,000+ square foot facility will primarily house the Police Department's evidence and property storage operations and shooting range as well as a new public safety communications center and emergency operations and training center. The City currently leases a light industrial/commercial building for property and evidence storage. On July 25 and 26, 2023, the City Council approved the updated project financing plan and authorized the sale of lease revenue bonds to complete the construction of the facility.

The City's design team worked closely with Staff on selecting the furniture, fixtures and equipment needed to upfit the new facility along with obtaining their input on colors, surface finishes and materials. The Sheridan Group maintains a pre-bid leveraged procurement contract with OMNIA Partners and the City is able to purchase the furnishings from this existing agreement pursuant to the City's purchasing policy. OMNIA Partners serves local government and schools by managing large scale leveraged procurement agreements which are competitively bid and vetted by OMNIA.

Once OMNIA has approved contracts with vendors and contractors, they are then able to offer local governments and school districts set low bid pricing for various commodities.

Pursuant to the City's existing purchasing policy, the City can piggyback off of existing competitively bid contracts such as OMNIA's contract with the Sheridan Group for office furnishings. The recommended actions authorize the City Administrator to approve a sales agreement and purchase order with Sheridan Group for all the office furnishings needed to fully upfit the new facility. It is anticipated that the furnishings for the Butler Building will be delivered and installed by the end of December 2023 with the balance of the furnishings delivered and installed for the main building in July 2024.

FISCAL IMPACT:

The total cost for this proposed sales agreement and purchase order amounts to $113,378. A total of $21,616,963 has been budgeted for this project. As such, sufficient funds exist for the recommended actions.

City Council Agenda
September 19, 2023

Page 3 of 3 ends

Prepared by: Reviewed and approved:
4/M1
Luis Estevez
Deputy City Administrator
Reviewed and approved:

Damien R. Arrula =�
City Administrator
Attachment:

Jennife'r Lampman
Director of Finance
Sales Agreement with Sheridan Group

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sold To: CITY OF PLACENTIA, CALIFORNIA
401 E CHAPMAN AVE.

PLACENTIA, CA 92870
ATTN: LUIS ESTEVEZ
Phone: (714) 993-8120
Email: [email protected]
Omnia Contract #BNR482
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Ship To: CITY OF PLACENTIA, CALIFORNIA
2999 EAST LA JOLLA AVE.

ANAHEIM, CA 92806
ATTN: LUIS ESTEVEZ
Phone: (714) 993-8120
Email: [email protected]
Item
QTY Item Description
Unit Extended
2 3
4 2.00
Each

2.00 Each

4.00 Each

2.00 Each

HERMAN MILLER INC
1B2JK7---276
Lock Plug and Key,Chrome UM Series
276:key number 276
Mark Line For: OFFICE 132
KEY

HERMAN MILLER INC
1B2JK7---275
Lock Plug and Key,Chrome UM Series
275:key number 275
Mark Line For: OFFICE 132
KEY

DOUG MOCKETT & COMPANY, INC
JB1 -91
5-1/4" FOURPLEX JUNCTION BOX GROMMET
91:Walnut Brown
Mark Line For: OFFICE 132

HERMAN MILLER INC
FT199.

Cable Management Trough
Mark Line For: CMT
OFFICE 132
Page: 1 of 39

0.00 0.00

0.00 0.00

5.69 22.76

31.25 62.50

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
5 6
7 8
9 2.00
Each

2.00 Each

6.00 Each

2.00 Each

2.00 Each

HERMAN MILLER INC
AS 1 SC23AA--AJ-BK-BB-BK-1HAO4
Wk Chr,Asmbled,Sayl,Uphstrd Mid-Bck,Std-Hgt,Tlt Lim/
Ang,Adj Arms,Adj Seat Dpth
AJ:adjustable lumbar support
BK:black
BB:2 1/2" hard caster, black yoke, carpet only
BK:black
1HA04:medley cinder
Mark Line For: SAYL
OFFICE 132
CH -01

HERMAN MILLER INC
FT110.4636N--WN
Frame,Base Covers, no knockouts 46H 36W
WN:warm grey neutral
Mark Line For: 46/36N
OFFICE 132
WS -01

HERMAN MILLER INC
FT110.4648N--WN
Frame,Base Covers, no knockouts 46H 48W
WN:warm grey neutral
Mark Line For: 46/48N
OFFICE 132
WS -01

HERMAN MILLER INC
FT112.84DP--WN
Frame Top Cap,Standard Ext to Span 2 Frames Ptd 84W
WN:warm grey neutral
Mark Line For: D
OFFICE 132
WS -01

HERMAN MILLER INC
FT 112.96DP--WN
Frame Top Cap,Standard Ext to Span 2 Frames Ptd 96W
WN:warm grey neutral
Mark Line For: D
OFFICE 132
WS -01
Page: 2 of 39
744.50

96.90 109.20

29.98 37.87
1,489.00
193.80
655.20

59.96 75.74

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
10 11
12 13
14 15

2.00 Each

2.00 Each

2.00 Each

4.00 Each

4.00 Each

2.00 Each

HERMAN MILLER INC
FT 121.246
Conn 90,Universal,2way,90 deg -for 46H frames and lower Mark Line For: OFFICE 132
WS -01

HERMAN MILLER INC
FT123.246BP--WN
Conn Cover 90 -Deg, 2 Sides Covered,Base Cover Ptd 46H
WN:warm grey neutral
Mark Line For: 2/46B
OFFICE 132
WS -01

HERMAN MILLER INC
FT 126.2AP--WN
Top Cap, Conn 90 -Deg, Connects -2 Frame Top Caps, 90 -Deg Ptd WN:warm grey neutral
Mark Line For: 2A
OFFICE 132
WS -01

HERMAN MILLER INC
FT128.46
Connection Hardware, Frame -to -Frame 46H
Mark Line For: OFFICE 132
WS -01

HERMAN MILLER INC
FT 160.46BP--WN
Finished End,Base Cover Ptd 46H
WN:warm grey neutral
Mark Line For: 46B
OFFICE 132
WS -01

HERMAN MILLER INC
FT 180.4136T--WN-2I08
Tile,Full-Height,Tackable Fabric 41H 36W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OFFICE 132
WS -01
Page: 3 of 39

27.46 26.51

14.20 11.68

27.77 85.53

54.92 53.02

28.40 46.72
111.08
171.06

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
16 17
18 19
20 6.00
Each

2.00 Each

6.00 Each

4.00 Each

4.00 Each

HERMAN MILLER INC
FT 180.4148T--WN-2I08
Tile,Full-Height,Tackable Fabric 41H 48W
WN:warm grey neutral
2108:grasscloth taro
Mark Line For: OFFICE 132
WS -01

HERMAN MILLER INC
FT 181.113 6 T --91-2I08
Upper Tile, Tackable Fabric 11H 36W
91:white
2I08:grasscloth taro
Mark Line For: OFFICE 132
WS -01

HERMAN MILLER INC
FT 181.1148T --91-2I08
Upper Tile, Tackable Fabric 11H 48W
91:white
2I08:grasscloth taro
Mark Line For: OFFICE 132
WS -01

HERMAN MILLER INC
FT290.24L--WN
Surface Cantilever, for 20" -or 24" deep surface,lft-hnd WN:warm grey neutral
Mark Line For: L
OFFICE 132
WS -01

HERMAN MILLER INC
FT290.24R--WN
Surface Cantilever, for 20" -or 24" deep surface,rt-hnd WN:warm grey neutral
Mark Line For: R
OFFICE 132
WS -01
Page: 4 of 39

96.26 38.51

44.50 15.47

15.47 577.56

77.02 267.00

61.88 61.88

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
21 22
23 24
25 2.00
Each

2.00 Each

2.00 Each

2.00 Each

2.00 Each

HERMAN MILLER INC
FT2G2.S24LL--LBV-WN
Support Panel, Frame-Att, Sq -Edge, Left -Hand Support, Lam 24D LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OFFICE 132
WS -01

HERMAN MILLER INC
FT2G2.S24RL--LBV-WN
Support Panel, Frame-Att, Sq -Edge, Right -Hand Support, Lam 24D
LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OFFICE 132
WS -01

HERMAN MILLER INC
FTS 10.2436LF--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/36
OFFICE 132
WS -01

HERMAN MILLER INC
FTS 10.2448LF--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/48
OFFICE 132
WS -01

HERMAN MILLER INC
FTS21.2448LF--LBV-LB V
Concave Corner Surface,Sq-Edge, Lam Top/Thermo Edge, 24D 48W, Frame Atch
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/48
OFFICE 132
WS -01
Page: 5 of 39
130.98
130.98
129.09
157.49
244.92
261.96
261.96
258.18
314.98
489.84

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
26 27
28 29

2.00 Each

2.00 Each

4.00 Each

2.00 Each

HERMAN MILLER INC
LW 100.20BBF--SB-XS-WN-KA-2F-2M
Ped W-Pull,Freestd 20D B/B/F
SB:full-extension ball-bearing
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
2F:raised height
2M:drawer divider in box drawers, 2 file converters in file drawer Mark Line For: F/BBF
OFFICE 132
WS -01

HERMAN MILLER INC
LW 100.20FF--SB-XS-WN-KA-2F-1M
Ped W-Pull,Freestd 20D F/F
SB:full-extension ball-bearing
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
2F:raised height
1M:2 file converters in each file drawer
Mark Line For: F/FF
OFFICE 132
WS -01

HERMAN MILLER INC
1B2JK7---277
Lock Plug and Key,Chrome UM Series
277:key number 277
Mark Line For: OFFICE 133
KEY

DOUG MOCKETT & COMPANY, INC
MM6/SET--
Doug Mockett 2-1/2" MM6 Solid Brass Desk Grommet - Cap & Liner Set
:English Antique (10B)
Mark Line For: OFFICE 133
Page: 6 of 39
292.28
253.13

0.00 49.61
584.56
506.26

0.00 99.22

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY
Item Description
Unit
Extended
30 31
32 33

2.00 Each

1.00 Each

2.00 Each

1.00 Each

HERMAN MILLER INC
FT 199.

Cable Management Trough
Mark Line For: CMT
OFFICE 133

HERMAN MILLER INC
AS 1 SC23AA--AJ-BK-BB-BK-1HAO4
Wk Chr,Asmbled,Sayl,Uphstrd Mid-Bck,Std-Hgt,Tlt Lim/
Ang,Adj Arms,Adj Seat Dpth
AJ:adjustable lumbar support
BK:black
BB:2 1/2" hard caster, black yoke, carpet only
BK:black
1HA04:medley cinder
Mark Line For: SAYL
OFFICE 133
CH -01

HERMAN MILLER INC
PIA4S 1 SN--BK-BK-3 6506 -GL -1 HA24
VerusA,A® Side Chair, 4 -Leg Base
BK:black
BK:black
36506: shale
GL:glide, hard floors only
1HA24:medley yellow oxide
Mark Line For: VERUS
OFFICE 133
CH -06

HERMAN MILLER INC
FV990.0 123A84R--4SCO2
Wall -Mount Fabric Tackboard, for use with Canvas Private Office 4SCO2:scatter fog
Mark Line For: TB84
OFFICE 133
P0-01
Page: 7 of 39

31.25 744.50
312.50
251.23

62.50 744.50
625.00
251.23

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
34 35
36 37
38 2.00
Each

1.00 Each

1.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
FV2E2.S24FL--LBV
Closed Support Leg,for Sq -Edge Surface, 24"D,Fxd Hght, Lam LBV:warm grey teak
Mark Line For: CL24
OFFICE 133
P0-01

HERMAN MILLER INC
FV697.72FL--WN
Modesty Panel,full modesty panel, 72W Lam
WN:warm grey neutral
Mark Line For: F/72
OFFICE 133
P0-01

HERMAN MILLER INC
FT29B.2
Surface Ganging Bracket,pair
Mark Line For: BKT
OFFICE 133
P0-01

HERMAN MILLER INC
FTS 10.2454LS--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/54
OFFICE 133
P0-01

HERMAN MILLER INC
FTS22.7248LS--LBV-LBV
Ext Corner Surface,Rect End,Sq-Edge, Lam Top/Thermo Edge, 24D 72W L,48W R, No Brkts
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 72/48
OFFICE 133
P0-01
Page: 8 of 39
128.46
273.01

19.25 161.28
420.72
256.92
273.01

19.25 161.28
420.72

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
39 40
41 42
43 1.00
Each

1.00 Each

2.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
FV2D1.A24F--WN
Sq Open Support Leg,Pen Att,Inset,for 24"-D Surface,Fxd Hght WN:warm grey neutral
Mark Line For: 0S24
OFFICE 133
P0-01

HERMAN MILLER INC
FV2E2.S24FL--LBV
Closed Support Leg,for Sq -Edge Surface, 24"D,Fxd Hght, Lam LBV:warm grey teak
Mark Line For: CL24
OFFICE 133
P0-01

HERMAN MILLER INC
FV43F. WM 1542LPL--KA-WN-LBV-WN
Ovhd Stg Cab, Sliding Full Enclsr, Wall Mount, Lam Case/ Doors, Painted Door, Lock 15H 42W
KA:keyed alike
WN:warm grey neutral
LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OH42
OFFICE 133
P0-01

HERMAN MILLER INC
FV696.39
Stiffener, 38 5/8W
Mark Line For: STF39
OFFICE 133
P0-01

HERMAN MILLER INC
G6160.BB
Twist LED Task Light,Starter unit,Brkt Att
Mark Line For: LED -ST
OFFICE 133
P0-01
Page: 9 of 39

99.42 128.46
677.00

31.25 213.30

99.42 128.46
1,354.00

31.25 213.30

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
44 45
46 47

1.00 Each

1.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
G6160.CB
Twist LED Task Light,Add-on unit,Brkt Att
Mark Line For: LED -ADD
OFFICE 133
P0-01

HERMAN MILLER INC
LTPL-08420--LBV
Tu File Top, Lam Top/TP Edge 84W 20D
LBV:warm grey teak
Mark Line For: 84/20
OFFICE 133
P0-01

HERMAN MILLER INC
LW 100.20BBF--SB-XS-WN-KA-2F-2M
Ped W-Pull,Freestd 20D B/B/F
SB:full-extension ball-bearing
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
2F:raised height
2M:drawer divider in box drawers, 2 file converters in file drawer Mark Line For: F/BBF
OFFICE 133
P0-01

HERMAN MILLER INC
LW200.422--XS-WN-KA-CB-2R
Lat File,W-Pull Freestd 2 Dwr 42W
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
CB:counterweight (recommended)
2R:side-to-side filing rail
Mark Line For: LF/42/2H
OFFICE 133
P0-01
Page: 10 of 39
153.60
293.63
292.28
578.48
153.60
293.63
292.28
578.48

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
48 49
50 51
52 4.00
Each

2.00 Each

2.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
1B2JK7---279
Lock Plug and Key,Chrome UM Series
279:key number 279
Mark Line For: OFFICE 215
KEY

DOUG MOCKETT & COMPANY, INC
MM6/SET--
Doug Mockett 2-1/2" MM6 Solid Brass Desk Grommet - Cap & Liner Set
:English Antique (10B)
Mark Line For: OFFICE 215

HERMAN MILLER INC
FT 199.

Cable Management Trough
Mark Line For: CMT
OFFICE 215
P0-01

HERMAN MILLER INC
FV990.0 123A84R--4SCO2
Wall -Mount Fabric Tackboard, for use with Canvas Private Office 4SCO2:scatter fog
Mark Line For: TB84
OFFICE 215

HERMAN MILLER INC
AS 1 SC23AA--AJ-BK-BB-BK-1HAO4
Wk Chr,Asmbled,Sayl,Uphstrd Mid-Bck,Std-Hgt,Tlt Lim/
Ang,Adj Arms,Adj Seat Dpth
AJ:adjustable lumbar support
BK:black
BB:2 1/2" hard caster, black yoke, carpet only
BK:black
1HA04:medley cinder
Mark Line For: SAYL
OFFICE 215
CH -01
Page: 11 of 39

0.00 49.61

31.25 251.23
744.50

0.00 99.22

62.50 251.23
744.50

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY
Item Description
Unit
Extended
53 54
55 56
57 2.00
Each

1.00 Each

3.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
PIA4S 1 SN--BK-BK-3 6506 -GL -1 HA24
VerusA,A® Side Chair, 4 -Leg Base
BK:black
BK:black
36506: shale
GL:glide, hard floors only
1HA24:medley yellow oxide
Mark Line For: VERUS
OFFICE 215
CH -06

HERMAN MILLER INC
FTS 10.2454LS--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/54
OFFICE 215
P0-01

HERMAN MILLER INC
FV2E2.S24FL--LBV
Closed Support Leg,for Sq -Edge Surface, 24"D,Fxd Hght, Lam LBV:warm grey teak
Mark Line For: CL24
OFFICE 215
P0-01

HERMAN MILLER INC
FV697.72FL--WN
Modesty Panel,full modesty panel, 72W Lam
WN:warm grey neutral
Mark Line For: F/72
OFFICE 215
P0-01

HERMAN MILLER INC
FT29B.2
Surface Ganging Bracket,pair
Mark Line For: BKT
OFFICE 215
P0-01
Page: 12 of 39
312.50
161.28
128.46
273.01

19.25 625.00
161.28
385.38
273.01

19.25 ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
58 59
60 61
62 1.00
Each

1.00 Each

2.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
FTS22.4872LS--LB V -LB V
Ext Corner Surface,Rect End,Sq-Edge, Lam Top/Thermo Edge, 24D 48W L,72W R, No Brkts
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 48/72
OFFICE 215
P0-01

HERMAN MILLER INC
FV2D1.A24F--WN
Sq Open Support Leg,Pen Att,Inset,for 24"-D Surface,Fxd Hght WN:warm grey neutral
Mark Line For: 0S24
OFFICE 215
P0-01

HERMAN MILLER INC
FV43F. WM 1542LPL--KA-WN-LBV-WN
Ovhd Stg Cab, Sliding Full Enclsr, Wall Mount, Lam Case/ Doors, Painted Door, Lock 15H 42W
KA:keyed alike
WN:warm grey neutral
LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OH42
OFFICE 215
P0-01

HERMAN MILLER INC
FV696.39
Stiffener, 38 5/8W
Mark Line For: STF39
OFFICE 215
P0-01

HERMAN MILLER INC
G6160.BB
Twist LED Task Light,Starter unit,Brkt Att
Mark Line For: LED -ST
OFFICE 215
P0-01
Page: 13 of 39
420.72

99.42 677.00

31.25 213.30
420.72

99.42 1,354.00

31.25 213.30

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
63 64
65 66

1.00 Each

1.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
G6160.CB
Twist LED Task Light,Add-on unit,Brkt Att
Mark Line For: LED -ADD
OFFICE 215
P0-01

HERMAN MILLER INC
LTPL-08420--LBV
Tu File Top, Lam Top/TP Edge 84W 20D
LBV:warm grey teak
Mark Line For: 84/20
OFFICE 215
P0-01

HERMAN MILLER INC
LW 100.20BBF--SB-XS-WN-KA-2F-2M
Ped W-Pull,Freestd 20D B/B/F
SB:full-extension ball-bearing
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
2F:raised height
2M:drawer divider in box drawers, 2 file converters in file drawer Mark Line For: F/BBF
OFFICE 215
P0-01

HERMAN MILLER INC
LW200.421--XS-WN-KA-CB-2R
Lat File,W-Pull Freestd 2 Dwr Raised Hgt 42W
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
CB:counterweight (recommended)
2R:side-to-side filing rail
Mark Line For: RLF/42/2H
OFFICE 215
P0-01
Page: 14 of 39
153.60
293.63
292.28
578.48
153.60
293.63
292.28
578.48

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
67 10.00 HERMAN MILLER INC
Each CQ51 FA --G 1 -L7 -HCC -8R 15
Chr,Setu Multipurpose,5-star base,std-ht range,suspended upholstery seat/bck,ribbon arms
G 1: graphite
L7:silver alloy
HCC:2 1/2" caster, low roll resistance, black yoke, hard floors or carpet
8R15:twist shale
Mark Line For: SETU
OFFICE 217
CH -06
68 1.00 NATIONAL OFFICE FURNITURE
Each 10N 120PNKL--P 1-X-792
UNIVERSAL,FOR 120W TOP,PANEL BASE KIT,LAMINATE
P1:BASIC
X:NO MODIFIED WIDTH (STANDARD)
792:SABLE
Mark Line For: 2428PNW
OFFICE 217
T-03
69 1.00 NATIONAL OFFICE FURNITURE
Each WWN4812ORC2L--V792-X-X-X-STD-792
WAVEWORKS,48DX 120W,CONFERENCE

TOP,RACETRACK,HPL
V792: SOFTENED,SABLE
X:NO GROMMET
X:NO MODIFIED DEPTH (STANDARD)
X:NO MODIFIED WIDTH (STANDARD)
STD:STANDARD LAMINATE
792:SABLE
Mark Line For: N48120RC2L
OFFICE 217
T-03
70 1.00 NATIONAL OFFICE FURNITURE
Each NACG12AELPGB
ACCESSORIES,G12A PIVOTING POWER/USB

GROMMET,BLACK
Mark Line For: OFFICE 217
T-03
Page: 15 of 39
831.00
2,624.29
3,214.24
445.13
8,310.00
2,624.29
3,214.24
445.13

ISHERIDAN
GROUP
III 0
Order Number: 527070
Date: 09/01/2023
Customer Name: CITY OF PLACENTIA,

CALIFORNIA
Customer PO:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Sales Agreement
Account Erin Duff
Executive:

Project #:

Terms: PAYMENT IN FULL
Quote valid for: 30 days
Email: [email protected]
Item QTY
Item Description
Unit Extended
71 5.00
Each
72 8.00
Each
73 1.00
Each
74 1.00
Each

SHERIDAN GROUP -DESIGN
DESIGN

DESIGN TIME

HERMAN MILLER INC
CQ51 FA --G 1 -L7 -HCC -8R 15
Chr,Setu Multipurpose,5-star base,std-ht range,suspended upholstery seat/bck,ribbon arms
G 1: graphite
L7:silver alloy
HCC:2 1/2" caster, low roll resistance, black yoke, hard floors or carpet
8R15:twist shale
Mark Line For: SETU
CONFERENCE 202
CH -06

NATIONAL OFFICE FURNITURE
10N 120PNKL--P 1-X-792
UNIVERSAL,FOR 120W TOP,PANEL BASE KIT,LAMINATE
P1:BASIC
X:NO MODIFIED WIDTH (STANDARD)
792: SABLE
Mark Line For: 2428PNW
CONFERENCE 202
T-03

NATIONAL OFFICE FURNITURE
W WN4812ORC2L--V 792 -X -X -X -STD -792
WAVEWORKS,48DX120W,CONFERENCE

TOP,RACETRACK,HPL
V792: SOFTENED,SABLE
X:NO GROMMET
X:NO MODIFIED DEPTH (STANDARD)
X:NO MODIFIED WIDTH (STANDARD)
STD:STANDARD LAMINATE
792: SABLE
Mark Line For: N48120RC2L
CONFERENCE 202
T-03
Page: 16 of 39

65.00 325.00
831.00 6,648.00
2,624.29 2,624.29
3,214.24 3,214.24

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
75 76
77 78
79 80

1.00 Each

1.00 Each

6.00 Each

1.00 Each

1.00 Each

1.00 Each

NATIONAL OFFICE FURNITURE
NACG 12AELPGB
ACCESSORIES,G12A PIVOTING POWER/USB

GROMMET,BLACK
Mark Line For: CONFERENCE 202
T-03

HERMAN MILLER INC
AS 1 SC23AA--AJ-BK-BB-BK-1 HAO4
Wk Chr,Asmbled,Sayl,Uphstrd Mid-Bck,Std-Hgt,Tlt Lim/
Ang,Adj Arms,Adj Seat Dpth
AJ:adjustable lumbar support
BK:black
BB:2 1/2" hard caster, black yoke, carpet only
BK:black
1HA04:medley cinder
Mark Line For: SAYL
OFFICE 204
CH -01

HERMAN MILLER INC
1B2JK7---243
Lock Plug and Key,Chrome UM Series
243:key number 243
Mark Line For: OFFICE 204
KEY

HERMAN MILLER INC
FT29B.2
Surface Ganging Bracket,pair
Mark Line For: OFFICE 204
P0-01

HERMAN MILLER INC
FV696.67
Stiffener, 66 3/4W
Mark Line For: OFFICE 204
P0-01

HERMAN MILLER INC
G6160.BB
Twist LED Task Light,Starter unit,Brkt Att
Mark Line For: LED -ST
OFFICE 204
P0-01
Page: 17 of 39
445.13
744.50

0.00 19.25

31.25 213.30
445.13
744.50

0.00 19.25

31.25 213.30

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY
Item Description
Unit
Extended
81 82
83 84
85 86

1.00 Each

2.00 Each

2.00 Each

1.00 Each

1.00 Each

2.00 Each

HERMAN MILLER INC
G6160.CB
Twist LED Task Light,Add-on unit,Brkt Att
Mark Line For: LED -ADD
OFFICE 204
P0-01

HERMAN MILLER INC
FT 199.

Cable Management Trough
Mark Line For: CMT
OFFICE 204
P0-01

HERMAN MILLER INC
FV2E2.S30FL--LBV
Closed Support Leg,for Sq -Edge Surface, 30"D,Fxd Hght, Lam LBV:warm grey teak
Mark Line For: CL30
OFFICE 204
P0-01

HERMAN MILLER INC
FV697.84FH--WN
Modesty Panel
WN:warm grey neutral
Mark Line For: OFFICE 204
P0-01

HERMAN MILLER INC
FV990.0 123A78R--4SCO2
Wall -Mount Fabric Tackboard, for use with Canvas Private Office 4SCO2:scatter fog
Mark Line For: TB23-78
OFFICE 204
P0-01

DOUG MOCKETT & COMPANY, INC
MM6/SET--
Doug Mockett 2-1/2" MM6 Solid Brass Desk Grommet - Cap & Liner Set
:English Antique (10B)
Mark Line For: OFFICE 204
P0-01
Page: 18 of 39
153.60

31.25 131.30
396.42
237.03

49.61 153.60

62.50 262.60
396.42
237.03

99.22 ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
87 88
89 90

1.00 Each

1.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
FTS 10.2448LS--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/48
OFFICE 204
P0-01

HERMAN MILLER INC
FTS 10.3084LS--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 30/84
OFFICE 204
P0-01

HERMAN MILLER INC
FV43F. WM 1530LPL--KA-WN-LBV-WN
Ovhd Stg Cab, Sliding Full Enclsr, Wall Mount, Lam Case/ Doors, Painted Door, Lock 15H 30W
KA:keyed alike
WN:warm grey neutral
LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OH30
OFFICE 204
P0-01

HERMAN MILLER INC
FV43F. WM 1548LPL--KA-WN-LBV-WN
Ovhd Stg Cab, Sliding Full Enclsr, Wall Mount, Lam Case/ Doors, Painted Door, Lock 1514 48W
KA:keyed alike
WN:warm grey neutral
LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OH48
OFFICE 204
P0-01
Page: 19 of 39
134.14
299.21
568.12
685.53
134.14
299.21
568.12
685.53

4 SHERIDAN
GROUP
gl 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIOANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
91 92
93 2.00
Each

1.00 Each

1.00 Each

HERMAN MILLER INC
PIA4S 1 SN--BK-BK-3 6506 -GL -1 HA24
VerusA,A® Side Chair, 4 -Leg Base
BK:black
BK:black
36506: shale
GL:glide, hard floors only
1HA24:medley yellow oxide
Mark Line For: VERUS
OFFICE 204
P0-01

HERMAN MILLER INC
LW 100.20FF--SB-XS-WN-KA-2F-1M
Ped W-Pull,Freestd 20D F/F
SB:full-extension ball-bearing
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
2F:raised height
1M:2 file converters in each file drawer
Mark Line For: F/FF
OFFICE 204
P0-01

HERMAN MILLER INC
LW 140.24BBF--SB-XS-WN-KA-2F-2M
Ped W-Pull,Surface Att 24D,B/B/F
SB:full-extension ball-bearing
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
2F:27 1/4" high (raised height)
2M:drawer divider in box drawers, 2 file converters in file drawer Mark Line For: BBF
OFFICE 204
P0-01
Page: 20 of 39
312.50
253.13
280.13
625.00
253.13
280.13

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
94 1.00 HERMAN MILLER INC
Each LTPL-08420--LBV
Tu File Top, Lam Top/TP Edge 84W 20D
LBV:warm grey teak
Mark Line For: FTL/084/20
OFFICE 204
ST -01
95 2.00 HERMAN MILLER INC
Each LW200.422--XS-WN-KA-CB-2R
Lat File,W-Pull Freestd 2 Dwr 42W
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
CB:counterweight (recommended)
2R:side-to-side filing rail
Mark Line For: LF/42/2H
OFFICE 204
ST -01
96 12.00 HERMAN MILLER INC
Each AS1SC23AA--AJ-BK-BB-BK-1HA04
Wk Chr,Asmbled,Sayl,Uphstrd Mid-Bck,Std-Hgt,Tlt Lim/
Ang,Adj Arms,Adj Seat Dpth
AJ:adjustable lumbar support
BK:black
BB:2 1/2" hard caster, black yoke, carpet only
BK:black
1HA04:medley cinder
Mark Line For: SAYL
OPEN OFFICE 203
CH -01
97 2.00 HERMAN MILLER INC
Each 1B2JK7---228
Lock Plug and Key,Chrome UM Series
228:key number 228
Mark Line For: OPEN OFFICE 203
WS -04
KEY
Page: 21 of 39
293.63
578.48
744.50

0.00 293.63
1,156.96
8,934.00

0.00 4 SHERIDAN
GROUP
gl 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIOANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
98 99
100
101
102

2.00 Each

2.00 Each

2.00 Each

2.00 Each

2.00 Each

HERMAN MILLER INC
1B2JK7---230
Lock Plug and Key,Chrome UM Series
230:key number 230
Mark Line For: OPEN OFFICE 203
WS -04
KEY

HERMAN MILLER INC
1B2JK7---231
Lock Plug and Key,Chrome UM Series
231:key number 231
Mark Line For: OPEN OFFICE 203
WS -04
KEY

HERMAN MILLER INC
1B2JK7---232
Lock Plug and Key,Chrome UM Series
232:key number 232
Mark Line For: OPEN OFFICE 203
WS -04
KEY

HERMAN MILLER INC
1B2JK7---233
Lock Plug and Key,Chrome UM Series
233:key number 233
Mark Line For: OPEN OFFICE 203
WS -04
KEY

HERMAN MILLER INC
1B2JK7---234
Lock Plug and Key,Chrome UM Series
234:key number 234
Mark Line For: OPEN OFFICE 203
WS -04
KEY
Page: 22 of 39

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

4 SHERIDAN
GROUP
gl 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIOANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
103
104
105
106
107

1.00 Each

1.00 Each

1.00 Each

1.00 Each

1.00 Each

HERMAN MILLER INC
1B2JK7---235
Lock Plug and Key,Chrome UM Series
235:key number 235
Mark Line For: OPEN OFFICE 203
WS -03
KEY

HERMAN MILLER INC
1B2JK7---236
Lock Plug and Key,Chrome UM Series
236:key number 236
Mark Line For: OPEN OFFICE 203
WS -03
KEY

HERMAN MILLER INC
1B2JK7---237
Lock Plug and Key,Chrome UM Series
237:key number 237
Mark Line For: OPEN OFFICE 203
WS -03
KEY

HERMAN MILLER INC
1B2JK7---238
Lock Plug and Key,Chrome UM Series
238:key number 238
Mark Line For: OPEN OFFICE 203
WS -03
KEY

HERMAN MILLER INC
1B2JK7---239
Lock Plug and Key,Chrome UM Series
239:key number 239
Mark Line For: OPEN OFFICE 203
WS -03
KEY
Page: 23 of 39

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
108
109
110
111
112

1.00 Each

4.00 Each

2.00 Each

2.00 Each

4.00 Each

HERMAN MILLER INC
1B2JK7---240
Lock Plug and Key,Chrome UM Series
240:key number 240
Mark Line For: OPEN OFFICE 203
WS -03
KEY

HERMAN MILLER INC
1B2JK7---241
Lock Plug and Key,Chrome UM Series
241:key number 241
Mark Line For: OPEN OFFICE 203

STORAGE
KEY

HERMAN MILLER INC
1B2JK7---242
Lock Plug and Key,Chrome UM Series
242:key number 242
Mark Line For: OPEN OFFICE 203

STORAGE
KEY

HERMAN MILLER INC
LTPL-08420--LBV
Tu File Top, Lam Top/TP Edge 84W 20D
LBV:warm grey teak
Mark Line For: FTL/084/20
OPEN OFFICE 203
ST -01

HERMAN MILLER INC
LW200.422--XS-WN-KA-CB-2R
Lat File,W-Pull Freestd 2 Dwr 42W
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
CB:counterweight (recommended)
2R:side-to-side filing rail
Mark Line For: LF/42/2H
OPEN OFFICE 203
ST -01
Page: 24 of 39

0.00 0.00

0.00 293.63
578.48

0.00 0.00

0.00 587.26
2,313.92

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
113 2.00 HERMAN MILLER INC
Each LW200.362--XS-WN-KA-CB-2R
Lat File,W-Pull Freestd 2 Dwr 36W
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
CB:counterweight (recommended)
2R:side-to-side filing rail
Mark Line For: LF/36/2H
OPEN OFFICE 203
ST -02
114 1.00 HERMAN MILLER INC
Each ZCELA--D01-19.38-W07-90.63-EZ-LBV-LBV
Exact Size File Top,Sq-Edge,Lam Top
D01:depth 15.00in - 30.00in

19.38:Depth Entry
W07:width 84.Olin - 96.00in

90.63:Width Entry
EZ:standard hmi high-pressure laminates
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: FTL/90/20
OPEN OFFICE 203
ST -02
115 17.00 DOUG MOCKETT & COMPANY, INC
Each JB1 --91
5-1/4" FOURPLEX JUNCTION BOX GROMMET
91:Walnut Brown
Mark Line For: OPEN OFFICE 203
Workstations
116 8.00 HERMAN MILLER INC
Each FT110.4648X
Frame,No Base Covers 46H 48W
Mark Line For: 46/48X
OPEN OFFICE 203
WS -03
Page: 25 of 39
530.55
292.97

5.69 85.22
1,061.10
292.97

96.73 681.76

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
117 2.00 HERMAN MILLER INC
Each FT121.246
Conn 90,Universal,2way,90 deg -for 46H frames and lower Mark Line For: OPEN OFFICE 203
WS -03
118 2.00 HERMAN MILLER INC
Each FT121.346
Conn 90,Universal,3way-for 46H frames and lower
Mark Line For: OPEN OFFICE 203
WS -03
119 13.00 HERMAN MILLER INC
Each FT128.46
Connection Hardware, Frame -to -Frame 46H
Mark Line For: OPEN OFFICE 203
WS -03
120 6.00 HERMAN MILLER INC
Each FT199.

Cable Management Trough
Mark Line For: CMT
OPEN OFFICE 203
WS -03
121 6.00 HERMAN MILLER INC
Each FT110.4642N--WN
Frame,Base Covers, no knockouts 46H 42W
WN:warm grey neutral
Mark Line For: 46/42N
OPEN OFFICE 203
WS -03
122 6.00 HERMAN MILLER INC
Each FT110.4648N--WN
Frame,Base Covers, no knockouts 46H 48W
WN:warm grey neutral
Mark Line For: 46/48N
OPEN OFFICE 203
WS -03
Page: 26 of 39

27.46 31.88

11.68 31.25
102.89
109.20

54.92 63.76
151.84
187.50
617.34
655.20

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
123
124
125
126
127

6.00 Each

6.00 Each

4.00 Each

2.00 Each

2.00 Each

HERMAN MILLER INC
FT 112.42AP--WN
Frame Top Cap,Standard Ptd 42W
WN:warm grey neutral
Mark Line For: A
OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FT112.48AP--WN
Frame Top Cap,Standard Ptd 48W
WN:warm grey neutral
Mark Line For: A
OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FT112.96DP--WN
Frame Top Cap,Standard Ext to Span 2 Frames Ptd 96W
WN:warm grey neutral
Mark Line For: D
OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FT123.146BP--WN
Conn Cover 90 -Deg, 1 Side Covered,Base Cover Ptd 46H
WN:warm grey neutral
Mark Line For: 1/46B
OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FT123.246BP--WN
Conn Cover 90 -Deg, 2 Sides Covered,Base Cover Ptd 46H
WN:warm grey neutral
Mark Line For: 2/46B
OPEN OFFICE 203
WS -03
Page: 27 of 39

18.62 19.88

37.87 20.83

26.51 111.72
119.28
151.48

41.66 53.02

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
128 2.00 HERMAN MILLER INC
Each FT126.2AP--WN
Top Cap, Conn 90 -Deg, Connects -2 Frame Top Caps, 90 -Deg Ptd WN:warm grey neutral
Mark Line For: 2A
OPEN OFFICE 203
WS -03
129 2.00 HERMAN MILLER INC
Each FT126.3AP--WN
Top Cap, Conn 90 -Deg, Connects -3 Frame Top Caps Ptd
WN:warm grey neutral
Mark Line For: 3A
OPEN OFFICE 203
WS -03
130 4.00 HERMAN MILLER INC
Each FT160.46BP--WN
Finished End,Base Cover Ptd 46H
WN:warm grey neutral
Mark Line For: 46B
OPEN OFFICE 203
WS -03
131 12.00 HERMAN MILLER INC
Each FT290.24L--WN
Surface Cantilever, for 20" -or 24" deep surface,lft-hnd WN:warm grey neutral
Mark Line For: L
OPEN OFFICE 203
WS -03
132 12.00 HERMAN MILLER INC
Each FT290.24R--WN
Surface Cantilever, for 20" -or 24" deep surface,rt-hnd WN:warm grey neutral
Mark Line For: R
OPEN OFFICE 203
WS -03
Page: 28 of 39

14.20 14.20

27.77 15.47

15.47 28.40

28.40 111.08
185.64
185.64

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
133 8.00 HERMAN MILLER INC
Each FT963.96NBC--WN
Single -Sided Base Cover Kit,no knockouts,Attchmnt Base Covers on 2 Sides 96W
WN:warm grey neutral
Mark Line For: RK/96N
OPEN OFFICE 203
WS -03
134 6.00 HERMAN MILLER INC
Each FT180.4142T--WN-2I08
Tile,Full-Height,Tackable Fabric 41H 42W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -03
135 22.00 HERMAN MILLER INC
Each FT180.4148T--WN-2I08
Tile,Full-Height,Tackable Fabric 41H 48W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -03
136 6.00 HERMAN MILLER INC
Each FT181.1142T--WN-2I08
Upper Tile, Tackable Fabric 11H 42W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -03
137 6.00 HERMAN MILLER INC
Each FT181.1148T--WN-2I08
Upper Tile, Tackable Fabric 11H 48W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -03
Page: 29 of 39

51.13 90.90

96.26 41.98

44.50 409.04
545.40
2,117.72
251.88
267.00

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
138
139
140
141
142

3.00 Each

3.00 Each

6.00 Each

3.00 Each

6.00 Each

HERMAN MILLER INC
FT2G2.S24LL--LBV-WN
Support Panel, Frame-Att, Sq -Edge, Left -Hand Support, Lam 24D LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FT2G2.S24RL--LBV-WN
Support Panel, Frame-Att, Sq -Edge, Right -Hand Support, Lam 24D
LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FTS 10.2448LF--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/48
OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FTS 10.2484LF--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/84
OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FTS21.2448LF--LBV-LB V
Concave Corner Surface,Sq-Edge, Lam Top/Thermo Edge, 24D 48W, Frame Atch
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/48
OPEN OFFICE 203
WS -03
Page: 30 of 39
130.98
130.98
157.49
261.33
244.92
392.94
392.94
944.94
783.99
1,469.52

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
143
144
145
146
147
148

6.00 Each

6.00 Each

6.00 Each

6.00 Each

2.00 Each

5.00 Each

HERMAN MILLER INC
LW200.422--XS-WN-KA-CB-2R
Lat File,W-Pull Freestd 2 Dwr 42W
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
CB:counterweight (recommended)
2R:side-to-side filing rail
Mark Line For: LF/42/2H
OPEN OFFICE 203
WS -03

HERMAN MILLER INC
FT 199.

Cable Management Trough
Mark Line For: CMT
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FT 110.4624X
Frame,No Base Covers 46H 24W
Mark Line For: 46/24X
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FT 110.4648X
Frame,No Base Covers 46H 48W
Mark Line For: 46/48X
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FT 121.246
Conn 90,Universal,2way,90 deg -for 46H frames and lower Mark Line For: OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FT121.346
Conn 90,Universal,3way-for 46H frames and lower
Mark Line For: OPEN OFFICE 203
WS -04
Page: 31 of 39
578.48

31.25 71.01

85.22 27.46

31.88 3,470.88
187.50
426.06
511.32

54.92 159.40

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
149 12.00 HERMAN MILLER INC
Each FT128.46
Connection Hardware, Frame -to -Frame 46H
Mark Line For: OPEN OFFICE 203
WS -04
150 6.00 HERMAN MILLER INC
Each FT110.4642N--WN
Frame,Base Covers, no knockouts 46H 42W
WN:warm grey neutral
Mark Line For: 46/42N
OPEN OFFICE 203
WS -04
151 7.00 HERMAN MILLER INC
Each FT110.4648N--WN
Frame,Base Covers, no knockouts 46H 48W
WN:warm grey neutral
Mark Line For: 46/48N
OPEN OFFICE 203
WS -04
152 6.00 HERMAN MILLER INC
Each FT112.42AP--WN
Frame Top Cap,Standard Ptd 42W
WN:warm grey neutral
Mark Line For: A
OPEN OFFICE 203
WS -04
153 7.00 HERMAN MILLER INC
Each FT112.48AP--WN
Frame Top Cap,Standard Ptd 48W
WN:warm grey neutral
Mark Line For: A
OPEN OFFICE 203
WS -04
154 6.00 HERMAN MILLER INC
Each FT112.72DP--WN
Frame Top Cap,Standard Ext to Span 2 Frames Ptd 72W
WN:warm grey neutral
Mark Line For: D
OPEN OFFICE 203
WS -04
Page: 32 of 39

11.68 102.89
109.20

18.62 19.88

27.46 140.16
617.34
764.40
111.72
139.16
164.76

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
155
156
157
158
159

5.00 Each

2.00 Each

2.00 Each

5.00 Each

7.00 Each

HERMAN MILLER INC
FT123.146BP--WN
Conn Cover 90 -Deg, 1 Side Covered,Base Cover Ptd 46H
WN:warm grey neutral
Mark Line For: 1/46B
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FT123.246BP--WN
Conn Cover 90 -Deg, 2 Sides Covered,Base Cover Ptd 46H
WN:warm grey neutral
Mark Line For: 2/46B
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FT126.2AP--WN
Top Cap, Conn 90 -Deg, Connects -2 Frame Top Caps, 90 -Deg Ptd WN:warm grey neutral
Mark Line For: 2A
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FT126.3AP--WN
Top Cap, Conn 90 -Deg, Connects -3 Frame Top Caps Ptd
WN:warm grey neutral
Mark Line For: 3A
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FT160.46BP--WN
Finished End,Base Cover Ptd 46H
WN:warm grey neutral
Mark Line For: 46B
OPEN OFFICE 203
WS -04
Page: 33 of 39

20.83 26.51

14.20 14.20

27.77 104.15

53.02 28.40

71.00 194.39

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
160 18.00 HERMAN MILLER INC
Each FT290.24L--WN
Surface Cantilever, for 20" -or 24" deep surface,lft-hnd WN:warm grey neutral
Mark Line For: L
OPEN OFFICE 203
WS -04
161 12.00 HERMAN MILLER INC
Each FT290.24R--WN
Surface Cantilever, for 20" -or 24" deep surface,rt-hnd WN:warm grey neutral
Mark Line For: R
OPEN OFFICE 203
WS -04
162 1.00 HERMAN MILLER INC
Each FT963.72NBC--91
Single -Sided Base Cover Kit,no knockouts,Attchmnt Base Covers on 2 Sides 72W
91:white
Mark Line For: RK/72N
OPEN OFFICE 203
WS -04
163 11.00 HERMAN MILLER INC
Each FT963.72NBC--WN
Single -Sided Base Cover Kit,no knockouts,Attchmnt Base Covers on 2 Sides 72W
WN:warm grey neutral
Mark Line For: RK/72N
OPEN OFFICE 203
WS -04
164 12.00 HERMAN MILLER INC
Each FT180.4124T--WN-2I08
Tile,Full-Height,Tackable Fabric 41H 24W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -04
Page: 34 of 39

15.47 15.47

41.35 41.35

63.76 278.46
185.64

41.35 454.85
765.12

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
165 6.00 HERMAN MILLER INC
Each FT180.4142T--WN-2I08
Tile,Full-Height,Tackable Fabric 41H 42W
WN:warm grey neutral
2108:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -04
166 20.00 HERMAN MILLER INC
Each FT180.4148T--WN-2I08
Tile,Full-Height,Tackable Fabric 41H 48W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -04
167 6.00 HERMAN MILLER INC
Each FT181.1142T--WN-2I08
Upper Tile, Tackable Fabric 11H 42W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -04
168 6.00 HERMAN MILLER INC
Each FT181.1148T--WN-2I08
Upper Tile, Tackable Fabric 11H 48W
WN:warm grey neutral
2I08:grasscloth taro
Mark Line For: OPEN OFFICE 203
WS -04
169 6.00 HERMAN MILLER INC
Each FT2G2.S24RL--LBV-WN
Support Panel, Frame -Aft, Sq -Edge, Right -Hand Support, Lam 24D
LBV:warm grey teak
WN:warm grey neutral
Mark Line For: OPEN OFFICE 203
WS -04
Page: 35 of 39

90.90 96.26

41.98 44.50
130.98
545.40
1,925.20
251.88
267.00
785.88

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit
Extended
170
171
172
173

6.00 Each

6.00 Each

6.00 Each

6.00 Each

HERMAN MILLER INC
FTS 10.2424LF--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/24
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FTS 10.2442LF--LBV-LBV
Rectangular Surface
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/42
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
FTS21.2448LF--LBV-LB V
Concave Corner Surface,Sq-Edge, Lam Top/Thermo Edge, 24D 48W, Frame Atch
LBV:warm grey teak
LBV:warm grey teak
Mark Line For: 24/48
OPEN OFFICE 203
WS -04

HERMAN MILLER INC
LW 100.20BBF--SB-XS-WN-KA-2F-2M
Ped W-Pull,Freestd 20D B/B/F
SB:full-extension ball-bearing
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
2F:raised height
2M:drawer divider in box drawers, 2 file converters in file drawer Mark Line For: F/BBF
OPEN OFFICE 203
WS -04
Page: 36 of 39
103.21
144.55
244.92
292.28
619.26
867.30
1,469.52
1,753.68

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Item
QTY Item Description
Unit Extended
174

6.00 Each
175 1.00
Each

HERMAN MILLER INC
LW 100.20FF--SB-XS-WN-KA-2F-1 M
Ped W-Pull,Freestd 20D F/F
SB:full-extension ball-bearing
XS:textured paint on smooth steel
WN:warm grey neutral
KA:keyed alike
2F:raised height
1M:2 file converters in each file drawer
Mark Line For: F/FF
OPEN OFFICE 203
WS -04

SHERIDAN GROUP -WAREHOUSE & LABOR
LABOR
Labor to Receive, deliver and install (6) small workstations, (6) large workstations, (1) conference room table with (10) chairs, lateral files, (1) private office

PRODUCT SUBTOTAL

LABOR SUBTOTAL

SERVICE SUBTOTAL

SALES TAX

GRAND TOTAL
Required Deposit 50.0% :
253.13
1,518.78
8,800.00 8,800.00
$96,122.07
$8,800.00
$325.00
$8,131.50
$113,378.57
$56,689.29

PLEASE REVIEW THIS SALES AGREEMENT AND NOTIFY US PROMPTLY OF ANY CORRECTIONS REQUIRED Financing Options For Your Consideration
We are pleased to offer the following finance proposal to help facilitate the acquisition of your new furniture solution. Our goal is to offer the best possible payment structure to meet your current and ongoing financing needs. We can provide a wide range of financing options and customized terms. Below, you will find the monthly payment amount for this proposal, for the typical 60 month term. This proposed financing is subject to credit approval by LEAF Commercial Capital, Inc. or its affiliates and the execution of mutually acceptable lease documentation. Does not include applicable sales tax. If you are interested in learning more about this option, please contact your The Sheridan Group representative.

Total Monthly Payment Amount: $ 2,205.21
Page: 37 of 39

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
Terms and Conditions of Sale
Sales Tax — Sales tax rates are subject to change without notice. The correct sales tax will be charged based on the DATE when the items are delivered/installed.

General- It is mutually understood and agreed that Sheridan Group's services and obligations are limited in scope to those items of work as set forth in the scope of this proposal and that Sheridan Group shall not be held responsible for breach of these services as a result of an act of God, strikes, work stoppages or any other delay beyond the control of Sheridan Group.

Payment Terms- The Buyer agrees to pay each invoice upon receipt. The Buyer agrees to pay the additional sum of one and one- half percent (1-1/2%) per month for any balance not received by Sheridan Group (SG) within 30 days from date of invoice.

Acceptance by SG of any partial or late payment, or SG's failure to object to any default shall not constitute a wavier of outstanding balances due.

Additional Services- This agreement does not provide for services not specifically called out in this document. Such services as painting/marking of furniture on the floor, field measure, inventory documentation of existing furniture, CADD/Specification work due to more than two changes to a floor plan, cleaning or repair of furniture necessitated by contractor or others related damage/dirt/ debris/use, can be quoted based on hourly rates and estimated hours.

Reimbursable Expenses- Reimbursable expenses include, but are not limited to: travel expenses, printing expenses, express shipping charges, and are billed at cost.

Lead Time- Lead time estimates are based on the manufacturer's published production time in effect at the date of the proposal plus order processing and transit time. Lead times may vary based on time elapsed for receipt of Buyer's acceptance.

Buyer Request Cancellation or Changes - Requests for changes/revisions after order entry, must be reviewed by Sheridan Group to determine feasibility, cost ramifications and lead time impact. You may change or cancel an order ONLY with our prior written consent. Products are made to order and non -returnable after fabrication, shipment & delivery. Order changes and cancellations might be subject to price adjustment and/or restocking fees. Buyer agrees to pay all costs incurred by Sheridan Group as a result of the implementation of a revision. On-site changes order requests will incur charges as appropriate.

Delays- In the event that construction delays, or other causes not within SG's control, force postponement of the installation, the furnishings will be stored until installation can be resumed, and will be considered accepted by the Buyer for purposes of payment.

Transfer and Storage charges incurred shall be paid by Buyer.

Freight Claims- Claims for transportation damage will be processed by the Buyer if product is shipped direct to the Buyer's facilities or other directed location, and received by Buyer. Claims for transportation damage will be processed by SG if product is shipped to SG's facilities or Buyer's facility and received by SG; any damaged merchandise will be repaired or replaced. Buyer will not withhold payment to SG because of freight damage.

Installation- Unless otherwise stated, the rates quoted are based on the following conditions: Non -Union labor, normal working hours (no over -time), elevator access directly into staging/installation area, site free and clear of conflicting trades. Site must include lighting and appropriate environmental conditions, priority use of elevators during off-loading, related trash removal, and loading dock availability. Hardwiring of electrical is not included and must be supplied by licensed electrician. Buyer will be available for final walk-through/punch list sign off.

Punch List- If necessary, after installation SG will prepare a punch list noting items requiring additional attention. Punch list items unusable, due to damaged product or manufacturer's delay of delivery, may be temporarily deducted from invoice. Payment for all products delivered and installed in good condition is to be made in full. In no case is payment to be withheld for acceptable products should any portion of the total job be unacceptable or undelivered. Payment for completed punch list items is due upon receipt of invoice for remaining balance.

Insurance- Once product has been delivered to Buyer's facility, Buyer agrees to take immediate full responsibility for full insurance coverage in SG's favor against the risks of fire, theft and physical damage until such time that invoice is paid in full. If Buyer Page: 38 of 39

ISHERIDAN
GROUP
III 0
Order Number:

Date:

Customer Name:

Customer PO:
527070
09/01/2023

CITY OF PLACENTIA,

CALIFORNIA
Sales Agreement
Account
Executive:

Project #:

Terms:

Quote valid for:

Email:

SHERIDAN GROUP
2045 Pontius Ave
Los Angeles, CA 90025
SHERIDANINC.COM
Erin Duff

PAYMENT IN FULL
30 days
[email protected]
authorizes SG to perform services on Buyer's existing furniture (i.e. refinishing, reconditioning, reupholstering) and SG is required to remove the furniture from Buyer's premises, Buyer agrees to provide proof of insurance for Buyer's existing furniture and further agrees to hold SG harmless and indemnified for any damages done to their existing furniture.

Fabric/Leather/Finishes- Yardages/square-footages quoted for fabrics/leathers are approximate and subject to variation by virtue of actual physical measure and/or pattern or mill overruns. Any additional such fabric/leather shall be billed to Buyer at stated unit prices, payable upon receipt of invoice. SG will not be responsible for damages due to fading, sun rot, cleaning, or abnormal wear.

SG does not guarantee uniformity of any product's finish or color.

Ownership- SG shall have a security interest in and retain title to all product purchased hereunder until Buyer has fully performed all of its obligations under this agreement, including any future add-ons, late and extension charges, time charges and all other charges permitted by this agreement or by law. So long as SG continues to have such a security interest and retain title, Buyer shall, with regard to all such product, assume full risk of loss or damage, pay any discharge taxes and liens promptly, maintain in good order and make all repairs, use only for lawful purposes, use and keep only at the location delivered, sell, encumber or otherwise transfer part or all thereof only with the prior written consent of SG.

Claims and Warranties- SG shall pass all manufacturers warranties to Buyer. Other than the manufacturer's warranty, SG makes no other warranty, either express or implied, as to any matter whatsoever, including without limitation, the product's condition, or fitness for any particular use or purpose.

Enforcement Costs- Buyer shall pay all costs, charges, expenses, fees, and disbursements incurred by SG in taking and reselling the product, collecting any sums which may be due from Buyer, or any other enforcement of terms defined in this agreement.

Entire Agreement- This instrument constitutes the entire agreement between the Buyer and SG . '46, WARNING: Some or all of the products listed on this document were manufactured with chemicals that the State of California determined are a Health risk. For more information go to www.P65Warnings.ca.gov/furniture .

CLIENT ACCEPTANCE — Signature indicates acceptance of this sales agreement and it's terms and conditions.

Client Authorized Signature Date
Company Name PO Number
Page: 39 of 39

TO:

VIA:

FROM:

DATE:

Placentia City Council

AGENDA REPORT

CITY COUNCIL

CITY ADMINISTRATOR

DEPUTY CITY ADMINISTRATOR / PUBLIC SERVICES & INFRASTRUCTURE SEPTEMBER 19, 2023
SUBJECT: PURCHASE OF OPTICOM EMERGENCY VEHICLE TRAFFIC SIGNAL

PREEMPTION DEVICES (PHASE V)
FISCAL
IMPACT: EXPENSE: $ 57,207.81 TOTAL PURCHASE PRICE
BUDGET: $110,000.00 FY 2023-24 CIP BUDGET (659800-6741 JL#24201) SUMMARY:

Traffic signal preemption systems work by remote communications between an approaching emergency response vehicle and the traffic signal to change the traffic signal to a green light without forcing the response vehicle to stop or slow down at the intersection. Over the past three years, the Public Works Department has implemented four phases of Opticom's Emergency Vehicle Preemption (EVP) system at 58 signalized intersections along various arterial roads. The implementation of Opticom equipment allows equipped public safety vehicles to secure the right- of-way through advance trigger of the signal green light, thus reducing emergency response times and further improving public safety services to the community.

The proposed purchase presented to the City Council for its consideration will expand and complete the existing Opticom network by equipping the remaining five (5) signalized intersections throughout the City that have yet to receive this new equipment.

RECOMMENDATION:

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

1. Authorize the City Administrator to approve a purchase order to DDL Traffic Inc., for the purchase and installation of five (5) Opticom EVS Traffic Signal Preemption Devices for a not -to -exceed amount of $57,207.81; and

2. Authorize the City Administrator 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.

1.e.

Sept. 19, 2023

City Council Agenda
September 19, 2023

Page 2 of 3 ends

DISCUSSION:

Traffic signal preemption systems work by remote communications between an approaching emergency response vehicle and the traffic signal to change the traffic signal to a green light without forcing the response vehicle to stop or slow down at the intersection. It also flips the cross traffic to a red light to keep the intersection fully clear of any traffic for the approaching emergency vehicle. The first phase of the Opticom system was implemented in June 2020 at 30 key signalized locations throughout the City to help reduce emergency vehicle response time.

Currently, all fire apparatuses operated by the Placentia Fire Department, as well as all police patrol units are equipped with the Opticom EVP system. Additionally, the City's 9-1-1/Advanced Life Support paramedic service provider, Lynch EMS, also installed the necessary equipment to utilize the Opticom EVP system for the ambulances assigned to serve the City of Placentia. As of today, there are 58 signalized locations throughout the City equipped with the Opticom system to facilitate faster mutual -aid response times for Placentia Fire Department, Police Department and Lynch EMS assisting our neighbors.

The City maintains a total of 63 traffic signals including those shared -intersections with neighboring cities. The proposed purchase presented to the City Council for its consideration will expand and complete the existing Opticom network by equipping the five (5) remaining signalized intersections throughout the City that have yet to receive this equipment. Once concluded, this program will have upfitted every traffic signal in the City with the Opticom system. If approved by the City Council, Staff will procure the traffic signal equipment and coordinate with Public Safety Staff on the installation as quickly as possible.

Global Traffic Technologies is the manufacturer of the Opticom EVP system, which is only available for purchase in Southern California through a sole source authorized dealer, DDL Traffic, Inc. (DDL). The City's Purchasing and Contract Guidelines allow for sole source purchases if a proprietary product is only available through a single source procurement. To facilitate, integrate, and ensure rapid mutual and automatic aid responses in and out of Placentia, it is necessary to utilize the same standardized system used by our neighboring jurisdictions. Staff reviewed the proposed unit pricing offered by the DDL bid against pricing offered to other jurisdictions to ensure competitive pricing, and the pricing is comparable to that secured by neighboring jurisdictions.

FISCAL IMPACT:

The City Council allocated a total of $110,000 in Citywide Traffic Development Impact Fees to cover the purchase cost for these additional devices. The total purchase price for this additional phase amounts to $57,207.81. As such, sufficient funds exist for the recommended actions.

Prepared by: Reviewed and approved:
/K2 ra_ lig 9 �L-
Kyra ao,EP.E., PTP Jennifer Lampman
Transportation Manager Director of Finance

City Council Agenda
September 19, 2023

Page 3 of 3 ends

Reviewed a d pproved:

Reviewed and approved:

Luis Estevez ! Darnen R. Arrula
Deputy City Administrator
City Administrator
Attachment:

Opticom Equipment Quote from DDL Traffic Inc.

$53,500.001
Total:

Sales Tax (8.75%)
I $53,500.00
$3,707.81
DDL TRAFFIC INC. QUOTE
AGENCY
City of Placentia

PROJECT
Signal Pre-Emption
w/GPS Opticom
Rosalie Harvey
626 -226 -8844 -Cell
[email protected]
www.ddltraffic.com
DDL Traffic.�oo

BID DATE INTERSECTION
9/5/23 N/A

BID ITEM
AB -0155 Pelco Clamp
Opticom GPS Cable (500')
768 Aux. Harness
GTT 764 Phase selector
GTT GPS 3100 Intersection Antenna
760 Opticom Card Rack(If Needed)
Tech Support Opticom per Intersection
Labor to Install GPS per Intersection
QTY.
5 5
5 5
5 5
5 5
COST EA.
$85.00
$850.00
$705.00
$3,150.00
$3,125.00
$560.00
$850.00
$1,375.00
TOTAL
$425.00
$4,250.00
$3,525.00
$15,750.00
$15,625.00
$2,800.00
$4,250.00
$6,875.00
Total
*Quote Good for 90 Days
2131 S. Grove Ave., Suite H, Ontario, CA 91761
1 Total Cost:
$57,207.81

TO:

VIA:

FROM:

DATE:

Placentia City Council

AGENDA REPORT

CITY COUNCIL

CITY ADMINISTRATOR

DEPUTY CITY ADMINISTRATOR / PUBLIC SERVICES & INFRASTRUCTURE SEPTEMBER 19, 2023
SUBJECT: PURCHASE OF ONE (1) PUBLIC WORKS SERVICE TRUCK FISCAL
IMPACT: EXPENSE: $73,951.56 PURCHASE PRICE
$ 5,000.00 OUTFITTING/EQUIPMENT COSTS
$78,951.56 TOTAL COST
SUMMARY:

The Public Works Department has several vehicles that have exceeded their useful service lives and need replacement. There is an immediate need to purchase one (1) Public Works service truck to replace one (1) 2006 Ford Ranger. The new vehicle will be utilized by the Public Works Superintendent overseeing landscaping maintenance, street maintenance, irrigation maintenance, and day-to-day maintenance activities throughout the City. The selected vehicle for this purchase is one (1) 2023 F-150 Lightning Crew Cab pickup truck and will be purchased from Fairway Ford. The truck is ready to be delivered upon receipt of an approved purchase order from the City. The total cost of the vehicle amounts to $73,951.56. An additional $5,000 has been identified as other costs to be utilized to outfit the vehicle with an arrow board, side steps, bedliner and necessary tools and equipment. This action authorizes a budget amendment allocating available funds from the Vehicle Replacement Fund for the purchase.

RECOMMENDATION:

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

1. Approve the purchase of one (1) 2023 Ford F-150 Lightning Crew Cab work truck from Fairway Ford in the amount of $73,951.56 and an additional $5,000 for outfitting costs of the vehicle upon receipt; and

2. Adopt Resolution No. R-2023-78, 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 and/or his designee to issue a purchase order to Fairway Ford for this vehicle and execute all necessary documents, in a form approved by the City Attorney.

1.f.

Sept. 19, 2023

City Council Agenda
September 19, 2023

Page 2 of 3 ends

STRATEGIC PLAN STATEMENT:

There is no specific strategic planning goal or objective associated with this agenda item.

DISCUSSION:

For this purchase, Staff evaluated the selected 2023 Ford F-150 Lightning Crew Cab truck to replace older vehicles within the City's fleet. The vehicle has been placed on order by Fairway Ford and is ready for delivery if approved by the City Council. Staff determined the Ford F-150 Lightning crew cab pickup truck to be a suitable vehicle for the needs of the Public Works Department due to its ideal size, lower maintenance costs, and ride comfort. The City currently operates a fleet of electric vehicles and the purchase of an electric vehicle for this utility use furthers the City's goal of transitioning its fleet to electric vehicles when feasible.

Staff received one (1) suitable competitive bid from Fairway Ford for one (1) 2023 Ford F-150 Lightning crew cab work truck in the amount of $73,951.56. Staff recommends the purchase of the selected maintenance vehicle from Fairway Ford as they are the only vendor that can deliver this vehicle upon approval. Due to supply chain issues, there is a lack of vehicle inventory and a 2-3 year waiting period when ordering a truck directly from the factory. This action authorizes the purchase of one (1) Public Works maintenance vehicle for use by the Public Works Superintendent from Fairway Ford, utilizing available funds within the Vehicle & Equipment Replacement Fund. Upon taking delivery of this vehicle, it will be added to the City's fleet management list.

FISCAL IMPACT:

The quote from Fairway Ford to purchase one (1) 2023 Ford F-150 Lightning work truck is for a total of $73,951.56. An additional $5,000 has been identified as other costs to be utilized to outfit the vehicle with arrow board, side steps, bedliner and necessary tools and equipment. Resolution No. R-2023-78 (Attachment 1) shall authorize the use of the available funds within the Vehicle & Equipment Replacement Fund for a total of $79,000 for the total purchase and outfitting costs.

The current available fund balance in the Vehicle Replacement Fund is $94,748. As such, sufficient funds exist for this expense. Once received, the vehicle will be added to the City's fleet inventory.

Prepared by:
jest (r'),utAs
Joel Cardenas
Public Works Superintendent
Reviewed and approved:

Reviewed and approved:

Jennifer Lampman
Director of Finance
Reviewed and approved:

City Council Agenda
September 19, 2023
Page3of3
Luis Estevez
Deputy City Administrator
Damien R: Arrula
City Administrator
Attachments:

1. Quote from Fairway Ford

2. Resolution R-2023-78 — Budget Amendment

1350 Yorba Linda Boulevard • Placentia, • California • 92870 Tel: 714/ 524-1200 • Fax: 714/ 996-5610
QUOTE
DATE JULY 17, 2023

CITY OF PLACENTIA
401 E CHAPMAN AVE
PLACENTIA, CA 92870
YEAR 2023

MAKE FORD
MODEL F150 LIGHTENING CREW CAB XLT
VIN# 1FT6W1EVOPWG30997
PRICE $67,995.00
TIRE FEE $7.00
SALES TAX $5,949.56
DMV FEE $0,00
TOTAL AMOUNT DUE $73,951.56
If you should have any questions regarding this QUOTE please contact Trina Maurer -Fleet Manager ATTACHMENT 1

RESOLUTION NO. R-2023-78

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.

A. Recitals.
(i). The adopted budget for the 2023-24 Fiscal Year sets out estimated appropriations for City expenses throughout the year.
(ii). From time to time the adopted budget must be adjusted when precise expenditures are finally determined or when estimated expenditures exceed projected costs allocated.
(iii). City Charter of the City of Placentia § 1206 authorizes the City Council to amend or supplement the budget by motion adopted by the affirmative votes of at least three members so as to authorize the transfer of unused balances appropriated for one purpose to another purpose, or to appropriate available revenues not included in the budget. All other legal prerequisites to the adoption of this Resolution have occurred.

B. Resolution.

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF PLACENTIA DOES HEREBY FIND, DETERMINE AND RESOLVE AS FOLLOWS:

1. In all respects as set forth in the Recitals, Part A., of this Resolution.

2. The adopted budget for Fiscal Year 2023-24, Resolution No. R-2023-42, is hereby amended to reflect the following expenditure of funds from the Account specified to the Account specified:

Fund Description Department GL Account Amount Type
Vehicle & Fund Balance Public Works 0041-3001 $79,000 Decrease Equipment
Replacement Fund
Vehicle & Purchase of F-150 Public Works 413600-6842 $79,000 Increase Equipment Lightning Truck
Replacement Fund

3. The Mayor shall sign this resolution, and the City Clerk shall attest and certify to the passage and adoption thereof.

Resolution R-2023-78 ATTACHMENT 2

Page 1 of 2 ends

PASSED, ADOPTED AND APPROVED THIS 19TH DAY OF SEPTEMBER 2023.

Ward L. Smith, Mayor
ATTEST:

Robert S. McKinnell, City Clerk

STATE OF CALIFORNIA

COUNTY OF ORANGE
1, Robert S. McKinnell, City Clerk of the City of Placentia, do hereby certify that the foregoing resolution was adopted at a regular meeting of the City Council of the City of Placentia held on the 19th day of September 2023 by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:

Councilmembers:

Councilmembers:

Councilmembers:

Councilmembers:

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

Christian L. Bettenhausen, City Attorney
Resolution R-2023-78 ATTACHMENT 2

Page 2 of 2 ends

TO:

VIA:

FROM:

DATE:

Placentia City Council

AGENDA REPORT

CITY COUNCIL

CITY ADMINISTRATOR

DEPUTY CITY ADMINISTRATOR / PUBLIC SERVICES AND INFRASTRUCTURE SEPTEMBER 19, 2023
SUBJECT: APPROVAL OF PLANS & SPECIFICATIONS AND AWARD OF CONSTRUCTION

CONTRACT TO SQUARE SIGN, LLC, FOR THE WAYFINDING DIRECTIONAL SIGNAGE PROJECT PHASE I, CITY PROJECT NO. 1403
FISCAL
IMPACT: EXPENSE: $ 86,145.49 CONSTRUCTION CONTRACT
$ 8,615.00 TOTAL CONTINGENCY AMOUNT
BUDGET: $ 200,000.00 FY 2023-24 CIP BUDGET (109800-6740, JL 24103-6740) SUMMARY:

On October 5, 2021, the City Council awarded a professional services agreement to Seibert Perkins Design (SPD) to develop a citywide wayfinding signage program. Wayfinding signs are designed to inform and direct motorists and pedestrians to key points of interest within the community. On November 15, 2022, SPD presented the design concepts of the Wayfinding Signage Program to the Council and was directed to complete the engineered construction and fabrication documents and technical specifications of the project.

The City solicited competitive bids for the first phase of project construction on July 24, 2023. A total of six (6) bids were received for this project and the low bid submitted was by Square Signs in the amount of $86,145.49. The City reviewed the bid received from Square Signs and found it to be accurate and responsive. Staff recommends that the City Council award a Public Works Agreement to Square Signs to construct the first phase of the Wayfinding Signage Program.

RECOMMENDATION:

It is recommended that City Council take the following actions:

Approve the engineered construction plans & specifications prepared by Seibert Perkins Design, and approve a Public Works Agreement for this project with Square Sign in the amount of $86,145.49; and

2. Reject all other bids received and authorize return of the bid bonds; and

1.g.

Sept. 19, 2023

City Council Agenda
September 19, 2023

Page 2 of 3 ends

3. Authorize the City Administrator to approve contract change orders up to ten percent (10%) of the contract amount, or $8,615 for a total construction contract not -to -exceed amount of $94,761.49; and

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

STRATEGIC PLAN STATEMENT:

This item conforms to Strategic Plan Goal 6 and Objective 6.2, Select Concepts and Install Citywide Wayfinding Signage.

DISCUSSION:

Wayfinding signage at key locations throughout a community helps to create unique community branding when announcing a motorist's or pedestrian's arrival at key destinations. Effective community wayfinding signage is a key component to economic development efforts and placemaking, and conveys a higher degree of a community's sophistication and investment in its local infrastructure. The wayfinding signs will need to be designed such that the required information is presented in an attractive, creative, and master planned format that does not distract drivers from other roadway signage, while reflecting the City's unique character and features.

On October 5, 2021, the City Council awarded a professional services agreement to Seibert Perkins Design (SPD) to develop the Citywide Wayfinding Signage Master Plan along with a Plans, Specifications, & Estimates ("PS&E") package for the fabrication and installation of the wayfinding signs. On November 15, 2022, the City Council approved the Citywide, Transit Oriented/Packinghouse District and Old Town Placentia wayfinding signage designs. The proposed wayfinding program will be implemented over multiple phases based upon funding availability and the ability to incorporate the signage into larger projects. Subsequent to the completion of the project design approved by the City Council, the City solicited competitive bids for the construction of Phase 1A on July 24, 2023, and the following six (6) bids were received on August 14, 2023:

BIDDER BID AMOUNT
1 Square Signs LLC $86,146.49
2 Monarka Development Corporation $104,720
3 Outdoor Dimensions $141,639
4 A Good Sign and Graphics $158,305
5 Ad Art $171,689.64
6 Fluoresco Service, LLC $240,494.26

City Council Agenda
September 19, 2023
Page3of3
The Phase 1A construction will fabricate general wayfinding signs for points of interest found throughout the entire community and install these signs at all major corridors. The purpose of the general wayfinding signage is to help direct people to their desired destination or point of interest and amenities; enhance visitor and resident experiences; reduced driver, pedestrian, and bicyclist delays; and improve traffic flow and safety. The bid submitted by Square Signs was found to be the lowest responsive and responsible bid for this project. Reference checks for Square Signs were conducted and those agencies surveyed provided positive feedback regarding Square Sign's quality of work and its responsiveness in resolving construction issues. Staff recommends awarding a construction contract to Square Signs for the first phase of the Citywide Wayfinding Signage Project.

FISCAL IMPACT:

The total construction cost for Phase IA of the project amounts to $94,761.49. This cost consists of the bid amount submitted by Square Sign in the amount of $86,145.49, and a construction contingency in the amount of $8,615. A total of $200,000 is available in the FY 2023-24 Capital Improvement Program for this project. As such, sufficient funds exist for the recommended actions.

Prepared by:
-/ 177/-
Kyra tao,` P. E. , PTP V
Transportation Manager
Reviewed
ved:

Reviewed and approved:

Jennifer Lampman
Director of Finance
Reviewed and approved:

Luis Estevez Damien R. Arrula
Deputy City Administrator
City Administrator
Attachment:

Public Works Agreement with Square Sign, LLC.

Project No. 1403

CITY OF PLACENTIA

PUBLIC WORKS AGREEMENT FOR
FOR

WAYFINDING DIRECTIONAL SIGNAGE PROJECT PHASE I
THIS AGREEMENT (herein "Agreement"), is made and entered into this 19th day of September, 2023 by and between the CITY OF PLACENTIA, a municipal corporation and charter city, (herein "City") and SQUARE SIGNS LLC dba FRONT SIGNS (herein "Contractor"). The parties hereto agree as follows:

WITNESSETH:

A. WHEREAS, City requires the fabrication and installation of citywide wayfinding directional signage 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 Square Signs LLC dba Front Signs a (California corporation, partnership, individual) located at 3520 Valhalla Drive, Burbank, CA 91505.
(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.
1 Project No. 1403
(d) Contract Officer shall mean the person designated by the City 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 2 Project No. 1403
of services hereunder. Should Contractor discover any latent or unknown 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. 1403

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 ten percent (10%) or less of the Contract Sum may be approved by the Contract Administrator. Any increases, taken either separately or cumulatively, that result in the Contract Sum exceeding 10% of the Contract Sum 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 Wage 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 Eighty -Six Thousand, One Hundred Forty -Six Dollars ($ 86,146.49) (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 Progress 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. 1403
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 Maieure. 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 Sept 19, 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:

Gevorg Hambardzumyan, CEO
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 directing all activities of Contractor and devoting sufficient time to personally supervise the services hereunder. 5 Project No. 1403
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, 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. 6 Project No. 1403

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 III 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.

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. 7 Project No. 1403
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 "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 8 Project No. 1403
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.

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 9 Project No. 1403
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 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. 10 Project No. 1403

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.

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 11 Project No. 1403
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 Riahts 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 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 12 Project No. 1403
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.: Kyra Tao, Transportation Manager
Square Signs LLC dba Front Signs
3520 Valhalla Drive
Burbank, CA 91505
Attn: Gevorg Hambardzumyan, CEO

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 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. 13 Project No. 1403

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 Severabilitv. 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 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 14 Project No. 1403
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 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. 15 Project No. 1403

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.

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 16 Project No. 1403
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
Damien R. Arrula, City Administrator
ATTEST:

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

Project No. 1403
CONTRACTOR — Square Signs LLC dba Front Signs
-011'1 ti -a414041 /5 uMbicUA, 8/25/2023
Date:

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

Rosanna Ramirez, Deputy City Administrator
APPROVED AS TO CONTENT:
6iV'a -rah
Kyra Tao, Transportation Manager

DEPARTMENTAL APPROVAL
Date:

Date:

Date:
8/29/2023
bAiS fSfl /'j 8/29/2023
Date:

Luis Estevez, Deputy City Administrator
18 Project No. 1403

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 ($ .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 attorneys 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. 1403

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)
(Corporate Seal)
APPROVED AS TO FORM:
/s/ Christian L. Bettenhausen
City Attorney
Principal
By
Title
Principal
By
Title

Project No. 1403

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:

Signature:

Principal
Title

Project No. 1403

TAX IDENTIFICATION NUMBER

Page 1 of 1 ends

(Use of City form
is required)
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. 1403

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 Date:

Contractor: By:

Title:

Project No. 1403

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.

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. 1403

EXHIBIT A

SCOPE OF SERVICES

Project No. 1403

EXHIBIT B

SCHEDULE OF PERFORMANCE

Project No. 1403

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 Tess 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 General Aggregate shall apply separately to each project. The required

Project No. 1403
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 subcontractor's failure to carry specific insurance or to supply evidence of such insurance.

Project No. 1403
• 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. • CITY shall be endorsed as an additional insured for liability arising out of ongoing and completed operations by or on behalf of the Contractor.

Project No. 1403
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. 1403
G. Documentation
The Certificate of Insurance shall include the following reference:

Wayfinding Directional Signage Project Phase I
• 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.

EXHIBIT D

CERTIFICATES OF INSURANCE AND ENDORSEMENTS

Project No. 1403

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.

ACO DR

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
8/25/2023
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 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 I UUNIACI Sandra Cox
NAME:

PHONE xt)• (714)263-3600
Lake Insurance Agency
653 South B Street
Lic #0747473
Tustin

INSURED
Square Signs LLC dba Front Signs
1214 Grandview Ave
CA 92780
Glendale CA 91201
E-MAIL
ADDRESS: Sandra@lakeins . coin
FAX (714)263-3600
(A/C, No):

INSURER(S) AFFORDING COVERAGE
INSURERA:WeSt American Insurance Company
INSURER B: California Automobile Insurance
IINsuRERc:American Fire and Casualty Company
INSURER D :

I INSURER E :

INSURER F
NAIC #
44393
Co. 38342
24066
COVERAGES CERTIFICATE NUMBER:22-23 BA/23-24 GL XS EO
REVISION NUMBER:

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

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

INSR TYPE OF INSURANCE ADDL SUBR' POLICY EFF POLICY EXP LIMITS LTR INn D(
Rwvn POLICY NUMBER IMMIDYYYYI IMM/DD(YYYYI

X COMMERCIAL GENERAL LIABILITY
A
B
C

CLAIMS -MADE X OCCUR
X No Deductible or SIP.

GEN- 'L AGGREGATE LIMIT APPLIES PER:

POLICY X PEO LOC
OTHER:

AUTOMOBILE LIABILITY

ANY AUTO
- ALL OWNED
AUTOS

X HIRED AUTOS
X Phys Damage

X UMBRELLA LIAB
X
X
X

SCHEDULED
AUTOS

NON -OWNED
AUTOS
$2.000 Deductible
X

EXCESS LIAB
DEO 1 X I RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
OCCUR

CLAIMS -MADE
10,000
A Printers Errors 6 Omissions
$0.00 Deductible
YIN
X Y SSR58367228 1/19/2023 1/19/2024
x y SA040000064393 12/24/2022 12/24/2023
No Deductible or SIR for Liab
X Y ESA58367228
NIA
1/19/2023 1/19/2024
SSR58367228 1/19/2023 1/19/2024

EACH OCCURRENCE

DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

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

PROPERTY DAMAGE
(Per accident)

EACH OCCURRENCE

AGGREGATE
IPER

STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
Each Claim Limit
Aggregate Limit
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project # 1403 - WAYFINDING DIRECTIONAL SIGNAGE PROJECT PHASE I The City of Placentia is included as Additional Insured as respects General Liability with Primary and Non -Contributory wording and Waiver of Subrogation applies in their favor per endorsement CG88100413 and Additional Insured as respects Automobile Liability with Primary and Non -Contributory wording and Wavier of Subrogation per endorsement MCA85100817-CA.

CERTIFICATE HOLDER CANCELLATION
The City of Placentia
401 E Chapman
Placentia, CA 92870
ACORD 25 (2014/01)
INS025 (201401)
1,000,000
500,000
15,000
1,000,000
2,000,000
2,000,000
1,000,000
5,000,000
5,000,000
$1,000,000
$2,000,000

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

AUTHORIZED REPRESENTATIVE
Elie Toby/SANDRA Le, 'ay-
© 1988-2014 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

Policy # BA040000064393
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Business Auto Broadening Endorsement
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM
I. NEWLY ACQUIRED OR FORMED ENTITY (BROAD FORM NAMED INSURED) II. EMPLOYEES AS INSUREDS
III. AUTOMATIC ADDITIONAL INSURED
IV. EMPLOYEE HIRED AUTO LIABILITY
V. SUPPLEMENTARY PAYMENTS
VI. FELLOW EMPLOYEE COVERAGE
VII. ADDITIONAL TRANSPORTATION EXPENSE
VIII. HIRED AUTO PHYSICAL DAMAGE COVERAGE
IX. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE
X. LOAN/LEASE GAP COVERAGE
XI. GLASS REPAIR — DEDUCTIBLE WAIVER
XII. TWO OR MORE DEDUCTIBLES
XIII. AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS XIV. WAIVER OF SUBROGATION
XV. UNINTENTIONAL ERROR, OMISSION, OR FAILURE TO DISCLOSE HAZARDS XVI. EMPLOYEE HIRED AUTO PHYSICAL DAMAGE
XVII. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT XVIII. HIRED AUTO — COVERAGE TERRITORY
XIX. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH MCA85100817-CA
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BUSINESS AUTO COVERAGE FORM
NEWLY ACQUIRED OR FORMED ENTITY (Broad Form Named Insured) SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added:
d. Any business entity newly acquired or formed by you during the policy period provided you own 50% or more of the business entity and the business entity is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following acquisition or formation of the business entity.

Coverage under this provision is afforded only until the end of the policy period.

Coverage does not apply to an "accident" which occurred before you acquired or formed the organization.

II. EMPLOYEES AS INSUREDS
SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added:
e. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs.

III. AUTOMATIC ADDITIONAL INSURED
SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added:
f. Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II.

IV. EMPLOYEE HIRED AUTO LIABILITY
SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added:
g. 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.

V. SUPPLEMENTARY PAYMENTS
SECTION II — LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments, Subparagraphs (2) and (4) are replaced by the following:
(2) Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We are not obligated to furnish these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work.

MCA85100817-CA
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VI. FELLOW EMPLOYEE COVERAGE:

SECTION II — LIABILITY COVERAGE, B. Exclusions, 5. Fellow Employee This exclusion does not apply if you have workers' compensation insurance in -force covering all of your "employees". Coverage is excess over any other collectible insurance.

VII. ADDITIONAL TRANSPORTATION EXPENSE
SECTION III - PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, a. Transportation Expenses, is replaced with the following:

We will pay up to $50 per day to a maximum of $1000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". If your business shown in the Declarations is other than an auto dealership, we will also pay up to $1,000 for reasonable and necessary costs incurred by you to return a stolen covered auto from the place where it is recovered to its usual garaging location.

VIII. HIRED AUTO PHYSICAL DAMAGE COVERAGE
SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, the following is added:
c. If Liability Coverage is provided in this policy on a Symbol 1 or a Symbol 8 basis and Comprehensive, Specified Causes of Loss, or Collision coverages are provided under this coverage form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire, subject to the following limit:
(1) The most we will pay for "loss" to any hired "auto" is $50,000 or Actual Cash Value or Cost of Repair, whichever is less
(2) $500 deductible will apply to any loss under this coverage extension, except that no deductible shall apply to "loss" caused by fire or lightning Subject to the above limit and deductible we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own of similar size and type. This coverage extension is excess coverage over any other collectible insurance.

IX. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE
SECTION III - PHYSICAL DAMAGE COVERAGE, B. Exclusions, 3.a., is amended to add the following:

This exclusion does not apply to the accidental discharge of an airbag.

MCA85100817-CA
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X. LOAN/LEASE GAP COVERAGE
SECTION III - PHYSICAL DAMAGE COVERAGE C. Limit of Insurance, the following is added:

4. In the event of a "total loss" to a covered "auto" shown in the schedule or declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on the lease or loan for that covered "auto," less:
a. The amount paid under the Physical Damage Coverage Section of the policy; and
b. Any:
(1) Overdue lease/loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage.
(3) Security deposits not returned by the lessor;
(4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (5) Carry-over balances from previous loans or leases.

The most we will pay under Auto Loan/Lease Gap Coverage for an insured auto is 25% of the actual cash value of that insured auto at the time of the loss.

XI. GLASS REPAIR — DEDUCTIBLE WAIVER
SECTION III - PHYSICAL DAMAGE COVERAGE, D. Deductible, the following is added:

No deductible applies to glass damage if the glass is repaired rather than replaced.

XII. TWO OR MORE DEDUCTIBLES
SECTION III -PHYSICAL DAMAGE COVERAGE, D. Deductible, the following is added:

If two or more "company" policies or coverage forms apply to the same accident:

1. If the applicable Business Auto deductible is the smallest, it will be waived; or

2. If the applicable Business Auto deductible is not the smallest, it will be reduced by the amount of the smallest deductible; or

3. If the loss involves two or more Business Auto coverage forms or policies the smallest deductible will be waived.

For the purpose of this endorsement "company" means the company providing this insurance and any of the affiliated members of the Mercury Insurance Group of companies.

XIII. AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS The requirement in SECTION IV, BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit, Or Loss, a., In the event of "accident", you must notify us of an "accident" applies only when the "accident" is known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation.

MCA85100817-CA
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XIV. WAIVER OF SUBROGATION
SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of Recovery Against Others To Us, section is replaced by the following:

5. Transfer Of Rights Of Recovery Against Others To Us
We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract.

XV. UNINTENTIONAL ERROR, OMISSION, OR FAILURE TO DISCLOSE HAZARDS SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, 2. Concealment, Misrepresentation, or Fraud, the following is added:

Any unintentional omission of or error in information given by you, or unintentional failure to disclose all exposures or hazards existing as of the effective date or at any time during the policy period shall not invalidate or adversely affect the coverage for such exposure or hazard or prejudice your rights under this insurance. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery.

This provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal.

XVI. EMPLOYEE HIRED AUTO PHYSICAL DAMAGE
SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance, b. For Hired Auto Physical Damage Coverage, is replaced by the following:
b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own:

1. Any covered "auto" you lease, hire, rent or borrow; and

2. Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business.

However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto".

XVII. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance, the following is added and supersedes any provision to the contrary:
e. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:
(1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.

MCA85100817-CA
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XVIII. HIRED AUTO - COVERAGE TERRITORY
SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, 7. Policy Period, Coverage Territory, e. Anywhere in the world if:, is replaced by the following:
e. Anywhere in the world if:
(1) A covered "auto" is leased, hired, rented or borrowed without a driver for a period of 30 days or less; and
(2) The "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and possessions of the United States of America, Puerto Rico, or Canada or in a settlement we agree to.

XIX. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH SECTION V — DEFINITIONS, C. "Bodily Injury" is amended by adding the following:
"Bodily injury" also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness, or disease.

MCA85100817-CA
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Policy # BKW58367228 COMMERCIAL GENERAL LIABILITY
CG 88 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

COMMERCIAL GENERAL LIABILITY EXTENSION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
INDEX

SUBJECT PAGE
NON -OWNED AIRCRAFT 2
NON -OWNED WATERCRAFT 2
PROPERTY DAMAGE LIABILITY - ELEVATORS 2
EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3
EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 3 ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6

WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7
FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7
KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7
LIBERALIZATION CLAUSE 7
BODILY INJURY REDEFINED 7
EXTENDED PROPERTY DAMAGE 8
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8

WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU
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With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement.

A. NON -OWNED AIRCRAFT
Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided:

1. It is not owned by any insured;

2. It is hired, chartered or loaned with a trained paid crew;

3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and

4. It is not being used to carry persons or property for a charge.

However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision.

B. NON -OWNED WATERCRAFT
Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following:

This exclusion does not apply to:
(2) A watercraft you do not own that is:
(a) Less than 52 feet long; and
(b) Not being used to carry persons or property for a charge.

C. PROPERTY DAMAGE LIABILITY - ELEVATORS

1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations.

2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance:

The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis.

D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part:

1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability:
a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing:

Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to:
(i) Premises rented to you for a period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days.

Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days.

A separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance.

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b. The last paragraph of subsection 2. Exclusions is replaced by the following:

Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance.

2. Paragraph 6. under Section III - Limits Of Insurance is replaced by the following:

6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to:
a. Any one premise:
(1) While rented to you; or
(2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or
b. Contents that you rent or lease as part of a premises rental or lease agreement.

3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following:

9.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, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract".

E. MEDICAL PAYMENTS EXTENSION
If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows:

Under Paragraph 1. Insuring Agreement of Section I - Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following:
(b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B

1. Under Supplementary Payments - Coverages A and B, Paragraph 1.b. is replaced by the following:
b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds.

2. Paragraph 1.d. is replaced by the following:
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work.

G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT

1. Paragraph 2. under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by:
a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or
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b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or
d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions:
(1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard".

Insurance applies to premises you own, rent, or control but only with respect to the following hazards:
(3)
(a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or
(b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance.

However:

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

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

With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when:
(1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.

With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends.

With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor.

The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage".

We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi- tions.

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2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2.

Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability:

This insurance does not apply to:
a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying services, including:
(1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities.

This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services.
d. "Bodily injury" or "property damage" occurring after:
(1)
All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy.

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

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
a. Required by the contract or agreement; or
b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns.

H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy.

Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows:
a. The following is added to Paragraph a. Primary Insurance:

If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover.

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b. The following is added to Paragraph b. Excess Insurance:

When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured.

Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies.

I ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy.

1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit:

An additional insured under this endorsement will as soon as practicable:
a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us;
b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and
c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part.
d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured.

2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy.

J. WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS / MALPRACTICE

WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II - Who Is An Insured is replaced with the following:
(1) "Bodily injury" or "personal and advertising injury":
(a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above;
(c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply.

Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and CG 88 10 04 13
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advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances.

The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee".

K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES
Paragraph 3. of Section II - Who Is An Insured is replaced by the following:

3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However:
a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you;
b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and
c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured.

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 or qualifies as an insured under this provision.

L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES
Under Section IV - Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations:

Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional.

M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit:

Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph

1. of Section II - Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee".

N. LIBERALIZATION CLAUSE
If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state.

O. BODILY INJURY REDEFINED
Under Section V - Definitions, Definition 3. is replaced by the following:

3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease.

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P. EXTENDED PROPERTY DAMAGE
Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following:
a. 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.

Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A

CONTRACT OR AGREEMENT WITH YOU
Under Section IV - Commercial General Liability Conditions, the following is added to Condition 8. Trans- fer Of Rights Of Recovery Against Others To Us:

We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" provided:

1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and

2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment.

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CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DDIYYYY)
08/25/2023

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 be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER

AUTOMATIC DATA PROCESSING INS AGCY
76250717
71 HANOVER ROAD
FLORHAM PARK NJ 07932

INSURED

SQUARE SIGNS LLC DBA FRONT SIGNS
3520 W VALHALLA DR
BURBANK CA 91505-1126
CONTACT NAME:

PHONE (800) 524-7024
(AJC, No, Ext):

E-MAIL ADDRESS:

FAX
(A/C, No):

INSURER(S) AFFORDING COVERAGE NAIC#
INSURERA: Hartford Casualty Insurance Company
INSURER B :

INSURER C
IINSURER D :

IINSURER E :

IINSURER F :
29424
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

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

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

INSR ADDL SUBR' POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMM/DD/YYYY1 IMM/DD/Y YYY1

COMMERCIAL GENERAL LIABILITY

TYPE OF INSURANCE

CLAIMS -MADE
OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO -LOC
JECT
OTHER:

AUTOMOBILE LIABILITY

ANY AUTO
— ALL OWNED SCHEDULED

AUTOS AUTOS

HIRED NON -OWNED

AUTOS AUTOS
_ UMBRELLA LIAB OCCUR

EXCESS LIAB CLAIMS -
MADE

DED RETENTION
WCRK tiS C MPENSATION

AND EMPLOYERS' LIABILITY
ANY

A PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y/N
C

EACH OCCURRENCE

DAMAGE TO RENTED
PR (Ea occurrence)
MED EXP (Any one person)

I PERSONAL & ADV INJURY

I GENERAL AGGREGATE

IPRODUCTS - COMP/OP AGG

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

PROPERTY DAMAGE
(Per accident)

EACH OCCURRENCE

AGGREGATE

X ISTATUTE I IPER H
ER
E.L. EACH ACCIDENT
N/A X 76 WEG AG6BRF 06/01/2023 06/01/2024 E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT
$1,000,000
$1,000,000
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACO, D 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Waiver of Subrogation applies in favor of the Certificate Holder per Waiver of our Right to Recover from Others Endorsement WC040306 attached to this policy.

CERTIFICATE HOLDER CANCELLATION
City of Placentia SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 401 E CHAPMAN AVE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED PLACENTIA CA 92870 IN ACCORDANCE WITH THE POLICY PROVISIONS.

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

The ACORD name and logo are registered marks of ACORD

THE

HARTFORD

THE HARTFORD

BUSINESS SERVICE CENTER
3600 WISEMAN BLVD
SAN ANTONIO TX 78251
City of Placentia
401 E CHAPMAN AVE
PLACENTIA CA 92870
Account Information:

Policy Holder Details :

Square Signs LLC dba Front Signs
August 25, 2023
Contact Us
Need Help?
Chat online or call us at
(866) 467-8730.

We're here Monday - Friday.

Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns.

Sincerely,
Your Hartford Service Team
WLTR005

THE

HARTFORD

THE HARTFORD

BUSINESS SERVICE CENTER
3600 WISEMAN BLVD
SAN ANTONIO TX 78251

SQUARE SIGNS LLC DBA FRONT SIGNS
3520 W VALHALLA DR
BURBANK CA 91505
Policy Information:

Policy Number: 76 WEG AG6BRF
August 25, 2023
Contact Us
Visit https://business.thehartford.com
24/7 access to pay bills, view policy documents,
get your certificate of insurance and more.

Need Help? Chat online or call us at (866) 225-
7966. We're here Monday - Friday.
rb INSURANCE ENDORSEMENT ATTACHED
*** PLEASE REVIEW THE CHANGE
***
Enclosed is an endorsement for your business insurance policy. Please review it at your convenience. If you have questions or need to make further changes, Please contact us.

Thank you for allowing us to service your business needs.

Sincerely,
Your Hartford Service Team
SCPHS015

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CHANGE IN INFORMATION PAGE
INSURER: Hartford Casualty Insurance Company
NCCI Company Number: 14397 Audit Period: ANNUAL
Policy Effective Date: 06/01/23 Policy Expiration Date: 06/01/24 Policy Number: 76 WEG AG6BRF Endorsement Number: 20
Effective Date: 08/25/23 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: SQUARE SIGNS LLC DBA FRONT SIGNS 3520 W VALHALLA DR
BURBANK CA 91505
FEIN Number: 81-3945364
Producer Name: AUTOMATIC DATA PROCESSING INS AGCY
It is agreed that the policy is amended as follows:

Producer Code: 76250717
This is NOT a bill. However, any changes in your premium will be reflected in your next billing statement. You will receive a separate bill from The Hartford.

In consideration of no change in premium, it is agreed that:

Policy is amended to add the following condition(s):

Waiver of Our Right to Recover from Others Endorsement
Policy is amended to revise the following Endorsement Forms reflecting the changes made to your policy.

WC040306
WC990006A(.1 P)
Countersigned by
03`" Caa�z.z�,�%v
Authorized Representative
Form WC 99 00 06 A (1) Printed in U.S.A. Page 1
Process Date: 08/25/23 Policy Expiration Date: 06/01/24

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF OUR RIGHT TO RECOVER FROM

OTHERS ENDORSEMENT - CALIFORNIA
Policy Number: 76 WEG AG6BRF Endorsement Number: 20
Effective Date: 08/25/23 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: Square Signs LLC dba Front Signs 3520 W VALHALLA DR
BURBANK CA 91505
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.

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

SCHEDULE
Person or Organization Job Description
City of Placentia, 401 E CHAPMAN AVE, PLACENTIA, CA, 92870 Countersigned by
Authorized Representative
Form WC 04 03 06 (1) Printed in U.S.A.

Process Date: 08/25/23 Policy Expiration Date: 06/01/24

ACORD°

CERTIFICATE OF LIABILITY INSURANCE

DATE (MMIDDIYYYY)
9/6/2023
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 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
Lake Insurance Agency
653 South B Street
Lic #0747473
Tustin CA 92780

INSURED
Square Signs LLC
Front Signs LLC, DBA: FrontSigns
1214 Grandview Ave., #C
Glendale CA 91201
CUNIAUI Sandra Cox
NAME:

PHONE (714) 263-3600
u:

E-MAIL [email protected]
ADDRESS:

FAX (714(263-3600
INC. No):

INSURER(S) AFFORDING COVERAGE NAIC 9
INSURER A: Westchester Surplus Lines Insurance Co 10172 INSURER B:

INSURER C
1 INSURER D :
1 INSURER E :

I INSURER F :

COVERAGES CERTIFICATE NUMBER:23-24 Pollution Liability REVISION NUMBER:

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

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

INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INsn wvn POLICY NUMBER IMMIDD/YYYY1 IMM/DD/YYYY1 LIMITS

COMMERCIAL GENERAL LIABILITY

EACH OCCURRENCE

DAMAGE TO RENTED
PREMISES (Ea occurrence)

CLAIMS -MADE
OCCUR
GEN- 'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-
JECT
OTHER:

AUTOMOBILE LIABILITY

ANY AUTO
- ALL OWNED
AUTOS

HIRED AUTOS

UMBRELLA LIAB

SCHEDULED
AUTOS

NON -OWNED
AUTOS

EXCESS LIAB
DED I 1 RETENTION 5

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
OCCUR

CLAIMS -MADE
A Contractor's Pollution
Liability
Y/N
NIA
X
G7445835A001
$
$
MED EXP (My one person) S
PERSONAL 8, ADV INJURY $
GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG S
$
EACH OCCURRENCE $
AGGREGATE 5

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

PROPERTY DAMAGE
(Per accident)

STATUTE I I EERH
E.L. EACH ACCIDENT $
1 E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
09/05/2023 09/05/2024 Each Occurrence $1,000,000
Aggregate Limit $2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project # 1403 - WAYFINDING DIRECTIONAL SIGNAGE PROJECT PHASE I The City of Placentia is included as Additional Insured per endorsement ENV -3250 (12/18)

CERTIFICATE HOLDER CANCELLATION
The City of Placentia
401 E Chapman
Placentia, CA 92870
ACORD 25 (2014/01)
INS025 (201401)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

AUTHORIZED REPRESENTATIVE
Elie Toby/SANDRA Thy'
© 1988-2014 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

Westchester
\ Chubb Comp ny
ADDITIONAL INSURED ENDORSEMENT — ONGOING WORK OR OPERATIONS Named Insured Endorsement Number
Square Signs LLC dba Front Signs
Policy Symbol Policy Number Policy Period Effective Date of Endorsement CPW G7445835A001 09/05/2023 to 09/05/2024 09/05/2023
Issued By (Name of Insurance Company)
Westchester Surplus Lines Insurance Company
Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

CONTRACTORS POLLUTION LIABILITY COVERAGE PART
SCHEDULE:

Name of Person(s) or 0reanization(s): As required by written contract, prior to a loss to which this insurance applies.

The City of Placentia, 401 E Chapman, Placentia, CA 92870 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured the persons or organizations shown in the Schedule, but only with respect to liability for injury or damage, to which this insurance applies, caused in ,whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insureds.

However:

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

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

B. With respect to the insurance afforded to these additional insureds, the following exclusion is added:

Exclusions
This insurance does not apply to injury or damage occurring after:
a. All work or operations, including materials, parts or equipment furnished in connection with such work or operations, on the project (other than service, maintenance or repairs) to be performed by you or on your behalf at the site of the covered operations has been completed; or b. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for the additional insured as a part of the same project.

ENV -3250 (12/18)
(221012.1)
Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 2

Placentia City Council
TO: CITY COUNCIL
VIA: CITY ADMINISTRATOR
FROM: DAVID RADOMSKI, POLICE SERGEANT
DATE: SEPTEMBER 19, 2023

AGENDA REPORT
SUBJECT: PLACENTIA PUBLIC SAFETY COMMUNICATIONS CENTER MOTOROLA

PURCHASE AND UPGRADE
FISCAL
IMPACT: EXPENSE: $1,197,159.00 TOTAL PURCHASE PRICE OF EQUIPMENT BUDGET: $ 152,861.70 LEASE PAYMENT (105525-6935) FY 2024-25 SUMMARY:

New construction of the Placentia Public Safety building has begun. This mission critical facility will also be the new headquarters of Placentia Public Safety Communications (PPSC) dispatch center. With the expansion of the existing four (4) dispatching consoles to eight (8) fully functioning dispatching consoles, an upgrade to the Motorola radio consoles and radio backend is required.

This purchase will procure the necessary hardware, installation, and support for the expansion into the new facility once the Phase 2 construction is completed.

RECOMMENDATION:

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

1. Authorize the City Administrator to approve a 10 -year financing agreement with Motorola Solutions for the total purchase not -to -exceed the amount of $1,197,159.00 (annual payments of $152,861.70); and

2. Authorize the City Administrator to execute all necessary documents, in a form approved by the City Attorney.

STRATEGIC PLAN STATEMENT:

This item conforms to Strategic Plan Goal 5, Implement Public Infrastructure to Meet Community Needs, and Objective 5.4, Construct the Placentia Public Safety Center.

DISCUSSION:

In anticipation of the move to the new PPSC facility, Staff is recommending the replacement of the current console radios in the dispatch center to be compatible with the current specifications

1.h.

Sept. 19, 2023

City Council Agenda
September 19, 2023

Page 2 of 2 ends
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