2025-01789 [Contract] I Street Bridge Railing Repair Project (R15222200) — Sacramento City Council, February 24, 2026 (part 1 of 2)

City of Sacramento
City Council - 2PM Report
915 I Street Sacramento, CA 95814
www.cityofsacramento.org
File ID: 2025-01789 2/24/2026
[Contract] I Street Bridge Railing Repair Project (R15222200) File ID: 2025-01789
Location: I Street Bridge, west of Jibboom Street, District 4 Recommendation: Pass a Motion ratifying the City Manager or designee execution of City Agreement No. 2025-4539 with D N B Infrastructure, Inc., for emergency repairs on the I Street Bridge railing for an amount not-to-exceed $341,824.

Contact: Sabrina Martin, Junior Engineer, (916) 808-7804, [email protected]; Judith Matsui-Drury, Supervising Engineer, (916) 808-7610, [email protected]; Ofelia Avalos, Engineering Manager, (916) 808-5054, [email protected]; Department of Public Works
Presenter: None
Attachments:
1-Description/Analysis
2-Construction Contract
Description/Analysis
Issue Detail: Staff recommends Council ratify City Agreement No. 2025-4539 with D N B Infrastructure, Inc., for emergency repairs to damaged railings on the I Street Bridge. This report provides information to the City Council about an emergency contract issued by the Department of Public Works to D N B Infrastructure, Inc., under the City Manager’s authority. Competitive bidding was suspended and an emergency contract was issued on September 29, 2025, to repair the damaged railing on the I Street Bridge viaduct over the Union Pacific Railroad in the amount of $341,824.

Policy Considerations: This action is consistent with Sacramento City Code Chapter 3.56.260; when public interest and necessity demand immediate action, repair, or replacement to safeguard life, health, or property, to permit the continued conduct of city operations or services, or to mitigate further damage, and the cost is estimated to exceed $250,000, the City Manager may immediately execute a contract. The City Manager is required to subsequently present a report describing the emergency, the actions taken, and the number and costs of contracts entered into with outside vendors or contractors.

Economic Impacts: The repairment of this infrastructure is expected to create 1.37 total jobs (0.79 direct jobs and 0.58 jobs through indirect and induced actives) and create $211,054 in total economic

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File ID: 2025-01789 2/24/2026
output ($133,029 of direct output and another $78,025 of output through indirect and induced activities).

The indicated economic impacts are estimates calculated using a calculation tool developed by the Center for Strategic Economic Research (CSER). CSER utilized the IMPLAN input-output model (2009 coefficients) to quantify the economic impacts of a hypothetical $1 million of spending in various construction categories within the City of Sacramento in an average one-year period. Actual impacts could differ significantly from the estimates and neither the City of Sacramento nor CSER shall be held responsible for consequences resulting from such differences.

Environmental Considerations:

California Environmental Quality Act: This project has been determined Categorically Exempt from CEQA review by the Environmental Planning Services Division. A notice of exemption was filed on October 17, 2025. This project involves the repair and maintenance of an existing public facility involving no expansion of the existing or prior use and is covered by the categorical exemption for existing facilities in CEQA Guidelines Section 15301. None of the exceptions set forth in CEQA Guidelines 15300.2 are present.

Sustainability: Not applicable.

Commission/Committee Action: None.

Rationale for Recommendation: Immediate railing repairs to the I Street Bridge were necessary to address public safety. Both the Public Works Director and Engineering Manager concurred that the project qualified as an emergency. D N B Infrastructure, Inc. was selected based on their prior experience and performance on projects for the City of Sacramento.

Due to the bridge’s location, coordination with Union Pacific Railroad and the U.S. Coast Guard was essential to ensure the safe and timely execution of the repairs.

Union Pacific Railroad scheduled a 10-day bridge closure to conduct essential maintenance work, creating a limited window of opportunity for the city to complete the repairs without causing additional traffic disruptions. To take advantage of this closure, D N B Infrastructure, Inc. mobilized quickly and completed the necessary repairs between October 13-15, 2025.

Financial Considerations: The I Street Bridge Railing Repair Project has a total estimated cost of $416,000.There is sufficient funding within the Bridge Maintenance Program R15222200 to ratifying the City Manager or designee execution of City Agreement No.2025-4539 with D N B Infrastructure, Inc., for emergency repairs on the I Street Bridge railing for an amount not-to-exceed $341,824 (Gas Tax, Fund 2002).

Local Business Enterprise (LBE): D N B Infrastructure is an LBE.

Background: The project consisted of removing damaged railing and replacing it in kind with new railing on the northern side of the I Street Bridge. The damage was caused by a vehicular accident, which completely dislodged a portion of the railing, creating an immediate concern for public safety.

As a temporary measure, K-rail barriers were installed until the permanent repairs could be made.

These immediate actions were necessary for public safety and to maintain safe operation and access

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File ID: 2025-01789 2/24/2026
along I Street, west of Jibboom Street. City staff scheduled this Council item once the final contractor costs were received so that all relevant information could be presented to Council at one time.

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SACRAM ENTO
Office of the Oty Clerl<

CONTRACT

ROUTING SHEET
Contract Cover/Routing Form: Must Accompany ALL Contracts; however, it is NOT part of the contract.

General Information (Required)
Original Contract # (supplements only): Supplement/Addendum #:

Assessor's Parcel Number(s):

Contract Effective Date:
$ Amount (Not to Exceed): $ 341,824.00
Other Party: D N B INFRASTRUCTURE, INC.

Project Title: I STREET BRIDGE RAILING REPAIR
Project #: R15222211
Contract Expiration Date (if applicable):

Adjusted $ Amount (+/-):

Bid/RFQ/RFP #:

City Council Approval: YES if YES, Council File ID#:

Contract Processing Contacts
Department: Public Works Project Manager: SABRINA MARTIN Contract Coordinator: RAQUEL GONZALEZ Email: [email protected] Department Review and Routing
Contracts:

Project Manager:

Supervisor:

Division Manager:
al )vA--C 09/18/2025
Soh ',Sop IS. '

Special Instruction/Comments (i.e. recording requested, other agency signatures required, etc.) Construction Related Other Party Signature Required
FOR CLERK & IT DEPARTMENTS ONLY- DO NOT WRIT r •7-ic- - "Y THIS LINE )2025 - 4539 (."
CC Rev. 12.19.2018
KS
Engineering Services Division
915 I Street, RM 2000
Sacramento, CA 95814
Phone: 916-808-8300
Fax: 916-808-828 I

SACRAM ENTO
Department of Public Wor
Contract #2025-4539

CONTRACT SPECIFICATIONS
Fo r
I Street Bridge Railing Repair
(PN: R152222111)
Sabrina Martin, Project Manager
[email protected]
Estimated Construction Cost: $341,824.00 Construction Time: 20 Working Days Liquidated Damages: $1,000 per working day

AGREEMENT
(Construction Contract Over $25,000)
Award Amount: $ 341,824.00
THIS AGREEMENT, dated for identification 9/10/2025 , is made and entered into between the CITY OF SACRAMENTO, a municipal corporation ("City"), and D N B Infrastructure, Inc. 8589 Thys Court, Sacramento, CA 95828 ("Contractor").

The City and Contractor hereby mutually agree as follows:

1. CONTRACT DOCUMENTS
The Contract Documents, sometimes also referred to as the "Contract," consist of the following items, which are hereby incorporated by reference as if set forth in full in this Agreement:

Notice to Contractors
Proposal Form submitted by the Contractor
Instructions to Bidders
Subcontractor and Local Business Enterprise Participation Form Drug-Free Workplace Policy and Affidavit
Construction and Demolition (C&D) Debris Recycling Requirements Workers' Compensation Insurance Certification
Federal or State funding requirements (if applicable)
Local Business Enterprise (LBE) Requirements
Requirements of the Non-Discrimination in Employee Benefits Code Ban-The-Box Requirements
Addenda, if any
This Agreement
Standard Specifications
Special Provisions
Plans and Technical Specifications
The drawings and other data and all developments thereof prepared by City pursuant to the Contract
Any modifications of any of the foregoing made or approved by City, including but not limited to duly authorized change orders
Unless specifically noted otherwise, references to the "Standard Specifications" shall mean and refer to the Standard Specifications for Public Construction of the City of Sacramento approved by the Sacramento City Council on November 10, 2020 (Resolution No. 2020-0354), and any subsequent amendments thereto approved by the Sacramento City Council or the Sacramento City Manager. Work called for in any one Contract Document and not mentioned in another is to be performed and executed as if mentioned in all Contract Documents. The table of contents, titles and headings contained in the Contract Documents are provided solely to facilitate reference to various provisions of the Contract Documents and in no way affect or limit the interpretation of the provisions to which they refer.

Form approved by City Attorney 6-23-23

2. DEFINITIONS
Unless otherwise specifically provided herein, all words and phrases defined in the Standard Specifications shall have the same meaning and intent in this Agreement.

3. AGREEMENT CONTROLS
In the event of a conflict between any of the terms and conditions set forth in this Agreement and the terms and conditions set forth in other Contract Documents, the terms and conditions set forth in this Agreement shall prevail, except that the provisions of any duly authorized change order shall prevail over any conflicting provisions of this Agreement.

4. SCOPE OF CONTRACT
Contractor agrees to furnish all tools, equipment, apparatus, facilities, labor, material and transportation necessary to perform and complete in a good and workmanlike manner to the satisfaction of City, all the Work called for in the Contract Documents entitled:

I STREET BRIDGE RAILING REPAIR (PN: R15222211)
Including the Work called for in the following alternative bid items described in the Proposal Form:

Contractor agrees to perform such Work in the manner designated in and in strict conformity with the Contract Documents.

5. CONTRACT AMOUNT AND PAYMENTS
City agrees to pay and Contractor agrees to accept, as complete payment for the above Work, in accordance with the schedule and procedures set forth in the Contract Documents and subject to deductions, withholdings and additions as specified in the Contract Documents, a total sum that shall not exceed the total bid amount set forth in Contractor's Proposal Form.

In addition, subject to deductions, withholdings and additions as specified in the Contract Documents, payment for individual items of the Work shall be computed as follows:

A. For items of the Work for which a lump sum price is specified in Contractor's Proposal Form, Contractor shall be paid the lump sum price(s) specified in Contractor's Proposal Form; and
B. For items of the Work for which a unit price is specified in Contractor's Proposal Form, Contractor shall be paid the sum computed at such unit price, or computed at a different price if such different price is determined by City in accordance with the Standard Specifications, based on the actual amount of each such item performed and/or furnished and incorporated in the Work; provided that in no event shall the total sum for a unit price item exceed the total bid amount set forth for such item in the Contractor's Proposal Form, unless authorized by Change Order.

Form approved by City Attorney 6-23-23 2

6. PROGRESS PAYMENTS
Subject to the terms and conditions of the Contract, City shall cause payments to be made upon demand of Contractor as follows:

A. 0n or about the first of the month, the Engineer shall present to the Contractor a statement showing the amount of labor and materials incorporated in the Work through the twentieth (20) calendar day of the preceding month. After both Contractor and Engineer approve the statement in writing, and the City's labor compliance officer provides written approval, the City shall issue a certificate for ninety-five (95) percent of the amount it shall find to be due, subject to any deductions or withholdings authorized or required under the Contract or any applicable Laws or Regulations.

B. No inaccuracy or error in said monthly estimates shall operate to release Contractor from damages arising from such Work or from enforcement of each and every provision of the Contract Documents, and City shall have the right subsequently to correct any error made in any estimate for payment.

C. Contractor shall not be paid for any defective or improper Work.

D. The remaining five (5) percent of the value of the Work performed under the Contract, if unencumbered and subject to any deductions or withholdings authorized or required under the Contract or any applicable Laws or Regulations, shall be released not later than sixty (60) days after completion and final acceptance of the Work by City. Acceptance by Contractor of the final payment shall constitute a waiver of all claims against the City arising under the Contract Documents, except for disputed claims in stated amounts that the Contractor specifically reserves in writing, but only to the extent that the Contractor has complied with all procedures and requirements applicable to the presentation and processing of such claim(s) under the Contract Documents. Contractor shall be entitled to substitute securities for retention or to direct that payments of retention be made into escrow, as provided in Public Contract Code Section 22300, upon execution of the City's Escrow Agreement for Security Deposits in Lieu of Retention.

E. The parties agree that, for purposes of the timely progress payment requirements specified in Public Contract Code Section 20104.50, the date that the City receives a statement jointly approved by the Contractor and the Engineer as provided above shall be deemed to constitute the date that City receives an undisputed and properly submitted payment request from the Contractor. Progress payments not made within 30 days after this date may be subject to payment of interest as provided in Public Contract Code Section 20104.50.

Form approved by City Attorney 6-23-23 3
F. This Contract is subject to compliance monitoring and enforcement by the California Department of Industrial Relations, as specified in California Labor Code section 1771.4.

7. RETENTION OF SUMS CHARGED AGAINST CONTRACTOR
When, under the provisions of this Contract or any applicable Laws or Regulations, City is authorized or required to withhold, deduct or charge any sum of money against Contractor, City may deduct and retain the amount of such charge from the amount of the next succeeding progress estimate(s), or from any other moneys due or that may become due Contractor from City. lf, on completion or termination of the Contract, sums due Contractor are insufficient to pay City's charges, City shall have the right to recover the balance from Contractor or its Sureties.

8. COMMENCEMENT AND PROSECUTION OF WORK
Contractor shall commence the Work not later than fifteen (15) working days after the date of the written Notice to Proceed from City to Contractor and shall diligently prosecute the Work to final completion. The phase "commence the Work" means to engage in a continuous program on-site including, but not limited to, site clearance, grading, dredging, land filling and the fabrications, erection, or installation of the Work. The Notice to Proceed shall be issued within fifteen (15) calendar days following execution of the Agreement by the City and the filing by Contractor of the required Bonds and proof of insurance, provided that the Engineer may delay issuance of the Notice to Proceed if the Engineer determines in the Engineer's sole discretion that conditions on the site of the Work are unsuitable for commencement of the Work. After the Notice to Proceed is issued, the continuous prosecution of Work by Contractor shall be subject only to Excusable Delays as defined in this Agreement.

9. TIME OF COMPLETION
The entire Work shall be brought to completion in the manner provided for in the Contract Documents on or before 20 working days from the date of the Notice to Proceed (hereinafter called the "Completion Date") unless extensions of time are granted in accordance with the Contract Documents.

Failure to complete the entire Work by the Completion Date and in the manner provided for in the Contract Documents shall subject Contractor to liquidated damages as provided in this Agreement. Time is and shall be of the essence in the performance of the Contract and the Work.

10. PAYMENTS DO NOT IMPLY ACCEPTANCE OF WORK
The payment of any progress payment, or the acceptance thereof by Contractor, shall not constitute acceptance of the Work or any portion thereof and shall in no way reduce the liability of Contractor to replace unsatisfactory work or material, whether or not the Form approved by City Attorney 6-23-23 4
unsatisfactory character of such work or material was apparent or detected at the time such payment was made.

11. ACCEPTANCE NOT RELEASE
Contractor shall correct immediately any defective or imperfect work or materials that may be discovered before final acceptance of the entire Work, whether or not such defect or imperfection was previously noticed or identified by the City. The inspection of the Work, or any part thereof, shall not relieve Contractor of any of its obligations to perform satisfactory work as herein specified.

Failure or neglect on the part of City or any of its officers, employees or authorized agents to discover, identify, condemn or reject defective or imperfect work or materials shall not be construed to imply an acceptance of such work or materials, if such defect or imperfection becomes evident at any time prior to final acceptance of the entire Work, nor shall such failure or neglect be construed as barring City from enforcing Contractor's warranty(ies) or otherwise recovering damages or such a sum of money as may be required to repair or rebuild the defective or imperfect work or materials whenever City may discover the same, subject only to any statutes of limitation that may apply to any such claim.

12. CITY'S RIGHT TO TAKE POSSESSION OF THE WORK IN WHOLE OR IN PART The City shall have the right at any time to enter upon the Work and perform work not covered by this Contract, or to occupy and use a portion of the Work, prior to the date of the final acceptance of the Work as a whole, without in any way relieving Contractor of any obligations under this Contract.

13. NO WAIVER OF REMEDIES
Neither the inspection by City, its officers, employees or agents, nor any certificate or other approval for the payment of money, nor any payment for, nor acceptance of the whole or any part of the Work by City, nor any extensions of time, nor any position taken by City, its officers, employees or its agents shall operate as a waiver of any provision of the Contract Documents nor of any power herein reserved to City or any right to damages herein provided, nor shall any waiver of any breach of this Agreement be held to be a waiver of any other or subsequent breach. All remedies provided in the Contract Documents shall be taken and construed as cumulative; in addition to each and every other remedy herein provided, the City shall have any and all equitable and legal remedies that it would in any case have.

14. WARRANTY
Except as otherwise expressly provided in the Contract Documents, and excepting only items of routine maintenance, ordinary wear and tear and unusual abuse or neglect by City, Contractor warrants and guarantees all Work executed and all supplies, materials and devices of whatsoever nature incorporated in or attached to the Work, or otherwise provided as a part of the Work pursuant to the Contract, to be absolutely free of all defects of workmanship and materials for a period of one year after final acceptance of the entire Work by the City.

Form approved by City Attorney 6-23-23 5
Contractor shall repair or replace all work or material, together with any other work or material that may be displaced or damaged in so doing, that may prove defective in workmanship or material within this one year warranty period without expense or charge of any nature whatsoever to City.

In the event that Contractor shall fail to comply with the conditions of the foregoing warranty within ten (10) days after being notified of the defect in writing, City shall have the right, but shall not be obligated, to repair, or obtain the repair of, the defect and Contractor shall pay to City on demand all costs and expense of such repair. Notwithstanding anything herein to the contrary, in the event that any defect in workmanship or material covered by the foregoing warranty results in a condition that constitutes an immediate hazard to public health or safety, or any property interest, or any person, City shall have the right to immediately repair, or cause to be repaired, such defect, and Contractor shall pay to City on demand all costs and expense of such repair. The foregoing statement relating to hazards to health, safety or property shall be deemed to include both temporary and permanent repairs that may be required as determined in the sole discretion and judgment of City.

In addition to the above, the Contractor shall make a written assignment of all manufacturer's and other product warranties to the City, prior to completion and final acceptance of the Work by City.

The Contractor's Performance Bond shall secure the performance of the Contractor's obligations under this Section 14, and the Contractor and its Surety shall be jointly and severally liable for these obligations.

15. LIQUIDATED DAMAGES IF WORK NOT COMPLETED ON TIME
A. The actual fact of the occurrence of damages and the actual amount of the damages that City would suffer if the entire Work, and/or any specified portion thereof, were not completed within the time(s) specified herein are dependent upon many circumstances and conditions that could prevail in various combinations, and for this reason, it is impracticable and extremely difficult to fix the actual damages. Damages that City would suffer in the event of such delay include: loss of the use of the project; expenses of prolonged assignment to the project of an architectural and/or engineering staff; prolonged costs of administration, inspection, and supervision; increased operational expenses and/or impaired operation of other facilities dependent upon completion of the project; and the loss and inconvenience suffered by the public within the City of Sacramento by reason of the delay in the completion of the project or portion thereof. Accordingly, the parties agree, and by execution of this Agreement, Contractor acknowledges that it understands and agrees, that the amount(s) set forth herein as liquidated damages reflect the parties' best efforts at the time of entering into the Contract to estimate the damages that may be incurred by City and the public due to the Contractor's delay in completion of the Work and/or any specified portion thereof, and shall be presumed to be the amount of damages sustained by the failure of Contractor to complete the entire Work and/or any specified portion thereof within the time(s) specified herein.

Form approved by City Attorney 6-23-23 6
B. Contractor shall pay liquidated damages to City for failure to complete the entire Work by the Completion Date (as extended in accordance with the Contract Documents, if applicable) in the amount of $1,000 for each working day after the Completion Date (as extended in accordance with the Contract Documents, if applicable), continuing to the time at which the entire Work is completed. Such amount is the actual cash value agreed upon by the City and Contractor as the loss to City and the public resulting from Contractor's default.

The parties agree, and by execution of this Agreement, Contractor acknowledges that it understands and agrees, that the foregoing provisions provide for the imposition of liquidated damages from the Completion Date (as extended in accordance with the Contract Documents, if applicable) until the date of completion of the entire Work as determined by the Engineer in accordance with Section 8-4 of the Standard Specifications, whether or not the Work or any portion thereof is claimed or determined to be substantially complete prior to such date of completion.

C. In the event Contractor shall become liable for liquidated damages, City, in addition to all other remedies provided by law, shall have the right to withhold any and all payments that otherwise would be or become due Contractor until the liability of Contractor under this section is finally determined. City shall have the right to use and apply such payments, in whole or in part, to reimburse City for all liquidated damages due or to become due to City. Any remaining balance of such payments shall be paid to Contractor only after discharge in full of all liability incurred by Contractor under this section or otherwise under any provision of the Contract Documents or any applicable Law or Regulation. If the sum so retained by City is not sufficient to discharge all such liabilities of Contractor, Contractor shall continue to remain liable to City until all such liabilities are satisfied in full. No failure by City to withhold any payment as specified above shall in any manner be construed to constitute a release of any such liabilities nor a waiver of the City's right to withhold payment for such liabilities.
16 INDEMNITY AND HOLD HARMLESS
A. Contractor shall defend, hold harmless and indemnify the City, its officers, employees, and agents, and each and every one of them, from and against any and all actions, damages, costs, liabilities, claims, demands, losses, judgments, penalties, costs and expenses of every type and description, whether arising on or off the site of the Work, including, but not limited to, any fees and/or costs reasonably incurred by City's staff attorneys or outside attorneys and any fees and expenses incurred in enforcing this provision (hereafter collectively referred to as "Liabilities"), including but not limited to Liabilities arising from personal injury or death, damage to personal, real or intellectual property or the environment, contractual or other economic damages, or regulatory penalties, arising out of or in any way connected with performance of or failure to perform the Work by the Contractor, any subcontractor or agent, anyone directly or indirectly employed by Form approved by City Attorney 6-23-23 7
any of them or anyone for whose acts any of them may be liable, whether or not (i) such Liabilities are caused in part by a party indemnified hereunder, or (ii) such Liabilities are litigated, settled or reduced to judgment; provided that the foregoing indemnity does not apply to liability for damages for death or bodily injury to persons, injury to property, or other loss, damage or expense to the extent arising from (i) the sole negligence or willful misconduct of, or defects in design furnished by, City, its agents, servants, or independent contractors who are directly responsible to City, or (ii) the active negligence of City.

B. The existence or acceptance by City of any of the insurance policies or coverages described in this Agreement shall not affect or limit any of City's rights under this Section 16, nor shall the limits of such insurance limit the liability of Contractor hereunder. The provisions of this Section 16 shall survive any expiration or termination of the Contract.

17. CONTRACTOR SHALL ASSUME RISKS
Until the completion and final acceptance by City of all Work under this Contract, the Work shall be under Contractor's responsible care and charge, and Contractor, at no cost to City, shall rebuild, repair, restore and make good all injuries, damages, re-erections, and repairs occasioned or rendered necessary by accidental causes of any nature, to all or any portions of the Work.

18. GENERAL LIABILITY OF CONTRACTOR
Except as otherwise herein expressly stipulated, Contractor shall perform all the Work and furnish all the labor, materials, tools, equipment, apparatus, facilities, transportation, power and light, and appliances, necessary or proper for performing and completing the Work herein required in the manner and within the time herein specified. The mention of any specific duty or liability of Contractor shall not be construed as a limitation or restriction of any general liability or duty of Contractor, and any reference to any specific duty or liability shall be construed to be solely for the purpose of explanation.

19. INSURANCE
During the entire term of the Contract, Contractor shall maintain the insurance coverage described in this Section 19.

Full compensation for all premiums that Contractor is required to pay for the insurance coverage described herein shall be included in the compensation specified for the Work performed by Contractor under this Contract. No additional compensation will be provided for Contractor's insurance premiums. Any available insurance proceeds in excess of the specified minimum limits and coverages shall be available to the City.

It is understood and agreed by the Contractor that its liability to the City shall not in any way be limited to or affected by the amount of insurance coverage required or carried by Form a pproved by City Attorney 6-23-23 8
the Contractor in connection with this Contract.

A. Minimum Scope & Limits of Insurance Coverage
(1) Commercial General Liability Insurance providing coverage at least as broad as ISO CGL Form 00 01 on an occurrence basis for bodily injury, including death, of one or more persons, property damage, and personal injury, arising out of activities performed by or on behalf of Contractor and its subcontractors, products and completed operations of Contractor and its subcontractors, and premises owned, leased, or used by Contractor and its subcontractors, with limits of not less than two million dollars ($2,000,000) per occurrence. The policy shall provide contractual liability and products and completed operations coverage for the term of the policy.
(2) Automobile Liability Insurance providing coverage at least as broad as ISO Form CA 00 01 for bodily injury, including death, of one or more persons, property damage, and personal injury, with limits of not less than one million dollars ($1,000,000) per accident. The policy shall provide coverage for owned, non-owned, and/or hired autos as appropriate to the operations of the Contractor.

No automobile liability insurance shall be required if Contractor completes the following certification:
"I certify that a motor vehicle will not be used in the performance of any work or services under this agreement."
(Contractor initials)
(3) Excess Insurance: The minimum limits of insurance required above may be satisfied by a combination of primary and umbrella or excess insurance coverage; provided that any umbrella or excess insurance shall contain, or be endorsed to contain, a provision that it shall apply on a primary basis for the benefit of the CITY, and any insurance or self-insurance maintained by CITY, its officials, employees, or volunteers shall be in excess of such umbrella or excess coverage and shall not contribute with it. (4) Workers' Compensation Insurance with statutory limits, and Employers' Liability Insurance with limits of not less than one million dollars ($1,000,000). The Workers' Compensation policy shall include a waiver of subrogation in favor of the City.

Form approved by City Attorney 6-23-23 9
No Workers' Compensation insurance shall be required if Contractor completes the following certification:
"I certify that my business has no employees, and that I do not employ anyone. I am exempt from the legal requirements to provide Workers' Compensation insurance."
(Contractor initials)
B. Additional Insured Coverage
(1) Commercial General Liability Insurance: The City, its officials, employees, and volunteers shall be covered by policy terms or endorsement as additional insureds as respects general liability arising out of: activities performed by or on behalf of Contractor and its subcontractors; products and completed operations of Contractor and its subcontractors; and premises owned, leased, or used by Contractor and its subcontractors. (2) Automobile Liability Insurance: The City, its officials, employees, and volunteers shall be covered by policy terms or endorsement as additional insureds as respects auto liability.

C. Other Insurance Provisions
The policies are to contain, or be endorsed to contain, the following provisions:
(1) Contractor's insurance coverage, including excess insurance, shall be primary insurance as respects City, its officials, employees, and volunteers.

Any insurance or self-insurance maintained by City, its officials, employees, or volunteers shall be in excess of Contractor's insurance and shall not contribute with it.
(2) Any failure to comply with reporting provisions of the policies shall not affect coverage provided to City, its officials, employees, or volunteers. (3) Coverage shall state that Contractor's insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer's liability.
(4) City will be provided with thirty (30) days written notice of cancellation or material change in the policy language or terms.

D. Acceptability of Insurance
Insurance shall be placed with insurers with a Bests' rating of not less than A:VI.

Self-insured retentions, policy terms or other variations that do not comply with Form approved by City Attorney 6-23-23 10
the requirements of this Section 3 must be declared to and approved by the City in writing prior to execution of this Contract.

E. Verification of Coverage
(1) Contractor shall furnish City with certificates and required endorsements evidencing the insurance required. Copies of policies shall be delivered to the City on demand. Certificates of insurance shall be signed by an authorized representative of the insurance carrier.
(2) For all insurance policy renewals during the term of this Contract, Contractor shall send insurance certificates reflecting the policy renewals directly to:

City of Sacramento
c/o EXIGIS LLC
P.O. Box 4668 ECM- #35050
New York, NY 10168-4668
Insurance certificates also may be faxed to (888) 355-3599, or e-mailed to:
[email protected]
(3) The City may withdraw its offer of contract or cancel this Contract if the certificates of insurance and endorsements required have not been provided prior to execution of this Contract. The City may withhold payments to Contractor or cancel the Contract if the insurance is canceled or Contractor otherwise ceases to be insured as required herein.

F. Subcontractors
Contractor shall require and verify that all subcontractors maintain insurance coverage that meets the minimum scope and limits of insurance coverage specified in subsection A, above.
21 FAILURE TO MAINTAIN BONDS OR INSURANCE
If, at any time during the performance of this Contract, Contractor fails to maintain any item of the bonds and/or insurance required under the Contract in full force and effect, Contractor shall immediately suspend all work under the Contract and notify City in writing of such failure. After such notice is provided, or if City discovers such failure and notifies Contractor, the City thereafter may withhold all Contract payments due or that become due until notice is received by City that such bonds and/or insurance have been restored in full force and effect and that the premiums therefor have been paid for a period satisfactory to the Division of Risk Management. Contractor shall not resume work until notified by City to do so, and the City shall have no responsibility or liability for any costs incurred by Contractor as a result of such suspension of Work.

Form approved by City Attorney 6-23-23 11
In addition to the foregoing, any failure to maintain any item of the required bonds and/or insurance at any time during the performance of this Contract will be sufficient cause for termination of the Contract by City.

The Contractor shall be solely responsible for, and shall defend, indemnify and hold harmless the City, its officers, employees and agents against and from, any and all damages, claims, losses, actions, costs or other expenses of any kind incurred by any party as a direct or indirect result of any suspension of Work or termination of the Contract under the provisions of this Section.

21. EXCUSABLE DELAYS
For the purpose of these Contract Documents, the term "Excusable Delay" shall mean, and is limited to, delay caused directly by: acts of God; acts of a public enemy; fires; inclement weather as determined by the Engineer; riots; insurrections; epidemics; quarantine restrictions; strikes; lockouts; sitdowns; acts of a governmental agency; priorities or privileges established for the manufacture, assemble, or allotment of materials necessary in the Work by order, decree or otherwise of the United States or by any department, bureau, commission, committee, agent, or administrator of any legally constituted public authority; changes in the Work ordered by City insofar as they necessarily require additional time in which to complete the Work; the prevention of Contractor from commencing or prosecuting the Work because of the acts of others, excepting Contractor's subcontractors or suppliers; or the prevention of Contractor from commencing or prosecuting the Work because of a Citywide failure of public utility service.

The term "Excusable Delay" shall specifically not include: (i) any delay that could have been avoided by the exercise of care, prudence, foresight and diligence on the part of Contractor; (ii) any delay in the prosecution of any part of the Work that does not constitute a Controlling Operation, whether or not such delay is unavoidable; (iii) any reasonable delay resulting from time required by City for review of any Contractor submittals and for the making of surveys, measurements and inspection; and, (iv) any delay arising from an interruption in the prosecution of the Work on account of reasonable interference by other Contractors employed by City that does not necessarily prevent the completion of the entire Work within the time specified. Excusable Delays, if any, shall operate only to extend the Completion Date (not in excess of the period of such delay as determined by City) and shall not under any circumstances increase the amount City is required to pay Contractor except as otherwise provided in these Contract Documents.

22. CONTRACTOR TO SERVE NOTICE OF DELAYS
Whenever Contractor foresees any delay in the prosecution of the Work, and in any event as soon as possible (not to exceed a period of ten (10) calendar days) after the initial occurrence of any delay that Contractor regards as or may later claim to be an Excusable Delay, the Contractor shall notify the Engineer in writing of such delay and its cause, in order that the Engineer: (i) may take immediate steps to prevent if possible the occurrence or continuance of the delay; or (ii) if this cannot be done, may determine whether the delay is to be Form approved by City Attorney 6-23-23 12
considered excusable, how long it continues, and to what extent the prosecution and completion of the Work are delayed thereby. Said written notice shall constitute an application for an extension of time only if the notice requests such an extension and sets forth the Contractor's estimate of the additional time required together with a full description of the cause of the delay relied upon.

After the completion of any part or whole of the Work, the Engineer, in estimating the amount due Contractor, will assume that any and all delays that may have occurred in its prosecution and completion were not Excusable Delays, except for such delays for which the Contractor has provided timely written notice as required herein, and that the Engineer has found to be excusable. Contractor shall not be entitled to claim Excusable Delay for any delay for which the Contractor failed to provide such timely written notice.

23. EXTENSION OF TIME
If the Contractor complies with Section 22, above, and the Engineer finds a delay claimed by the Contractor to be an Excusable Delay, the Contractor shall be allowed an extension of time to complete the Work that is proportional to the period of Excusable Delay determined by the Engineer, subject to the approval by City of a change order granting such time extension.

During a duly authorized extension for an Excusable Delay, City shall not charge liquidated damages against the Contractor for such delay.

If the City extends the time to complete the Work as provided herein, such extension shall in no way release any warranty or guarantee given by Contractor pursuant to the provisions of the Contract Documents, nor shall such extension of time relieve or release the sureties of the Bonds provided pursuant to the Contract Documents. By executing such Bonds, the Sureties shall be deemed to have expressly agreed to any such extension of time. The granting of any extension of time as provided herein shall in no way operate as a waiver on the part of City of its rights under this Contract, excepting only extension of the Completion Date for such period of Excusable Delay as may be determined by the Engineer and approved by a duly authorized change order.

24. NO PAYMENT FOR DELAYS
No damages or compensation of any kind shall be paid to Contractor or any subcontractor because of delays in the progress of the Work whether or not such delays qualify for extension of time under this Agreement; except that this provision shall not preclude the recovery of damages for a delay caused by the City that is unreasonable under the circumstances and that is not within the contemplation of the parties, provided that the Contractor timely submits all such written notice(s) and fully complies with such other procedures as may be specified in the Contract Documents or any Laws or Regulations for Contractor to claim damages for such delay.

25. CHANGES IN THE WORK
Changes in the Work authorized or directed in accordance with the Contract Documents and extensions of time of completion made necessary by reason thereof shall not in any way Form approved by City Attorney 6-23-23 13
release any warranty or guarantee given by Contractor pursuant to the provisions of the Contract Documents, nor shall such changes in the Work relieve or release the Sureties on Bonds provided pursuant to the Contract Documents. By executing such Bonds, the Sureties shall be deemed to have expressly agreed to any such change in Work and to any extension of time made by reason thereof.

26. TERMINATION AFTER COMPLETION DATE
In addition to any other rights City may have, if any services or work required under the Contract (including but not limited to punch list items) are not cornpleted as of the Completion Date (as adjusted by any extensions of time for Excusable Delays granted pursuant to the Contract Documents), City may terminate the Contract at any time after the Completion Date ( as adjusted by any extensions of time for Excusable Delays granted pursuant to the Contract Documents), by providing a written notice to Contractor specifying the date of termination. Such notice also may specify conditions or requirements that Contractor must meet to avoid termination of the Contract on such date. If Contractor fails to fulfill all such conditions and requirements by such termination date, or, if no such conditions or requirements are specified, Contractor shall cease rendering services and performing work on such termination date, and shall not be entitled to receive any compensation for services rendered or work performed after such termination date. In the event of such termination, Contractor shall remain liable to City for liquidated damages incurred for any period of time prior to the termination date.

In addition to any other charges, withholdings or deductions authorized under the Contract or any Laws or Regulations, if City terminates the Contract pursuant to this section, City may withhold and deduct from any payment and/or retention funds otherwise due Contractor any sum necessary to pay the City's cost of completing or correcting, or contracting for the completion or correction of, any services or work under the Contract that are not completed to the satisfaction of the City or that otherwise are deficient or require correction as of such termination date, including but not limited to incomplete punch list items. Such costs shall include all of the City's direct and indirect costs incurred to complete or correct such services or work, including the City's administrative and overhead costs. If the amount of payment(s) and/or retention funds otherwise due the Contractor are insufficient to pay such costs, City shall have the right to recover the balance of such costs from the Contractor and/or its Surety(ies).

27. TERMINATION FOR CONVENIENCE
Upon written notice to the Contractor, the City may at any time, without cause and without prejudice to any other right or remedy of the City, elect to terminate the Contract for the convenience of City. In such case, the Contractor shall be paid (without duplication of any items, and after deduction and/or withholding of any amounts authorized to be deducted or withheld by the Contract Documents or any Laws or Regulations):

A. For Work executed in accordance with the Contract Documents prior to the effective date of termination and determined to be acceptable by the Engineer, including fair and reasonable sums for overhead and profit on such Work; Form approved by City Attorney 6-23-23 14
B. For reasonable clairns, costs, losses, and damages incurred in settlement of terminated contracts with subcontractors, suppliers, and others; and C. For reasonable expenses directly attributable to termination.

Contractor shall not be paid for any loss of anticipated profits or revenue for any Work not performed prior to termination, nor for any economic loss arising out of or resulting from such termination, except for the payments listed in this section. Contractor's warranty under Section 14 of this Agreement shall apply, and Contractor shall remain responsible for all obligations related to such warranty, with respect to all portions of the Work performed prior to the effective date of the termination for convenience pursuant to this section. The City shall be entitled to have any or all remaining Work performed by other contractors or by any other means at any time after the effective date of a termination for convenience pursuant to this section.

28. TERMINATION FOR BREACH OF CONTRACT
If Contractor abandons the Work under this Contract, or if the Contract or any portion of the Contract is sublet or assigned without the consent of the City, or if the Engineer determines in the Engineer's sole discretion that the conditions of the Contract in respect to the rate of progress of the Work are not being fulfilled or any part thereof is unnecessarily delayed, or if Contractor violates or breaches, or fails to execute in good faith, any of the terms or conditions of the Contract, or if Contractor refuses or fails to supply enough properly skilled labor or materials or refuses or fails to make prompt payment to subcontractors for material or labor, or if Contractor disregards any Laws or Regulations or proper instruction or orders of the Engineer, then, notwithstanding any provision to the contrary herein, the City may give Contractor and its Sureties written notification to immediately correct the situation or the Contract shall be terminated.

In the event that such notice is given, and, in the event such situation is not corrected, or arrangements for correction satisfactory to the City are not made, within ten (10) calendar days from the date of such notice or within such other period of time as may be specified by the City in the notice, the Contract shall upon the expiration of said period cease and terminate. In the event of any such termination, City may take over the Work and prosecute the Work to completion, or otherwise, and the Contractor and its Sureties shall be liable to City for any cost occasioned City thereby, as hereinafter set forth.

In the event City completes the Work, or causes the Work to be completed, no payment of any kind shall be made to Contractor until the Work is complete. The cost of completing the Work, including but not limited to, extra costs of project administration and management incurred by City, both direct or indirect, shall be deducted from any sum then due, or that becomes due, to Contractor from City. If sums due to Contractor from City are less than the cost of completing the Work, Contractor and its Sureties shall pay City a sum equal to this difference on demand. In the event City completes the Work, and there is a sum remaining due to Contractor after City deducts the costs of completing the Work, then City shall pay Form approved by City Attorney 6-23-23 15
such sum to Contractor. The Contractor and Contractor's Sureties shall be jointly and severally liable for all obligations imposed on Contractor hereunder.

No act by City before the Work is finally accepted, including, but not limited to, exercise of other rights under the Contract, actions at law or in equity, extensions of time, payments, assessments of liquidated damages, occupation or acceptance of any part of the Work, waiver of any prior breach of the Contract or failure to take action pursuant to this section upon the happening of any prior default or breach of Contractor, shall be construed to be a waiver or estoppel of the City's right to act pursuant to this Section upon any subsequent event, occurrence or failure by Contractor to fulfill the terms and conditions of the Contract. The rights of City to terminate the Contract pursuant to this Section and pursuant to Sections 26 and 27 are cumulative and are in addition to all other rights of City pursuant to the Contract and at law or in equity.

29. CONTRACTOR BANKRUPT
If Contractor should commence any bankruptcy proceeding, or if Contractor is adjudged a bankrupt, or if Contractor makes any assignment for the benefit of creditors, or if a receiver is appointed on account of Contractor's insolvency, then the City may, without prejudice to any other right or remedy, terminate the Contract and complete the work by giving notice as provided in Section 28 above.

30. SURETIES' OBLIGATIONS UPON TERMINATION
If the City terminates the Contract pursuant to Section 28 or Section 29 above:

A. The Surety under Contractor's performance bond shall be fully responsible for all of the Contractor's remaining obligations of performance under the Contract as if the Surety were a party to the Contract, including without limitation Contractor's obligations, as provided in the Contract Documents, to complete and provide a oneyear warranty of the entire Work, pay liquidated damages and indemnify, defend and hold harrnless City, up to the full amount of the performance bond.

B. The Surety under Contractor's payment bond shall be fully responsible for the performance of all of the Contractor's remaining payment obligations for work, services, equipment or materials performed or provided in connection with the Work or any portion thereof, up to the full amount of the payment bond.

31. ACCOUNTING RECORDS OF CONTRACTOR
During performance of the Contract and for a period of three (3) years after completing the entire Work, Contractor shall maintain all accounting and financial records related to the Contract and performance of the Work in accordance with generally accepted accounting practices, and shall keep and make such records available for inspection and audit by representatives of the City upon reasonable written notice.

Form approved by City Attorney 6-23-23 l6

32. USE TAX REQUIREMENTS
During the performance of this Agreement, CONTRACTOR, for itself, its assignees and successors in interest, agrees as follows:

A. Use Tax Direct Payment Permit: For all leases and purchases of materials, equipment, supplies, or other tangible personal property used to perform the Agreement and shipped from outside California, the Contractor and any subcontractors leasing or purchasing such materials, equipment, supplies or other tangible personal property shall obtain a Use Tax Direct Payment Permit from the California State Board of Equalization ("SBE") in accordance with the applicable SBE criteria and requirements.

B. Sellers Permit: For any construction contract and any construction subcontract in the amount of $5,000,000 or more, Contractor and the subcontractor(s) shall obtain sellers permits from the SBE and shall register the jobsite as the place of business for the purpose of allocating local sales and use tax to the City.

Contractor and its subcontractors shall remit the self-accrued use tax to the SBE, and shall provide a copy of each remittance to the City.

C. The above provisions shall apply in all instances unless prohibited by the funding source for the Agreement.

33. NON-DISCRIMINATION IN EMPLOYEE BENEFITS
This Agreement may be subject to the requirements of Sacramento City Code Chapter

3.54, Non-Discrimination in Employee Benefits by City Contractors. The Contract Documents include a summary of the requirements of Sacramento City Code Chapter

3.54, entitled "Requirements of the Non-Discrimination in Employee Benefits Code." By signing this Agreement, Contractor acknowledges and represents that Contractor has read and understands these requirements and agrees to fully comply with all applicable requirements of Sacramento City Code Chapter 3.54. If requested by City, Contractor agrees to promptly provide such documents and information as may be required by City to verify Contractor's compliance. Any violation by Contractor of Sacramento City Code Chapter 3.54 constitutes a material breach of this Agreement, for which the City may terminate the Agreement and pursue all available legal and equitable remedies.

34. CONSIDERING CRIMINAL CONVICTION INFORMATION IN THE EMPLOYMENT

APPLICATION PROCESS
This Agreement may be subject to the requirements of Sacramento City Code Chapter

3.62, Procedures for Considering Criminal Conviction Information in the Employment Application Process. The Contract Documents include a summary of the requirements of Sacramento City Code Chapter 3.62, entitled "Ban-The-Box Requirements." By signing this Agreement, Contractor acknowledges and represents that Contractor has read and Form approved by City Attorney 6-23-23 17
understands these requirements and agrees to fully comply with all applicable requirements of Sacramento City Code Chapter 3.62. If requested by City, Contractor agrees to promptly provide such documents and information as may be required by City to verify Contractor's compliance. Any violation by Contractor of Sacramento City Code Chapter 3.62 constitutes a material breach of this Agreement, for which the City may terminate the Agreement and pursue all available legal and equitable remedies.

Contractor agrees to require its subcontractors to fully comply with all applicable requirements of Sacramento City Code Chapter 3.62, and include these requirements in all subcontracts covered by Sacramento City Code Chapter 3.62.

Form approved by City Attorney 6-23-23 18
BY
Andre Catellier
Print Name
Chief Engineer & President
Title
BY
IN WITNESS WHEREOF, the parties hereto have signed this Agreement on the date set for opposite their names.

CONTRACTOR
Under penalty of pe.

Ljury, I certify that the
taxpayer identifican number and all _aLher
information provirled re ward:

DATE IC- 202.r.

Print Name
Andre Catellier
Title
Secretary
DIR Registration #
1000005173
Federal ID#
02-0794952
State ID#
272-8511-3
City of Sacramento Business Operation Tax
Certificate No. (City will not award contract until
Certificate Number is obtained)
Type of Business Entity (check one):

Individual/Sole Proprietor
Partnership
X Corporation
Limited Liability Company
Other (please specify:

CITY OF SACRAMENTO
a municipal corporation
)
BY (
For: Leyne Milstein, Interim City Manager
DATE 09/29/2025
Original Approved As To Form: Attest:
✓

:SeL Z.20 O:50PD7j IC; • 424 PDT)
City Attorney

City Clerk
Form approved by City Attorney 6-23-23 19
D N B Infrastnict
(Seal)
By
Title Andre K , President
ORIGINAL APPROVED AS TO FORM:
1,11.AV

CITYOF SACRAMENTO

PAYMENT BOND
Department of Public Works

Page 1 ends

RECEIVED
SEP 11 2025 Bond No.:10317611
R N R Constru. t
, „
Premium: Includud in Peri Bond
WHEREAS, the City of Sacramento, in the State of California, hereinafter called City, has conditionally awarded to: D N B Infrastructure, Inc. 8589 Thys Court, Sacramento, CA 95828 as principal, hereinafter called Contractor, a contract for construction of:

I STREET BRIDGE RAILING REPAIR (PN: R15222211)
Which contract is by reference incorporated herein and made a part hereof, and is hereinafter referred to as the Contract; and
WHEREAS, under the terms of the Contract and pursuant to Chapter 5 of Title 3 of Part 6 of Division 4 of the California Civil Code (commencing with Civil Code Section 9550), Contractor is required to furnish a good and sufficient payment bond to secure payment of the claims to which reference is made in Civil Code Section 9554.

NOW, THEREFORE, we the Contractor and (here insert full name and address of Surety):

Travelers Casualtv and Surety Company of America, 11090 White Rock Road, Suite 100, Rancho Cordova, CA 95670, a corporation duly authorized and admitted to transact business and issue surety bonds in the State of California, hereinafter called Surety, are held and firmly bound unto the City, and unto all persons or entities entitled to assert a claim against a payment bond under any of the aforesaid Civil Code provisions in the sum of THREE HUNDRED FORTY ONE THOUSAND EIGHT HUNDRED TWENTY FOUR DOLLARS (S 341,824.00), on the condition that if Contractor shall fail to pay for any materials or equipment furnished or used in performance of the Contract, or for any work or labor thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work or labor, or for any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board or the Employment Development Department from the wages of employees of the Contractor and all subcontractors with respect to such work or labor, then the Surety shall pay the same in an amount not exceeding the sum specified above. If suit is brought upon this bond, Surety shall pay, in addition to the above sum, all costs, expenses and fees, including attorney's fees, reasonably incurred by any party in successfully enforcing the obligation secured hereby, all to be taxed as costs and included in any judgment rendered. Should the condition of this bond bc fully performcd, thcn this obligation shall become null and void, otherwise it shall be and remain in full force and effect, and shall bind Contractor, Surety, their heirs, executors, administrators, successors and assigns, jointly and severally.

It is hereby stipulated and agreed that this bond shall inure to the benefit of all persons, companies, corporations, political subdivisions, State agencies and othcr entities entitled to assert a claim against a payment bond under any of the aforesaid Civil Code provisions, so as to give a right of action to them or their assigns in any suit brought upon this bond. The Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract or to the work to be performed thereunder or to the specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension, alteration or addition.

IN WITNESS WHEREOF, this instrument has been duly executed by authorized representatives of the Contractor and S:p1,,A., SIGNED AND SF..AT.ED on September 16th , 20 25 • City Attorney
Travelers Casualty and Suretv Company of America
(Su ety) j(,Seal)
By
Tnte- atsnle rang Alton:In-In- act
Agent name and Address: ko I services
PO Box 428, Roseville. CA gfiEW
Agcnt Phonc H 916-474-4227
Surety Phone #. 916-852-5267
California License # 0C13015
Effective 7-1-12
By:

Robert L. Rane , enior Vice President
Anna P. Nowik, Notary Public

TRAVELERS J
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
St. Paul Fire and Marine Insurance Company

POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint STANLEY J MATRANGA of ROSEVILLE , California , their true and lawful Attomey(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.

IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April, 2021.

On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer.

State of Connecticut
City of Hartford ss.

IN WITNESS WHEREOF, l hereunto set my hand and official seal.

My Commission expires the 30th day of June, 2026
This Power of Attorney is granted under and by the authonty of the follow ng resolutions adopted by the Boards of Directors of each of the Companies, which resolutions are now in full force and effect, reading as follows:

RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Cornpany, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-inFact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attomey or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binring on the Company in the future with respect to any bond or understanding to which it is attached.

I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in fu'l force and effect.

Dated this 16th day of September , 2025 .

Kevin E. Hughes, Assi tant Secretary
To verify the authenticity of this Power of Attorney, please call us at 1-800-421-3880.

Please refer to the above-named Attorney(s)-in-Fact and the details of the bond to which this Powerof Attorney is attached.

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 ,c≤,'s^,ceuP._,c.S.,S,Occ<..QC4:CcS
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
County of Placer
On September 16, 2025 before me, Eric Matranga, Notary Public

Date Here lnsert Name and Title of the Officer
personally appeared Stanley J. Matranga
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aresubscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ic0, and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

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

WITNESS my hand and official seal.

Signature 27-
Signature o~ Notary Public
Place Notary Seal Above

OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document: Document Date:

Number of Pages: Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:

Corporate Officer — Title(s): Corporate Officer — Title(s):

Partner — Limited General Partner — L mited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:

Signer Is Representing: Signer Is Representing:
,7„\CVC.A;CX„WX,$.2?,;C7, -.p4.,.C.4,X7.9WCA,F:,:X.<,`CAX7,;( 2.0( ,C4.4A3(X.1(.,v,;(.0(;X:MLCT2A, X7A,XXVX,XX. :
©2014 National Notary Assixiation • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 DNBI structure
(Seal)
By
Title e er. President
ORIGINAL AP:?OVED AS TO FORM:
111-4/,

RECEIVED

CITY OF SACRAMENTO

PERFORMANCE BOND
Department of Public Works

Page 1 of 1 ends

SEP 1 7 2025 Bond No.: 108317611
R N R n Premium: 52.461.00
WHEREAS, the City of Sacramento, State of California, hereinafter called City, has conditionally awarded to: D N B Infrastructure, Inc, 8589 Thys Court, Sacramcnto, CA 95828 as principal, hereinafter called Contractor, a contract for construction of:

I STREET BRIDGE RAILING REPAIR (PN: R15222211)
which contract is by reference incorporated herein and made a part hereof as if the Surety named below were a party to thc contract, and is hereinafter referred to as the Contract; and WHEREAS, under the tcrms of the Contract, Contractor is required to furnish a bond for the faithful performance of the Contract.

NOW, THEREFORE, we the Contractor and (here inseri full name and address of Surety):

Travelers Casualty and Surety Company of America. 11099 White Rock Road, Suite 100, Rancho Cordova, CA 95670, a corporation duly authorized and admitted to transact business and issue surety bonds in the State of Califomia, hereinafter called Surety, are held and firmly bound unto the City, as obligee, in the sum of THREE HUNDRED FORTY ONE THOUSAND EIGHT HUNDRED TWENTY FOUR DOLLARS (S 341,824.00), or the payment of which sum well and truly to be made, we the Contractor and Surety bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and sevcrally. The condition of this obligation is such that, if the Contractor, Contractor's heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and fully perform all covenants, conditions and agrcements required to be kept and performed by Contractor in the Contract and any changes, additions or alterations made thereto, to be kcpt and performed at the time and in the manner therein specified, and in ali respects according to their true intent and meanings, and shall indemnify and save harmless the City, its officers, employees and agents, as therein provided, then the Surety's obligations under the Contract and this bond shall be null and void; otherwise they shall be and remain in full force and effect. This obligation shall remain in full force and effect through the end of the Contract warranty period, which will expire one year after the completion of work date specified in the Notice of Completion filed for the above-named project.

As part of the obligations secured hereby and in addition to the sum specified above, there shall be included all costs, expenses and fees, including attomey's fees, reasonably incurred by City in successfully enforcing such obligations, all to be taxed as costs and included in any judgment rendered.

The Surety, for value received, hereby stipulatcs and agrees that no change, extension of time, alteration or addition to the tcrms of the Contract or to the work to be performed thereunder or to the specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension, alteration or addition.
[N WITNESS !y.1-th4EOF, ii this instrument has been duly executed by authorized representatives of the Contractor and Surety. $1: c1N1ED Ay) SEALED on Seotember 16th , 20 25 .

City Attorney
Travelers Casualty and Suretv Company of America
(S5mil4-
By X-1-'4.4 tdat-,
Title Stanle . atranoa, Aftom An-Fact
Agent Name and Address MBI Se rvices
PO Box 428 Roseville, CA 95661
Agent Phone # 916-474-4227
Surety Phone # 916-852-5267
California License # 0C13015
By:

Robert L. Rana enior Vice President
State of Connecticut
City of Hartford ss.

TRAVELERS J
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
St. Paul Fire and Marine Insurance Company

IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April, 2021.

IN WITNESS WHEREOF, l hereunto set my hand and official seal.

My Commission expires the 30th day of June, 2026
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies, which resolutions are now in full force and effect, reading as follows:

RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attomeys-inFact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attomey or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.

Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect.

Dated this 16th day of September , 2025 .

Kevin E. Hughes, Assi tent Secretary
To verify the authenticity of this Power of Attorney, please call us at 1-800-421-31180.

Please refer to the above-named Attorney(S)-in-Fact and the details of the bond to which this Power of Attorney is attached.

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 •
A notary public or other off cer completing this certificate verifies only the dentity of the individual who signed the document to which this certifiiate is attached, and not the truthfulness, ac.:.uracy, or validity of that document.

State of California
County of Placer
on September 16, 2025 before me, Eric Matranga, Notary Public

Date Here insert Name and Title of the Officer
S personally appeared tanley J. Matranga
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aFesubscribed to the within instrument and acknowledged to me that he/the/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature
Signature of Ni5lary Public
Place Notary Sea! Above

OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document: Document Date:

Number of Pages: S'gner(s) O[her Than Named Above:
. Capacity(ies) Claimed by Signerfs)
Signer's Name: Signer's Name:

Corporate Officer — Title(s): Corporate Officer — Title(s):

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

Signer Is Representing: Signer Is Representing:

1....'CVCI..x.'-c—t-Cf-AXKc;C•c:KX-<,`,4,,XXXXX:c4:c*cu.,`f-KWX.>C<Tez."-YV<LCA:cc<XXX4x —E-1.XX:"e4seK,—cOz:4,X,XX,<X4, - —( ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item 415907

SPECIAL PROVISIONS

YSC - T
Project :

I-Street Bridge, Steel Rail Replacement of
Damaged Section.

Proposal DATE : 23 July 2025
A PROPOSAL FORM D N B INFRASTRUCTURE, !nc (Formerlv R N R Construction, Inc) On 1 October, 2024, for new contracts, and 1 January 2025 for all contracts R N R Construction, Inc, chanqed its name to
D N B INFRASTRUCTURE, Inc.

This is a Name Chanqe Only ! ldentical License # & #, ldentical address & same company, same dedicated service to its clients, intact loyal and deep field resources supported In intact robust engineering and draftinq staff.

SCOPE
From : André K. CATELLIER, PE (916) 416-4628
N B infrastructure, inc. [hereinafter referred to as [DNB] proposes the following proposal and quotation for the items of work on the above-mentioned project, all in accordance with plans and specifications furnished and subject to the prices and all conditions herein.

This Proposal, including all its General Conditions and Special Provisions and all pages must become an integral part of any subcontract entered by D N B and shall govern.

Summary of Work : D N B will produce Rail Replacement Shop Drawings, replicating in-kind or nearly in-kind (changes are immaterial and for constructability only) the existing rail in accordance with the attached preliminary shop drawing.

Plans and Specifications : There are no Plans and Specifications, the City of Sacramento remains the EOR on this in-kind rail replacement drawings. Rail Drawings by D N B are shop drawings for fabrication and are not sealed by a Registered Engineer.

Proposal (per attached Peliminary Rail Drawing & Traffic Plan from Citv) Field Measurement, Shop Drawings, Prefabricate Rail
Remove & Dispose of Existing Rail,
Install New Rail anchorinq to sound concrete,
Install & Remove Traffic Control
1 Lump Sum $341,824.00
See Clarifications, Conditions & Special Exclusions
and See Standard Conditions
This proposal is for the items listed on the following page subject to Clarifications, Conditions and Exclusions.

Quote is valid for 60-days.

Includes 1 move-in to build all work continuously. Supplemental Move-ins are $ 10,000.00 D N B has not included any and excludes liquidated damages and this quote is subject to a mutually acceptable baseline schedule mutually agreed to prior to any subrnittal and updates mutually agreed prior to each submittal during contract progress. D N B and agreed to prior to submittal or contract agreement.

A. 0 US Srnnll Buginon ,100000517:3
< ,'I
D N B INFRASTRUCTURE, INC.
(formerly R N R Construction, lnc)
Sacramento, CA

INFRASTRUCTURE
Contractor License #84 52 05 CA ; DIR #1 0000 05173 INCORPORATED Contractor License #009 33 80 NV 1 - Street Bridge Rail Repair Revised Date 5 August 2025

ITEM DESCRIPTION QTY UNIT UNIT PRICE TOTAL
10 Furnish & perfabricate Rail, Field Survey,
Drafting, Submittals 1 LS 88,963.00 $ 88,963.00
20 Job Site Management, Safety, SWPPP, Work
Area LS 11,652.00 $ 11,652.00
20 Traffic Control (4 CMS, 1 Flashing Arrow, 56 +/-
Signs, Roving Watcher) LS 41,863.00 $ 41,863.00
30 Rail Removal, Disposal & Installation in Sound
Concrete 1 LS 154,346.00 $ 154,346.00
40 Mobilziation & Demobilization 1 LS 45,000.00 $ 45,000.00 BID TOTAL: 341,824.00
8T,ST) THYS COURT
VAL N TO CA 9SE32C 0 0
As requested, quote is based on regular working hours Monday through Friday - 8 Hours, however, rail work on site is nightwork.

Retention, if applicable on D N B's Work shall not exceed that of the Owner to the Prime. Any withholds, or Retention shall be released to D N B, entirely, no more than 60 days after completion of D N B's work, regardless of the status or development of the overall project and contract of the Prime with the Client or any Government reviews or acceptance.

D N B will not accept JOINT CHECKS and will only provide Conditional Releases for the current month and UNCONDITIONAL Releases for all previous pay periods. The current payment shall be released by the Prime / Owner with conditional releases only as a single payment or check.

D N B will not provide any credits in any OCIP or CCIP on this project, prices offered are net of any credits.

D N B's Bond Rate is 1.25 % and is to be paid by the Client if Payment & Performance Bonds are issued and can only be issued prior to construction.

The following Special Provisions describe D N B's Scope, its Clarifications, its Conditions and its Exclusions.

This Proposal is solely to construct all items listed and described, unless agreed in writing otherwise prior to contract time.

Generally, D N B will perform detailed field measurements, pre-fabricate off-site a new section of rail, perform traffic control & detours, remove and dispose existing rail and install new rail.

Traffic control will be in accordance with the plan received 18 July 2025 from the City of Sacramento.

This includes 4-CMS Boards, 1 Flashing Arrow, and 56 +/- Signs D N B will install the signs, with covers, then uncover during each operation when detours are Initiated, we will dedicate 1 Pick-Up with 2 Crewmembers closing and opening the traffic control and monitoring during the operations.

This complete scope will require 3 days of work on site, two plus a contingency of one.

Acquisition of steel material and fabrication requires 3 weeks.

The work will be from the top of bridge, and no vehicles will be parked past the Coast Guard Gate, evacuation of personnel will occur within 15 minutes of announcement of bridge raising.

All work is nightime, requiring a closure of a minimum of 10 hours, D N B will have light plants.

New rail is uncoated, standard ASTM A36 steel.

D N B excludes Lead Paint Containment, abatement and plans.

General Clarifications
Concrete Finish
D N B has NOT included waterproofing or any special treatment of the concrete such as anti-graffiti, seals, caulking, painting, staining or sealing, unless stated above. (none are seen) Testinq
We have excluded all special inspection/testing as noted above, As-Built Drawings : D N B will submit record drawings as AS-BUILTS.

Notifications
D N B excludes RR Protective agreements, insurance and flagging.

D N B excludes Long Shoreman, Marine agreements, insurance and flagging.

D N B excludes notification of residents, city personnel and coordination with users or Owner.

D N B has not included encroachment permit fees, or inspection fees.

D N B has not included Utility Notification or Coordination D N B excludes ingress/egress protection and any street sweeping, unless tracking by our work, it is assumed the rock entrances cover this protection.

D N B excludes the Biologist Services and Costs.
'345235 US Srna I Busness :I I I 4 1000005173

THYS COURT
VALN I 0 CA 9SE32C
D N B excludes the Archeologist and Native American services and costs.

D N B excludes the Agency Encroachment Permits, its costs.

D N B excludes all and any participation in the Resident Engineer's office and CPM. D N B will not set up a field office.

D N B excludes apprentice goal participation
D N B excludes any existing condition survey of existing conditions or any noise or vibration monitoring or reporting.

D N B excludes existing utility conflicts, de-energization, re-routing, protection or coordination with utilities.

We have excluded all POT HOLING.

D N B excludes all handling, removal or hauling of hazardous material and waste including licenses, permits, insurance or bonds and indemnification required for Hazardous Waste, including asbestos, lead, aerially deposited lead and petroleum contaminated materials.

D N B excludes all Specifications Sections addressing Species (animal or bird), Bird Protection and all measures related to any of these listed in the Special Provisions or Training, all costs or obtaining special permits.

D N B excludes monitoring, surveying, protection and fencing of ESA areas and any wildlife or wildlife habitats and any creeks and their restoration. D N B excludes services of Biologists, Industrial Hygienists, and Safety Officers. D N B excludes recording existing conditions prior and after to construction (as-built drawings).

D N B Excludes Traffic Control except as noted above. D N B excludes Notifications to the Owner, K-Rail (pinning), Crash Cushions, Delineators, any re-stripe, stage construction detours, street sweeping, CMS, advance notification signs, Impact Attenuator Truck, any signs. CONTRACTOR to make available Construction Area Detour and Advance Warning Signs for D N B's use at no cost to D N B.
'345235 US Srna I Busness :I I I 4 1000005173

PAPTS LIST
PT2
PO, I PC.PNO
LNu 40,1
0 0
1 °PARTIAL ELEVATION - 1
SI-142E UR/
VARTIAL ELEVATION - 2
„
Ip2P - TOP FUT BA,

51. . . , . ..... . ... .

CL,C,L L
•

RAILING
-,.... .. -.., --z-- ._,.;-Aw,iz,AA-cfii-AbrsireeeoAirr,b•aw ;6,4.161[14 •
- 1,ANIAGL HAILIING
2 EXISTING
POST &

RAILING TO

BE USED AS

REFERENCE
W20-1 CW9-3R
R3-2
END
DETOUR M4-8A

ROAD CLOSED
TO

THRU TRAFFIC
DETOUR
R11-4
Acgama
W20-3gAZ
W20-3X
C30
M4-10L
W4-2 R
M4-10
W20-2
DEZUR M4-103
www.invai•ion.co TITLE Etc LEGEND
Date: 11/28/2023 Author: E.SORIANO Project: I STREET BRIDGE CLOSURE - HOME DISASTER & CONST SVCS Comments:

1.All traffic control elements shall comply with the latest CalTrans and California Manual on Uniform Traffic Control Devices (Ca MUTCD), latest edition

2.Traffic control elements shown on the plan are schematic; traffic control elements shall be placed in visible locations with spacing no less than the dimensions shown on the plan

3.The Contractor shall be responsible for maintaining the installation of traffic control elements at all times. Traffic control to remain in place overnight shall be lighted or retro-retlective as required by the Ca MUTCD

4. The Contractor shall conform to all Traffic Control policies, methods, details, dimensions and procedures described in the 2014 Ca MUCTD with revisions

5.The Contractor shall notify all emergency responders, public transportation providers, and city representatives no less than 48 hours prior to installation of traffic control

6. Cones shall be no less than 28" tall

7. Driveway access must be maintained

8.All traffic control personnel shall wear ANSI Class 3 apparel during nighttime operations IHUGHINVAY SPECIALTY CO.

BUS 80
RA IP
CLOSED 11.0
00 •
111°
WORK ZONE TYPE 1

BARRICADE
28" ORANGE CONE

RETRO-REFLECTIVE
BANDS

PCMS BOARD ARROW BOARD
www.mvarion.com
Y SPECIALTY CO.

I STREET BRIDGE CLOSURE

WESTBOUND INTERSECTION DETAIL

HOME DISASTER & CONSTRUCTION SERVICES

FOR VISUAL REPRESENTATION ONLY - NOT TO SCALE - SEE CA MUTCD FOR REFERENCE Highway Specialty Co - 6591 Eastside Rd. Redding, Ca 96001 - (530) 949-5631 Table 6C-3(CA). Taper Length Criteria for Ternabrary Traffe CenvolZenta Var 12 feel Offset W.tlt1-0
TC1, Ediire
,,e; Ade,. 1,amendllk, CJIihquo
sp pen'
5 Irn1,-,
Minimum Taper Length'.
for WslIth of Offset 12 feet (W)
Pol. ono
L
(feet)
SM1lrtinp
L.
(f.et)
...After
iri
(ft.)
lbw,.

Str,arn
Ifeell.'•
23 @.^. A3 .
25 125 •53 J2 53
a a 193 . b3 5,
2, 5 123 50
..v., i
5,',0 273 1K
., i330 7.
550 333 223
ea 723 240
£5 792 3. 250 53
73 940 423 293
75 .3 453 333 53
Table GC-i. Recommended Advance Warning Sign MinierverwSpacing Reed Type
en &ye
- Peeled Sled lanit 51F,eak .55

1.pmaillrg ;In
*stailin,g..,111, , atI.J .

PCMS BOARD

ADVANCED WARNING

NOTIFICATION
PAGE 1 PAGE 2 PAGE 3

RIJN EN TO EU TEE ALTERNATE I STREET BRIDGE - WESTBOUND APPROACH

DETOUR ROUTING KEE
SB JIBBOOM ST --> LEFT ON I ST
--> RIGHT ON 3RD ST --> RIGHT

ON CAPITOL MALL

WB I ST (COMMITTED TO BRIDGE
APPROACH) --> RIGHT ON JIBBOOM ST
--> RIGHT ON RAILYARDS BLVD --> RIGHT
ON 5TH ST --> RIGHT ON I ST --> LEFT ON
3RD ST --> RIGHT ON CAPITOL MALL
WB I ST --> LEFT ON 3RD ST -->

RIGHT ON CAPITOL MALL
'Slob
**,
320.0 ft
1100.0 ft
,
**INSERT**
RAILYARDS TO 5TH STski

DETOUR ROUTING
100,0 ft
-HWAY ST.EC:IAILTY

I STREET BRIDGE CLOSURE

WESTBOUND DETOUR ROUTING

HOME DISASTER & CONSTRUCTION SERVICES
A

FOR VISUAL REPRESENTATION ONLY NOT TO SCALE SEE CA MUTCD FOR REFERENCE Highway Specialty Co - 6591 Eastside Rd. Redding, Ca 96001 - (530) 949-5631 Imagery and map data ©2023, Gooyl
NB 3RD ST --> LEFT ON B ST --> LEFT ON 4TH ST
--> LEFT ON C ST -> RIGHT ON 3RD ST --> LEFT ON

TOWER BRIDGE GATEWAY
DNB INFRASTRUCTURE INC.
8589 THYS CT

ANDRE CATELLIER
Contractors - Construction
Gross Receipts
03/31/2026

BRANDON MARTIN
DNB INFRASTRUCTURE INC.
8589 THYS CT
SACRAMENTO, CA 95828-1006
161691

CITY OF SACRAMENTO

DEPARTMENT OF FINANCE

MARK OF AUTHENTICATION

SACRAM ENTO BUSINESS OPERATIONS TAX CERTIFICATE
Finance Department
Business Name
Business Address
Owner
Type of Business
Tax Classification
Expires
Mailing Address

MUST BE POSTED IN CONSPICUOUS PLACE
This certificate is not to be construed as a business license or imply that the City of Sacramento has investigated, or approves or recommends, the holder of this certificate. Any representation to the contrary is fraudulent. This certificate must be renewed within 30 days of expiration.

Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender-based discrimination of business establishments. A full notice is available in English or other languages by going to: https://www.dca.ca.gov/publications/ 161691
TOTAL PAID:
$5,004.00

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1000005173 - D N B Infrastructure, Inc.

Customer Account Lookup
PWCR
1000005173
Contractor Status
DIR Approved
CSLB
845205
Business Phone
916-379-0957
Ext
Registration Start Date
2023-07-01
Legal Entity Name
D N B Infrastructure, Inc.

Doing Business As (DBA)
D N B Infrastructure, Inc.

Business Structure
Corporation - S corp
President
Andre Catellier
Email
[email protected]
Registration End Date
2026-06-30
Crafts
Carpenter Parking/Highway/Improvement Operating Engineer Laborer and Related Classifications Pile Driver (Carpenter) Cranes, Pile Driving and Hoisting Equipment (Operating Engineer) Cement Mason

PILE DRIVER (OPERATING ENGINEER-HEAVYAND HIGHWAY WORK) LABORER Operating Engineer (Heavy and Highway Work)
Address
Mailing Address
8589 THYS COURT
Mailing Address - City

SACRAMENTO
Mailing Address - State
CA
MailingAddress - Zip
95828
MailingAddress - Country
United States
Physical Address
Physical Address - City
Physical Address - State
Physical Address - Zip
Physical Address - Country
Related Lists
Rggiatr.a.tixtiaa.tQ5.

Terms & Conditions
Privacy Policy
Disclaimer
Nondiscrimination Notice Copyright 2024 State of California Accessibility

dir.ca.gov
r

CONTRACTORS STATE LICENSE BOAR
OContractor's License Detail for License #
845205
DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations.

Ir CUB complaint disclosure is restricted by law (aLL2.2,2) lf this entity is subject to public complaint disclosure click on link that will appear below for more infornlation. Click here for a definition of disclosable actions. • Only construction related civil judgments reported to CSLB are disclosed ( B&P 7071.17 • Arbitrations are not listed unless the contractor fails to comply with the terms. • Due to workload, there may be relevant information that has not yet been entered into the board's license database.

Data current as of 9/12/2025 8:07:25 AM

D N B INFRASTRUCTURE INC
8589 THYS CT
SACRAMENTO, CA 95828
Business Phone Number:(916) 379-0957
Entity Corporation
issue Date 08/23/2004
Reissue Date 02/14/2007
Expire Date 02/28/2027
This license is current and active.

All information below should be reviewed.
- GENERAL BUILDING

A - GENERAL ENGINEERING
Certifications
ASB ASBESTOS (For Bidding Purposes Only)
Contractor's Bond
This license filed a Contractor's Bond with TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA.

Bond Number: 108115111
Bond Amount: $25,000
Effective Date: 10/16/2024
Contractor's Bond History
Bond of Qualifying Individual
The qualifying individual ANDRE CLAUDE CATELLIER certified that he/she owns 10 percent or more of the voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required.

Effective Date: 07/17/2024
BQI's Bond History
This license has workers compensation insurance with the TRAVELERS PROPERTY CASUALTY

COMPANY OFAMERICA
Policy Nu mber:U B0P54850924265
Effective Date: 10/31/2024
Expire Date: 10/31/2025
Workers' Compensation History
Workers' compensation classification code(s):
5222 - Description Unavailable
5205- Description Unavailable
5506 - Street/Road Construction-paving
For a description of the workers' compensation classification code(s) listed for this licensee, contact the licensee's insurance carrier. Contact information for the licensee's insurer is available by clicking the insurer link above. Classification codes are also available on the Workers' Compensation Insurance Rating Bureau's classification search page.

The board does not verify or investigate the accuracy of classification codes displayed. o 06/06/2007 - LICENSE REISSUED TO ANOTHER ENTITY
Personnel listed on this license (current or disassociated) are listed on other licenses.

Copyright © 2025 State of California
Type or print payee's name and ti Andre C tether/President Payee's signature ►
Telephone (916) 379-0957
Date 9/15/2025
7061253 Form 590 2024 •

TAXABLE YEAR
•

CALIFORNIA FORM
2025 Withholding Exemption Certificate 590
The payee completes this form and submits it to the withholding agent.The withholding agent keeps this form with their records.

Withholding Agent information
Name

CITY OF SACRAMENTO
Payee information
Name
DNB Infrastructure Inc
❑ SSN or ITIN VI FEIN O CA Corp no. O CA SOSle no.
02-0794952
Address (apUste.. room;
8589 Thys Court
City (If you have a foreign address, see instructions
Sacramento

State
CA
ZIP code
95828

Exemption Reason
Check only one box.

By checking the appropriate box below, the payee certifies the reason for the exemption from the California income tax withholding requirements on payment(s) rnade to the entity or individual. 7 individuals — Certification of Residency:

I am a resident of California and I reside at the address shown above. If I become a nonresident at any time, I will promptly notify the withholding agent. See instructions for General Information D, Definitions. 0 Corporatlons:

The corporation has a permanent place of business in California at the address shown above or is qualified through the California Secretary of State (SOS) to do business in California.The corporation will tile a California tax return. If this corporation ceases to have a permanent place of business in California or ceases to do any of the above, I will promptly notify the withholding agent. See instructions tor General Information D, Definitions.

O Partnerships or Limited Liability Companies (LLCs):

The partnership or LLC has a perrnanent place of business in California at the address shown above or is registered with the California SOS, and is subject to the laws of California. The partnership or LLC will file a California tax return. If the partnership or LLC ceases to do any of the above, I will promptly inform the withholding agent. For withholding purposes, a limited liability partnership (LLP) is treated like any other partnership. ❑ Tax-Exempt Entities:

The entity is exempt from tax under California Revenue and Taxation Code (R&TC) Section 23701 .... (insert letter) or Internal Revenue Code Section 501(c) (insert number). If this entity ceases to be exempt from tax, I will promptly notify the withholding agent. Individuals cannot be tax-exempt entities. ❑ Insurance Companies, individual Retirement Arrangements (IRAs), or Qualified Pension/Profit-Sharing Plans:

The entity is an insurance company, IRA, or a federally qualified pension or profit-sharing plan. ❑ California Trusts:

At least one trustee and one noncontingent beneficiary of the above-named trust is a California resident. The trust will file a California fiduciary tax return. If the trustee or noncontingent beneficiary becomes a nonresident at any time, I will promptly notify the withholding agent.

O Estates — Certification of Residency of Deceased Person:

I am the executor of the above-named person's estate or trust. The decedent was a California resident at the time of death.

The estate will file a California fiduciary tax return.

O Nonmilitary Spouse of a Military Servicemember:

I am a nonmilitary spouse of a military servicemember and I meet the Military Spouse Residency Relief Act (MSRRA) requirements. See instructions for General Information E, MSRRA.

CERTIFICATE OF PAYEE: Payee must complete and sign below. 0ur privacy notice can be tound in annual tax booklets or online. Go to ftb.ca.gov/privacy to learn about our privacy policy statement, or go to ftb.ca.goy/forms and search tor 1131 to locate FTB 1131 EN-SP, Franchise Tax Board Privacy Notice on Collection. To request this notice by mail, call 800.338.0505 and enter form code 948 when instructed.

Under penalties of perjury, I declare that I have examined the information on this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare under penalties of perjury that if the facts upon which this torm are b. nge, I will promptly notify the withholding agent.

SACRAM E NTO
Department of Public Works

GUARANTEE

Page 1 of 1 ends

GUARANTEE
We hereby guarantee the I STREET BRIDGE RAILING REPAIR (PN: R15222211) for the City of Sacramento for one (1) year in accordance with the guarantee required in the specifications. We agree to repair or replace any or all such work, together with all or any other work which may be displaced in so doing, that may be proven defective in workmanship or material within the one-year period from the date of acceptance without any expense whatsoever to the City, ordinary wear and tear and unusual abuse or neglect excepted.

In the event of our failure to comply with the above-mentioned conditions within five (5) days time after being notified in writing, we collectively or separately, do hereby authorize the City to proceed to have the defects repaired and made good at our expense and will pay the costs and damages, including but not limited to any related attorney fees and City staff and administrative expenses, therefor immediately upon demand.

Dated: 9115/2025 Signed:

Ahdre Cate //;er
Printed Name
Company
DNB infrastructure Inc.

Address
8589 Thys Court Sacramento, CA 95828
(Rev. 5-6-91)
j Social security number
or
Employer identification number
Form W-9
(Rev. March 2024)
Department ol the Treasury
internal Revenue Service
Request for Taxpayer
identification Number and Certification
Go to www.irs.gov1FormW9 for instructions and the latest information.

Give form to the
requester. Do not
send to the IRS.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.)
Andre Catellier
2 Business name/disregarded entity name, if different from above.

DNB Infrastructure Inc
e
Q.
c
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes.
❑ IndividuaVsole proprietor El C corporation El S corporation D Partnership El Trust/estate ❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . .

Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.

El Other (see instructions)
4 Exemptions (codes apply only to
certain entities, not individuals;
see instructions on page 3):

Exempt payee code (if any)
Exemption from Foreign Account Tax
Compliance Act (FATCA) reporting
code (f any)

3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions ID (Applies to accounts maintained
outside fhe United Stales.)
5 Address (number, street, and apt. or suite no.). See instructions. 8589 Thys Court
6 City, state. and ZIP code
Sacramento. CA 95828
7 List account number(s) here (optional)
Requester's name and address (optional)
Taxpayer ldentification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. 0 Part II Certification
Under penalties of perjury, I certify that:

1.The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2.l arn not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that l am no longer subject to backup withholding; and
l am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating thal I am exempt from FATCA reporting is correct. 2 0 7 9 4 9 5 2
Certification instructions. You must cross out Item 2
because you have failed to report all interest and ends on acquisition or abandonment of secured prope , cancellation other than interest and dividends, you are nc reauired to si you have been notified by the IRS that you are currently subject to backup withholding your tax retum. For real estate transactions, item 2 does not apply. For mortgage interest paid, f debt, contributions to an indhridual retirement arrangement (IRA), and, generally, payments the certification, but you must provide your correct TIN. See the instnictions for Part II, later.

Sign Signature of
Here U.S. person
General instructions
Section references are to the internal Re de unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

What's New
Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the "LLC" box and enter ils appropriate tax classification. 'V/ a 2 S
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For exam*, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).

Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an information return with the IRS Is giving you this form because they Date
Cat. No. 10231X Form W-9 (Rev. 3-2024)
Contractor DNB Infrastructure Inc
By
ftey,ture

SAC'MMENTO

WORKERS COMPENSATION CERTIFICATION

Page 1 of 1 ends

Department of Public Works

WORKER'S COMPENSATION CERTIFICATION
I STREET BRIDGE RAII ING REPAIR (PN: R15222211)
In accordance with Article 5 (commencing at Section 1860), Chapter 1, Part 7, Division 2 of the Labor Code, the below certificate must be signed and filed with the awarding body prior to performing any work under this contract. Labor Code Section 3700, inter alia, states the following:
"Every employer shall secure the payment of compensation in one or more of the following ways:
"(a) By being insured against liability to pay compensation in one or rnore insurers duly authorized to write compensation insurance in this State. "(b) By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to his employees.

To be signed by authorized corporate officer or partner or individual submitting the Proposal. If Bidder is: (example)

1. An individual using a firm name, sign: "John Doe, an individual doing business as Blank Company."

2. An individual doing business under his own name, Sign: your name only.

3. A co-partnership, sign: "John Doe and Richard Doe, co-partners doing business as Blank Company, by, John Doe, co-partner.

4. A corporation, sign: "Blank Company, by John Doe, Secretary." (or other title) I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract.

DATE: ci/ i/ / ze 2
(Rev. 5-6-91)
City of Sacramento
915 I Street, RM 2000
Sacramento CA 95814

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
,-- 1 ACCPRD® CERTIFICATE OF LIABILITY INSURANCE
kki...-----

DATE(MM/DD/YYYY)
9/16/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

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
Arthur J. Gallagher Risk Management Services, LLC
595 Market St Ste 2100
San Francisco CA 94105
License#: 0D69293

CONTACT
NAME: Certificate Department
PHONE FAX (rvc. No, Ext): 925-299-1112 (A/C, No): 925-925-0238 E-MAIL
ADDRESS: [email protected]
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Travelers Property Casualty Co of America 25674 INSURED RNRCON0-01
D N B Infrastructure, Inc. formerly known as R N R Construction, Inc.

Andre Catellier
8589 Thys Court
Sacramento CA 95828
INSURER B : St Paul Surplus Lines Insurance Company 30481 INSURER C :

INSURER D:

INSURER E:

INSURER F :

COVERAGES CERTIFICATE NUMBER: 1776623426 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
LTR

ADDL TYPE OF INSURANCE INSD
SUBR

WVD POLICY NUMBER

POLICY EFF
(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY Y Y DT22CO0P552326TIL24 10/31/2024 10/31/2025 EACH OCCURRENCE $ 2,000,000

CLAIMS-MADE X OCCUR

DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 300,000
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 2,000,000

GEN'L AGGREGATE
POLICY
OTHER:

LIMIT APPLIES
78-f.

PER:

LOC
GENERAL AGGREGATE $ 4,000,000
PRODUCTS - COMP/OP AGG $ 4,000,000
A
X
y
-

AUTOMOBILELIABILITY

ANY AUTO
OWNED

AUTOS ONLY
HIRED

AUTOS ONLY
y
”

SCHEDULED
AUTOS

NON-OWNED

AUTOS ONLY
8100P5033812426G 10/31/2024 10/31/2025 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $

PROPERTYDAMAGE
(Per accident)
Comp & Coll Ded $ 1,000

A X UMBRELLALIAB

EXCESS LIAB

X OCCUR

CLAIMS-MADE
CUP4R4954432426 10/31/2024 10/31/2025 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000
DED X RETENTION$ $ in,nno

A WORKERSCOMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y / N
N /A
Y UB0P5485092426G 10/31/2024 10/31/2025 X MUTE ER
OTHE.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
B Professional Liability
Pollution Liability
ZCE71N80921 10/31/2024 10/31/2025 Each Claim/Aggregate $5,000,000 Each Occ/Aggregate $5,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: DNB Job #238 I Project Name: I Street Bridge Railing Repair (PN: R15222211) ADDITIONAL INSURED(s): City of Sacramento, Officers, directors, partners, joint ventures, agents, employees, affiliates, parents and subsidiaries, The City, its officials and volunteers.

CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID;
LOC #:

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY NAMED 1NSURED

POLICY NUMBER

CARRIER NAIC CODE
EFFECTNE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:

The Producer will endeavor to mail 30 days written notice to the Certificate I iolder named on the certificate if any policy listed on the certificate is cancelled prior to the expiration date. Failure to do so shall impose no obligation or liability of any kind upon the Producer or otherwise alter the policy terms.

Additional Information
General LIABILITY:
*Additional Insured when required by written contract per Forms. CGD4260219 *Primary Insurance Clause when required by written contract per Form CGD4260219 *Waiver of Subrogation as required by written contract per Form: CGD3160219 AUTOMOBILE LIABILITY:
*Additional Insured when required by written contract per Form: CA20481013 *Waiver of Subrogation as required by written contract per Form: CA04441013 WORKERS' COMPENSATION:
*Waiver of Subrogation as required by written contract per Form: WC990376 ACORD 101 (2008/01) C 2008 ACORD CORPORATION. Al I rights reserved.

The ACORD name and logo are registered marks of ACORD

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

BLANKET ADDITIONAL INSURED
(Includes Products-Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PROVISIONS
The following is added to SECTION II - WHO IS AN
INSURED:

Any person or organization that you agree in a
written contract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only:
a. With respect to liability for "bodily injury" or
"property damage" that occurs, or for "personal
injury" caused by an offense that is committed,
subsequent to the signing of that contract or
agreement and while that part of the contract or
agreement is in effect; and
b. lf, and only to the extent that, such injury or
damage is caused by acts or omissions of you or
your subcontractor in the performance of "your
work" to which the written contract or agreement
applies. Such person or organization does not
qualify as an additional insured with respect to
the independent acts or omissions of such
person or organization.

The insurance provided to such additional insured is
subject to the following provisions:
a. If the Limits of Insurance of this Coverage Part
shown in the Declarations exceed the minimum
limits required by the written contract or
agreement, the insurance provided to the
additional insured will be limited to such
minimum required limits. For the purposes of
determining whether this limitation applies, the
minimum limits required by the written contract or
agreement will be considered to include the
minimum limits of any Umbrella or Excess
liability coverage required for the additional
insured by that written contract or agreement.

This provision will not increase the limits of
insurance described in Section III — Limits Of
Insurance.
b. The insurance provided to such additional
insured does not apply to:
(1) Any "bodily injury", "property damage" or
"personal injury" arising out of the providing,
or failure to provide, any professional
architectural, engineering or surveying
services, including:
(a) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders or change orders, or the
preparing, approving, or failing to
prepare or approve, drawings and
specifications; and
(b) Supervisory, inspection, architectural or
engineering activities.
(2) Any "bodily injury" or "property damage"
caused by "your work" and included in the
"products-completed operations hazard"
unless the written contract or agreement
specifically requires you to provide such
coverage for that additional insured during
the policy period.
c. The additional insured must comply with the
following duties:
(1) Give us written notice as soon as practicable
of an "occurrence" or an offense which may
result in a claim. To the extent possible, such
notice should include:
(a) How, when and where the "occurrence"
or offense took place;
(b) The names and addresses of any injured
persons and witnesses; and
(c) The nature and location of any injury or
damage arising out of the "occurrence"
or offense.
(2) If a claim is made or "suit" is brought against
the additional insured:

COMMERCIAL GENERAL LIABILITY
(a) Immediately record the specifics of the
claim or "suit" and the date received; and
(b) Notify us as soon as practicable and see
to it that we receive written notice of the
claim or "suit" as soon as practicable.
(3) Immediately send us copies of all legal
papers received in connection with the claim
or "suit", cooperate with us in the
investigation or settlement of the claim or
defense against the "suit", and otherwise
comply with all policy conditions.
(4) Tender the defense and indemnity of any
claim or "suit" to any provider of other
insurance which would cover such additional
insured for a loss we cover. However, this
condition does not affect whether the
insurance provided to such additional
insured is primary to other insurance
available to such additional insured which
covers that person or organization as a
named insured as described in Paragraph 4.,
Other Insurance, of Section IV — Commercial
General Liability Conditions.

Page 2 of 2 ends

COMMERCIAL GENERAL
POLICY NUMBER: DT22 -CO- 0P552326-TIL-24 LIABILITY ISSUE DATE: 10- 31- 24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

OTHER INSURANCE - DESIGNATED ADDITIONAL

INSUREDS - PRIMARY WITH RESPECT TO CERTAIN

OTHER INSURANCE
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE OF DESIGNATED ADDITIONAL INSUREDS
"ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A WRITTEN CONTRACT TO INCLUDE AS AN ADDITIONAL INSURED".

PROVISIONS
The following is added to Paragraph 4.a., Primary
Insurance, of SECTION IV - COMMERCIAL
GENERAL LIABILITY CONDITIONS:

The insurance afforded under this Coverage Part to
any additional insured shown in the Schedule Of
Designated Additional Insureds is primary to any of
the other insurance, whether primary, excess,
contingent or on any other basis, that is available to
such additional insured which covers such additional
insured as a named insured, and we will not share
with that other insurance.

COMMERCIAL GENERAL
POLICY NUMBER: DT22CO0P552326TIL24 LIABILITY ISSUE DATE:1 0/3 1 /24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY

DESIGNATED PROJECT(S)

GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Designated Project
Designated Project(s): General Aggregate(s):

Each "project" for which you have agreed, in a written
contract which is in effect during this policy period, to provide a separate General Aggregate Limit, provided that the
contract is signed by you before the "bodily injury" or "property damage" occurs. Aggregate Limit: General
Aggregate Limit shown on the Declarations.

A. For all sums which the insured becomes legally
obligated to pay as damages caused by "occurrences" under COVERAGE A. (SECTION l), and for all medical expenses caused by accidents under COVERAGE C (SECTION l), which can be attributed only to operations at a single designated "project" shown in the Schedule above:

1. A separate Designated Project General Aggregate Llmit applies to each designated "project", and that limit is equal to the amount of the General Aggregate Limit shown in the
Declarations, unless separate Designated
Project General Aggregate(s) are scheduled above.

2. The Designated Project General Aggregate
Limit is the most we will pay for the sum of all
damages under COVERAGE A., except
damages because of "bodily injury" or "property damage" included in the "productscompleted operations hazard", and for medical expenses under COVERAGE C, regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims
or bringing "suits".

3. Any payments made under COVERAGE A.
for damages or under COVERAGE C. for
medical expenses shall reduce the Designated Project General Aggregate Limit for that designated "project". Such payments
shall not reduce the General Aggregate Limit
shown in the Declarations nor shall they reduce any other Designated Project General Aggregate Limit for any other designated
"project" shown in the Schedule above.

4. The limits shown in the Declarations for Each
Occurrence, Damage To Premises Rented
To You and Medical Expense continue to
apply. However, instead of being subject to
the General Aggregate Limit shown in the
Declarations, such limits will be subject to the
applicable Designated Project General Aggregate Limit.

B. For all sums which the insured becomes legally
obligated to pay as damages caused by "occurrences" under COVERAGE A. (SECTION l), and for all medical expenses caused by accidents under COVERAGE C. (SECTION l), which cannot be attributed only to operations at a single designated "project" shown in the Schedule above:

CG D2 11 01 04 Copyright, The Travelers Indemnity Company, 2004 Page 1 of 2

COMMERCIAL GENERAL LIABILITY

1. Any payments made under COVERAGE A.
for damages or under COVERAGE C. for
rnedical expenses shall reduce the amount
available under the General Aggregate Limit
or the Products-Completed Operations Aggregate Limit, whichever is applicable; and

2. Such payments shall not reduce any Designated Project General Aggregate Limit.

C. Part 2. of SECTION III - LIMITS OF INSURANCE
is deleted and replaced by the following:

2. The General Aggregate Limit is the most we
will pay for the sum of:
a. Damages under Coverage B; and
b. Damages from "occurrences" under
COVERAGE A (SECTION l) and for all
medical expenses caused by accidents
under COVERAGE C (SECTION l) which
cannot be attributed only to operations at
a single designated "project" shown in the
SCHEDULE above.

D. When coverage for liability arising out of the
"products-completed operations hazard" is proPOLICY NUMBER: DT22CO0P552326TIL24 vided, any payments for damages because of
"bodily injury" or "property damage" included in
the "products-completed operations hazard" will
reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Project General Aggregate Limit.

E. For the purposes of this endorsement the Definitions Section is amended by the addition of the following definition:
"Project" means an area away from premises
owned by or rented to you at which you are performing operations pursuant to a contract or agreement. For the purposes of determining the
applicable aggregate limit of insurance, each
"project" that includes premises involving the
same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad shall be
considered a single "project".

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

Page 2 of 2 ends

Policy No. DT22CO0P552326TIL24 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

XTEND ENDORSEMENT FOR CONTRACTORS
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.

A. Who Is An Insured — Unnamed Subsidiaries
B. Blanket Additional Insured — Governmental
Entities — Permits Or Authorizations Relating To
Operations

PROVISIONS
A. WHO IS AN INSURED - UNNAMED

SUBSIDIARIES
The following is added to SECTION II - WHO IS
AN INSURED:

Any of your subsidiaries, other than a partnership,
joint venture or limited liability company, that is
not shown as a Named Insured in the
Declarations is a Named Insured if:
a. You are the sole owner of, or maintain an
ownership interest of more than 50% in, such
subsidiary on the first day of the policy period;
and
b. Such subsidiary is not an insured under
similar other insurance.

No such subsidiary is an insured for "bodily injury"
or "property damage" that occurred, or "personal
and advertising injury" caused by an offense
committed:
a. Before you maintained an ownership interest
of more than 50% in such subsidiary; or
b. After the date, if any, during the policy period
that you no longer maintain an ownership
interest of more than 50% in such subsidiary.

For purposes of Paragraph 1. of Section II — Who
Is An Insured, each such subsidiary will be
deemed to be designated in the Declarations as:

C. Incidental Medical Malpractice
D. Blanket Waiver Of Subrogation
E. Contractual Liability — Railroads
F. Damage To Premises Rented To You
a. An organization other than a partnership, joint
venture or limited liability company; or
b. A trust;
as indicated in its name or the documents that
govern its structure.

B. BLANKET ADDITIONAL INSURED -

GOVERNMENTAL ENTITIES - PERMITS OR

AUTHORIZATIONS RELATING TO OPERATIONS
The following is added to SECTION II - WHO IS
AN INSURED:

Any governmental entity that has issued a permit
or authorization with respect to operations
performed by you or on your behalf and that you
are required by any ordinance, law, building code
or written contract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only with respect to liability for "bodily injury", "property damage" or "personal and
advertising injury" arising out of such operations.

The insurance provided to such governmental
entity does not apply to:
a. Any "bodily injury", "property damage" or
"personal and advertising injury" arising out of
operations performed for the governmental
entity; or
b. Any "bodily injury" or "property damage"
included in the "products-completed
operations hazard".

COMMERCIAL GENERAL LIABILITY
C. INCIDENTAL MEDICAL MALPRACTICE

1. The following replaces Paragraph b. of the
definition of "occurrence" in the
DEFINITIONS Section:
b. An act or omission committed in providing
or failing to provide "incidental medical
services", first aid or "Good Samaritan
services" to a person, unless you are in
the business or occupation of providing
professional health care services.

2. The following replaces the last paragraph of
Paragraph 2.a.(1) of SECTION II - WHO IS
AN INSURED:

Unless you are in the business or occupation
of providing professional health care services,
Paragraphs (1)(a), (b), (c) and (d) above do
not apply to "bodily injury" arising out of
providing or failing to provide:
(a) "Incidental medical services" by any of
your "employees" who is a nurse, nurse
assistant, emergency medical technician
or paramedic; or
(b) First aid or "Good Samaritan services" by
any of your "employees" or "volunteer
workers", other than an employed or
volunteer doctor. Any such "employees"
or "volunteer workers" providing or failing
to provide first aid or "Good Samaritan
services" during their work hours for you
will be deemed to be acting within the
scope of their employment by you or
performing duties related to the conduct
of your business.

3. The following replaces the last sentence of
Paragraph 5. of SECTION III - LIMITS OF
INSURANCE:

For the purposes of determining the
applicable Each Occurrence Limit, all related
acts or omissions committed in providing or
failing to provide "incidental medical
services", first aid or "Good Samaritan
services" to any one person will be deemed to
be one "occurrence".

4. The following exclusion is added to
Paragraph 2., Exclusions, of SECTION I -

COVERAGES - COVERAGE A - BODILY

INJURY AND PROPERTY DAMAGE
LIABILITY:

Sale Of Pharmaceuticals
"Bodily injury" or "property damage" arising
out of the violation of a penal statute or
ordinance relating to the sale of
Policy No. DT22OO0P552326TIL24
pharmaceuticals committed by, or with the
knowledge or consent of, the insured.

5. The following is added to the DEFINITIONS
Section:
"Incidental medical services" means:
a. Medical, surgical, dental, laboratory, x-ray
or nursing service or treatment, advice or
instruction, or the related furnishing of
food or beverages; or
b. The furnishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances.

6. The following is added to Paragraph 4.b.,
Excess Insurance, of SECTION IV -

COMMERCIAL GENERAL LIABILITY
CONDITIONS:

This insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis, that
is available to any of your "employees" for
"bodily injury" that arises out of providing or
failing to provide "incidental medical services"
to any person to the extent not subject to
Paragraph 2.a.(1) of Section II — Who Is An
Insured.

D. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV - COMMERCIAL GENERAL
LIABILITY CONDITIONS:

If the insured has agreed in a contract or
agreement to waive that insured's right of
recovery against any person or organization, we
waive our right of recovery against such person or
organization, but only for payments we make
because of:
a. "Bodily injury" or "property damage" that
occurs; or
b. "Personal and advertising injury" caused by
an offense that is committed;
subsequent to the execution of the contract or
agreement.

E. CONTRACTUAL LIABILITY - RAILROADS

1. The following replaces Paragraph c. of the
definition of "insured contract" in the
DEFINITIONS Section:
c. Any easement or license agreement;

Page 2 of 3 ends

Includes copyrighted material of Insurance Services Office, Inc., with its permission.

Policy No. DT22CO0P552326TIL24

2. Paragraph f.(1) of the definition of "insured
contract" in the DEFINITIONS Section is
deleted.

F. DAMAGE TO PREMISES RENTED TO YOU
The following replaces the definition of "premises
damage" in the DEFINITIONS Section:
"Premises damage" means "property damage" to:

COMMERCIAL GENERAL LIABILITY
a. Any premises while rented to you or
temporarily occupied by you with permission
of the owner; or
b. The contents of any premises while such
premises is rented to you, if you rent such
premises for a period of seven or fewer
consecutive days.

POLICY NUMBER: 8100P5033812426G COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

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

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

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

Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy. 'Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extentthat person or organization qualifies as an "insured" under the Who Is An Insured provision
contained in Paragraph A.1. of Section II - Covered
Autos Liability Coverage in the Business Auto and
Motor Carrier Coverage Forms and Paragraph D.2. of
Section I - Covered Autos Coverages of the Auto
Dealers Coverage Form.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Policy# 8100P5033812426G

COMMERCIAL AUTO

4. Loss Payment — Physical Damage Coverages
At our option, we may:
a. Pay for. repair or replace damaged or stolen property; b. Return the stolen property, at our expense. We will pay for any damage that results to the "auto" from the theft; or
c. Take all or any part of the damaged or
stolen property at an agreed or appraised
value.

If we pay for the "loss", our payment will include the applicable sales tax for the damaged or stolen property.

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

B. General Conditions

1. Bankruptcy
Bankruptcy or insolvency of the "insured" or
the "insured's" estate will not relieve us of any
obligations under this Coverage Form.

2. Concealment, Misrepresentation Or Fraud
This Coverage Form is void in any case of
fraud by you at any time as it relates to this
Coverage Form. It is also void if you or any
other "insured", at any time, intentionally conceals or misrepresents a material fact concerning:
a. This Coverage Form;
b. The covered "auto";
c. Your interest in the covered "auto"; or
d. A claim under this Coverage Form.

3. Liberalization
If we revise this Coverage Form to provide
more coverage without additional premium
charge, your policy will automatically provide
the additional coverage as of the day the revision is effective in your state.

4. No Benefit To Bailee — Physical Damage
Coverages
We will not recognize any assignment or
grant any coverage for the benefit of any person or organization holding, storing or transporting property for a fee regardless of any other provision of this Coverage Form.

5. Other insurance
a. For any covered "auto" you own, this
Coverage Form provides primary insurance. For any covered "auto" you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance. However, while a covered "auto" which is a "trailer" is connected to another vehicle, the Covered Autos Liability Coverage this Coverage
Form provides for the "trailer" is:
(1) Excess while it is connected to a motor vehicle you do not own; or (2) Primary while it is connected to a
covered "auto" you own.
b. For Hired Auto Physical Damage Coverage, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered
"auto" you own. However, any "auto" that
is leased. hired, rented or borrowed with
a driver is not a covered "auto".
c. Regardless of the provisions of Paragraph a. above, this Coverage Form's Covered Autos Liability Coverage is primary for any liability assumed under an "insured contract".
d. When this Coverage Form and any other
Coverage Form or policy covers on the
same basis, either excess or primary, we
will pay only our share. Our share is the
proportion that the Limit of Insurance of
our Coverage Form bears to the total of
the limits of all the Coverage Forms and
policies covering on the same basis.

6. Premium Audit
a. The estimated premium for this Coverage
Form is based on the exposures you told
us you would have when this policy began. We will compute the final premium due when we determine your actual exposures. The estimated total premium will be credited against the final premium due
and the first Named Insured will be billed
for the balance, if any. The due date for
the final premium or retrospective premium is the date shown as the due date on the bill. If the estimated total premium
exceeds the final premium due, the first
Named Insured will get a refund.

CA 00 01 10 13 © Insurance Services Office, lnc., 2011 Page 9 of 12 Policy No. 8100P5033812426G COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.

A. BROAD FORM NAMED INSURED
B. BLANKET ADDITIONAL INSURED
C. EMPLOYEE HIRED AUTO
D. EMPLOYEES AS INSURED
E. SUPPLEMENTARY PAYMENTS - INCREASED
LIMITS
F. HIRED AUTO - LIMITED WORLDWIDE COVERAGE - INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE - GLASS

PROVISIONS
A. BROAD FORM NAMED INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II - COVERED AUTOS
LIABILITY COVERAGE:

Any organization you newly acquire or form during the policy period over which you maintain 50% or more ownership interest and that is not
separately insured for Business Auto Coverage.

Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier.

B. BLANKET ADDITIONAL INSURED
The following is added to Paragraph c. in A.1.,
Who Is An Insured, of SECTION II - COVERED
AUTOS LIABILITY COVERAGE:

Any person or organization who is required under
a written contract or agreement between you and
that person or organization, that is signed and
executed by you before the "bodily injury" or
"property damage" occurs and that is in effect
during the policy period, to be named as an additional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which
H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF

USE - INCREASED LIMIT
I. PHYSICAL DAMAGE - TRANSPORTATION

EXPENSES - INCREASED LIMIT
J. PERSONAL PROPERTY
K. AIRBAGS
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
M. BLANKET WAIVER OF SUBROGATION
N. UNINTENTIONAL ERRORS OR OMISSIONS
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.

C. EMPLOYEE HIRED AUTO

1. The following is added to Paragraph A.1.,
Who Is An Insured, of SECTION II - COVERED AUTOS LIABILITY COVERAGE:

An "employee" of yours is an "insured" while
operating an "auto" hired or rented under a
contract or agreement in an "employee's"
name, with your permission, while performing
duties related to the conduct of your business.

2. The following replaces Paragraph b. in B.5.,
Other Insurance, of SECTION IV - BUSINESS AUTO CONDITIONS:
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
an "employee's" name, with your
CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

COMMERCIAL AUTO
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".

D. EMPLOYEES AS INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II - COVERED AUTOS
LIABILITY COVERAGE:

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.

E. SUPPLEMENTARY PAYMENTS - INCREASED
LIMITS

1. The following replaces Paragraph A.2.a.(2),
of SECTION II - COVERED AUTOS LIABILITY COVERAGE:
(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 do not have to furnish
these bonds.

2. The following replaces Paragraph A.2.a.(4),
of SECTION II - COVERED AUTOS LIABILITY COVERAGE:
(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.

F. HIRED AUTO - LIMITED WORLDWIDE COVERAGE - INDEMNITY BASIS The following replaces Subparagraph (5) in Paragraph B.7., Policy Period, Coverage Territory, of SECTION IV - BUSINESS AUTO CONDITIONS:
(5) Anywhere in the world, except any country or
jurisdiction while any trade sanction, embargo, or similar regulation imposed by the United States of America applies to and prohibits the transaction of business with or within such country or jurisdiction, for Covered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow
without a driver for a period of 30 days or less
and that is not an "auto" you lease, hire, rent
or borrow from any of your "employees",
partners (if you are a partnership), members
(if you are a limited liability company) or
members of their households.

Policy No. 8100P5033812426G
(a) With respect to any claim made or "suit"
brought outside the United States of
America, the territories and possessions
of the United States of America, Puerto
Rico and Canada:
(i) You must arrange to defend the "insured" against, and investigate or settle any such claim or "suit" and keep us advised of all proceedings and actions.
(ii) Neither you nor any other involved
"insured" will make any settlement
without our consent.
(iii) We may, at our discretion, participate
in defending the "insured" against, or
in the settlement of, any claim or
"suit".
(iv) We will reimburse the "insured" for
sums that the "insured" legally must
pay as damages because of "bodily
injury" or "property damage" to which
this insurance applies, that the "insured" pays with our consent, but only up to the limit described in Paragraph C., Limits Of Insurance, of

SECTION II - COVERED AUTOS
LIABILITY COVERAGE.
(v) We will reimburse the "insured" for
the reasonable expenses incurred
with our consent for your investigation of such claims and your defense of the "insured" against any such
"suit", but only up to and included
within the limit described in Paragraph C., Limits Of Insurance, of

SECTION II - COVERED AUTOS
LIABILITY COVERAGE, and not in
addition to such limit. Our duty to
make such payments ends when we
have used up the applicable limit of
insurance in payments for damages,
settlements or defense expenses.
(b) This insurance is excess over any valid
and collectible other insurance available
to the "insured" whether primary, excess,
contingent or on any other basis.
(c) This insurance is not a substitute for required or compulsory insurance in any country outside the United States, its territories and possessions, Puerto Rico and Canada.

Page 2 of 4 ends

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

Policy No. 8100P5033812426G COMMERCIAL AUTO
You agree to maintain all required or
compulsory insurance in any such country up to the minimum limits required by local law. Your failure to comply with
compulsory insurance requirements will
not invalidate the coverage afforded by
this policy, but we will only be liable to the
same extent we would have been liable
had you complied with the compulsory insurance requirements. (d) It is understood that we are not an admitted or authorized insurer outside the United States of America, its territories
and possessions, Puerto Rico and Canada. We assume no responsibility for the furnishing of certificates of insurance, or
for compliance in any way with the laws
of other countries relating to insurance.

G. WAIVER OF DEDUCTIBLE - GLASS
The following is added to Paragraph D., Deductible, of SECTION III - PHYSICAL DAMAGE COVERAGE:

No deductible for a covered "auto" will apply to
glass damage if the glass is repaired rather than
replaced.

H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF

USE - INCREASED LIMIT
The following replaces the last sentence of Paragraph A.4.b., Loss Of Use Expenses, of SECTION III - PHYSICAL DAMAGE COVERAGE:

However, the most we will pay for any expenses
for loss of use is $65 per day, to a maximum of
$750 for any one "accident".

I. PHYSICAL DAMAGE - TRANSPORTATION

EXPENSES - INCREASED LIMIT
The following replaces the first sentence in Paragraph A.4.a., Transportation Expenses, of SECTION III - PHYSICAL DAMAGE COVERAGE:

We will pay up to $50 per day to a maximum of ->
$1,500 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type.

J. PERSONAL PROPERTY
The following is added to Paragraph A.4., Coverage Extensions, of SECTION III - PHYSICAL DAMAGE COVERAGE:

Personal Property
We will pay up to $400 for "loss" to wearing apparel and other personal property which is:
(1) Owned by an "insured"; and
(2) In or on your covered "auto".

This coverage applies only in the event of a total
theft of your covered "auto".

No deductibles apply to this Personal Property
coverage.

K. AIRBAGS
The following is added to Paragraph B.3., Exclusions, of SECTION III - PHYSICAL DAMAGE COVERAGE:

Exclusion 3.a. does not apply to "loss" to one or
more airbags in a covered "auto" you own that inflate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but
only:
a. If that "auto" is a covered "auto" for Comprehensive Coverage under this policy; b. The airbags are not covered under any warranty; and c. The airbags were not intentionally inflated.

We will pay up to a maximum of $1,000 for any
one "loss".

L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
The following is added to Paragraph A.2.a., of
SECTION IV - BUSINESS AUTO CONDITIONS:

Your duty to give us or our authorized representative prompt notice of the "accident" or "loss" applies only when the "accident" or "loss" is known to:
(a) You (if you are an individual);
(b) A partner (if you are a partnership);
(c) A member (if you are a limited liability company); (d) An executive officer, director or insurance
manager (if you are a corporation or other organization); or (e) Any "employee" authorized by you to give notice of the "accident" or "loss".

BLANKET WAIVER OF SUBROGATION
The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV - BUSINESS AUTO CONDITIONS:

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 signed and executed prior to any "accident"
or "loss", provided that the "accident" or "loss"
arises out of operations contemplated by
CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

COMMERCIAL AUTO
such contract. The waiver applies only to the
person or organization designated in such
contract.

N. UNINTENTIONAL ERRORS OR OMISSIONS
The following is added to Paragraph B.2., Concealment, Misrepresentation, Or Fraud, of SECTION IV - BUSINESS AUTO CONDITIONS:

Policy No. 8100P5033812426G
The unintentional omission of, or unintentional
error in, any information given by you shall not
prejudice your rights under this insurance. However this provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal.

Page 4 of 4 ends

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

POLICY NUMBER: 8100P5033812426G COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

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

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

Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

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

CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

TRAVELERS J WORKERS COMPENSATION
AND

EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 99 03 76 ( A) -
POLICY NUMBER: UB0P5485092426G

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS

ENDORSEMENT - CALIFORNIA
(BLANKET WAIVER)
We have the right to recover our payments from anyone Hable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.

The additional premium for this endorsement shall be % of the California workers' compensation premium.

Schedule
Person or Organization Job Description
All "locations" and all construction projects at which you are performing ongoing operations This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 10/31/2024 Policy No. UB0P5485092426G Endorsement Nb. insured RNR Construction, Mc. Premium
Insurance Company Countersigned by
Travelers Property Casualty Co of America
DATE OF ISSUE: 10/31/2024 ST ASSIGN: Page 1 of 1
City of Sacramento
915 I Street, RM 2000
Sacramento CA 95814

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
,-- 1 ACCPRD® CERTIFICATE OF LIABILITY INSURANCE
kki...-----

DATE(MM/DD/YYYY)
9/16/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

PRODUCER
Arthur J. Gallagher Risk Management Services, LLC
595 Market St Ste 2100
San Francisco CA 94105
License#: 0D69293

Andre Catellier
8589 Thys Court
Sacramento CA 95828
INSURER B : St Paul Surplus Lines Insurance Company 30481 INSURER C :

INSURER D:

INSURER E:

INSURER F :

COVERAGES CERTIFICATE NUMBER: 1776623426 REVISION NUMBER:

INSR
LTR

ADDL TYPE OF INSURANCE INSD
SUBR

WVD POLICY NUMBER

POLICY EFF
(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY Y Y DT22CO0P552326TIL24 10/31/2024 10/31/2025 EACH OCCURRENCE $ 2,000,000

CLAIMS-MADE X OCCUR

DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 300,000
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 2,000,000

GEN'L AGGREGATE
POLICY
OTHER:

LIMIT APPLIES
78-f.

PER:

LOC
GENERAL AGGREGATE $ 4,000,000
PRODUCTS - COMP/OP AGG $ 4,000,000
A
X
y
-

AUTOMOBILELIABILITY

ANY AUTO
OWNED

AUTOS ONLY
HIRED

AUTOS ONLY
y
”

SCHEDULED
AUTOS

NON-OWNED

AUTOS ONLY
8100P5033812426G 10/31/2024 10/31/2025 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $

PROPERTYDAMAGE
(Per accident)
Comp & Coll Ded $ 1,000

A X UMBRELLALIAB

EXCESS LIAB

X OCCUR

CLAIMS-MADE
CUP4R4954432426 10/31/2024 10/31/2025 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000
DED X RETENTION$ $ in,nno

A WORKERSCOMPENSATION

AND EMPLOYERS' LIABILITY

CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID;
LOC #:

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY NAMED 1NSURED

POLICY NUMBER

CARRIER NAIC CODE
EFFECTNE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:

The ACORD name and logo are registered marks of ACORD

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

BLANKET ADDITIONAL INSURED
(Includes Products-Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PROVISIONS
The following is added to SECTION II - WHO IS AN
INSURED:

Page 2 of 2 ends

COMMERCIAL GENERAL
POLICY NUMBER: DT22 -CO- 0P552326-TIL-24 LIABILITY ISSUE DATE: 10- 31- 24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

OTHER INSURANCE - DESIGNATED ADDITIONAL

INSUREDS - PRIMARY WITH RESPECT TO CERTAIN

OTHER INSURANCE
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE OF DESIGNATED ADDITIONAL INSUREDS
"ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A WRITTEN CONTRACT TO INCLUDE AS AN ADDITIONAL INSURED".

PROVISIONS
The following is added to Paragraph 4.a., Primary
Insurance, of SECTION IV - COMMERCIAL
GENERAL LIABILITY CONDITIONS:

COMMERCIAL GENERAL
POLICY NUMBER: DT22CO0P552326TIL24 LIABILITY ISSUE DATE:1 0/3 1 /24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY

DESIGNATED PROJECT(S)

GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Designated Project
Designated Project(s): General Aggregate(s):

CG D2 11 01 04 Copyright, The Travelers Indemnity Company, 2004 Page 1 of 2

COMMERCIAL GENERAL LIABILITY

2. Such payments shall not reduce any Designated Project General Aggregate Limit.

C. Part 2. of SECTION III - LIMITS OF INSURANCE
is deleted and replaced by the following:

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

Page 2 of 2 ends

Policy No. DT22CO0P552326TIL24 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

XTEND ENDORSEMENT FOR CONTRACTORS
This endorsement modifies insurance provided under the following:

A. Who Is An Insured — Unnamed Subsidiaries
B. Blanket Additional Insured — Governmental
Entities — Permits Or Authorizations Relating To
Operations

PROVISIONS
A. WHO IS AN INSURED - UNNAMED

SUBSIDIARIES
The following is added to SECTION II - WHO IS
AN INSURED:

For purposes of Paragraph 1. of Section II — Who
Is An Insured, each such subsidiary will be
deemed to be designated in the Declarations as:

B. BLANKET ADDITIONAL INSURED -

GOVERNMENTAL ENTITIES - PERMITS OR

AUTHORIZATIONS RELATING TO OPERATIONS
The following is added to SECTION II - WHO IS
AN INSURED:

COMMERCIAL GENERAL LIABILITY
C. INCIDENTAL MEDICAL MALPRACTICE

2. The following replaces the last paragraph of
Paragraph 2.a.(1) of SECTION II - WHO IS
AN INSURED:

3. The following replaces the last sentence of
Paragraph 5. of SECTION III - LIMITS OF
INSURANCE:

4. The following exclusion is added to
Paragraph 2., Exclusions, of SECTION I -

COVERAGES - COVERAGE A - BODILY

INJURY AND PROPERTY DAMAGE
LIABILITY:

6. The following is added to Paragraph 4.b.,
Excess Insurance, of SECTION IV -

COMMERCIAL GENERAL LIABILITY
CONDITIONS:

D. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV - COMMERCIAL GENERAL
LIABILITY CONDITIONS:

E. CONTRACTUAL LIABILITY - RAILROADS

1. The following replaces Paragraph c. of the
definition of "insured contract" in the
DEFINITIONS Section:
c. Any easement or license agreement;

Page 2 of 3 ends

Includes copyrighted material of Insurance Services Office, Inc., with its permission.

Policy No. DT22CO0P552326TIL24

2. Paragraph f.(1) of the definition of "insured
contract" in the DEFINITIONS Section is
deleted.

F. DAMAGE TO PREMISES RENTED TO YOU
The following replaces the definition of "premises
damage" in the DEFINITIONS Section:
"Premises damage" means "property damage" to:

POLICY NUMBER: 8100P5033812426G COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

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

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

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Policy# 8100P5033812426G

COMMERCIAL AUTO

If we pay for the "loss", our payment will include the applicable sales tax for the damaged or stolen property.

B. General Conditions

1. Bankruptcy
Bankruptcy or insolvency of the "insured" or
the "insured's" estate will not relieve us of any
obligations under this Coverage Form.

CA 00 01 10 13 © Insurance Services Office, lnc., 2011 Page 9 of 12 Policy No. 8100P5033812426G COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:

PROVISIONS
A. BROAD FORM NAMED INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II - COVERED AUTOS
LIABILITY COVERAGE:

Any organization you newly acquire or form during the policy period over which you maintain 50% or more ownership interest and that is not
separately insured for Business Auto Coverage.

Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier.

B. BLANKET ADDITIONAL INSURED
The following is added to Paragraph c. in A.1.,
Who Is An Insured, of SECTION II - COVERED
AUTOS LIABILITY COVERAGE:

USE - INCREASED LIMIT
I. PHYSICAL DAMAGE - TRANSPORTATION

C. EMPLOYEE HIRED AUTO

1. The following is added to Paragraph A.1.,
Who Is An Insured, of SECTION II - COVERED AUTOS LIABILITY COVERAGE:

COMMERCIAL AUTO
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".

D. EMPLOYEES AS INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II - COVERED AUTOS
LIABILITY COVERAGE:

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.

E. SUPPLEMENTARY PAYMENTS - INCREASED
LIMITS

Page 2 of 4 ends

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

G. WAIVER OF DEDUCTIBLE - GLASS
The following is added to Paragraph D., Deductible, of SECTION III - PHYSICAL DAMAGE COVERAGE:

No deductible for a covered "auto" will apply to
glass damage if the glass is repaired rather than
replaced.

H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF

USE - INCREASED LIMIT
The following replaces the last sentence of Paragraph A.4.b., Loss Of Use Expenses, of SECTION III - PHYSICAL DAMAGE COVERAGE:

However, the most we will pay for any expenses
for loss of use is $65 per day, to a maximum of
$750 for any one "accident".

I. PHYSICAL DAMAGE - TRANSPORTATION

EXPENSES - INCREASED LIMIT
The following replaces the first sentence in Paragraph A.4.a., Transportation Expenses, of SECTION III - PHYSICAL DAMAGE COVERAGE:

We will pay up to $50 per day to a maximum of ->
$1,500 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type.

J. PERSONAL PROPERTY
The following is added to Paragraph A.4., Coverage Extensions, of SECTION III - PHYSICAL DAMAGE COVERAGE:

Personal Property
We will pay up to $400 for "loss" to wearing apparel and other personal property which is:
(1) Owned by an "insured"; and
(2) In or on your covered "auto".

This coverage applies only in the event of a total
theft of your covered "auto".

No deductibles apply to this Personal Property
coverage.

K. AIRBAGS
The following is added to Paragraph B.3., Exclusions, of SECTION III - PHYSICAL DAMAGE COVERAGE:

We will pay up to a maximum of $1,000 for any
one "loss".

L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
The following is added to Paragraph A.2.a., of
SECTION IV - BUSINESS AUTO CONDITIONS:

BLANKET WAIVER OF SUBROGATION
The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV - BUSINESS AUTO CONDITIONS:

COMMERCIAL AUTO
such contract. The waiver applies only to the
person or organization designated in such
contract.

N. UNINTENTIONAL ERRORS OR OMISSIONS
The following is added to Paragraph B.2., Concealment, Misrepresentation, Or Fraud, of SECTION IV - BUSINESS AUTO CONDITIONS:

Page 4 of 4 ends

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

POLICY NUMBER: 8100P5033812426G COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

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

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

CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

TRAVELERS J WORKERS COMPENSATION
AND

EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 99 03 76 ( A) -
POLICY NUMBER: UB0P5485092426G

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS

The additional premium for this endorsement shall be % of the California workers' compensation premium.

SAC RAM E NT()

LABOR COMPLIANCE REQUIREMENTS
A summary ofthe labor compliance requirements will be presented at the labor compliance meeting. However, please read the attached documents relating to the labor compliance requirements and expectations for this project. For any questions regarding these requirements, please contact Raquel Gonzalez at [email protected].

Each contractor and subcontractor (at all levels/tiers) is requiredto submit certified payrolls and labor compliance documentation electronically at the discretion ofand in the manner specified by, the City of Sacramento.

Electronic submittal will be through a web-based system, accessed on the World Wide Web by a web browser. Each contractor and subcontractor will be given a Log On identification and password to access the City of Sacramento reporting system, currently LCPTracker.

Use of the system may entail additional data entry ofweekly payroll information including employee identification, labor classification, total hours worked and hours worked on this project, wage and benefit rates paid, etc. The contractor's payroll and accounting software maybe capable of generating a `comma delimited file' that will interface with the software. Ifthe `comma delimited file' option does not work, it is still the responsibility ofthe contractor and subcontractors to manually enter their data into LCPtracker, meeting the required deadlines for those documents.

This requirement `flows down' to every lower-tier subcontractor and vendor required to provide labor compliance documentation.

SACRAMENTO

LABOR COMPLIANCE

HANDBOOK
2023
Rev sed 10/16 /2018

SACRAMENTO
Introduction
Contractors who are awarded contracts on City of Sacramento public works projects are subject to State and Federal Laws and regulations governing the payment and reporting of wages, the use of apprentices, and other applicable labor standards provisions. The City of Sacramento monitors prime contractors' and subcontractors' compliance with labor standards by collecting certified payroll records; conducting on-site interviews of works at the construction sites; when appropriate, audits of contractors' records; and engaging in other activities, as necessary, to ensure labor compliance. Labor Compliance officers make preconstruction presentations to inform contractors of their obligations to comply with labor standards provisions.

Electronic web submittals of labor compliance documents are effective as of May 1, 2007.

Each contractor and every lower tier sub-contractor are required to submit labor compliance documents electronically at the discretion of the City of Sacramento utilizing LCPtracker.net.

CITY OF SA CRAMENTO

DEPT OF PUBLIC WORKS

ENGINEERING SERVICES

LABOR COMPLIANCE STAFF
Raquel Gonaez,
Program Analyst
RAGonzalezRcityofsacramento.orq
Contractor Compliance and Monitoring, inc.
635 Mariners Island Blvd #200
San Mateo, CA 94404
infoRccmilcp.com

SAC ENTO
Labor Compliance Requirements
(Prevailing Wage, SB 854, AB219, Etc.)
SB 854, a budget trailer bill that was signed into law on June 20, 2014, and became effective immediately, made several significant changes to laws pertaining to the administration and enforcement of prevailing wage requirements by the Department of Industrial Relations (DIR). Among other things, SB 854 established a new public works contractor registration program to replace prior Compliance Monitoring Unit (CMU) and Labor Compliance Program (LCP) requirements for bond-funded and other specified public works projects. The fees collected through this new program will be used to fund all of DIR's public works activities, including compliance monitoring and enforcement, the determination of prevailing wage rates, public works coverage determinations, and hearing enforcement appeals.

Labor Code Section 1725.5 (enacted by SB 854) requires all contractors bidding on this contract, all subcontractors listed in a bid for this contract, and any contractor or subcontractor performing any work under this contract, to be currently registered with the California Department of Industrial Relations (DIR), as specified in Labor Code Section 1725.5. Labor Code Section 1771.1 (enacted by SB 854) provides that a contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal (subject to the requirements of Section 4104 of the Public Contract Code), or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Labor Code Section 1725.5. Every bidding contractor shall list the contractor's current DIR registration number, and the current DIR registration number of all listed subcontractors, on the Subcontractor and Local Business Enterprise (LBE) Participation Verification Form included in the contractor's bid.

SB 854 — Important Information for Contractors
• No contractor or subcontractor may be listed on a bid proposal for a public works project (submitted on or after March 1, 2015) unless registered with the Department of Industrial Relations pursuant to Labor Code section 1725.5 [with limited exceptions from this requirement for bid purposes only under Labor Code section 1771.1(a)].
• No contractor or subcontractor may be awarded a contract for public work on a public works project (awarded on or after April 1, 2015) unless registered with the Department of Industrial Relations pursuant to Labor Code section 1725.5.
• This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations.
• The prime contractor must post job site notices prescribed by regulation. (See 8 Calif. Code Reg. §16451(d) for the notice that previously was required for projects monitored by the CMU (Compliance Monitoring Unit.)
Essentials of public works contractor redistration program:
• Contractors will be subject to a registration and annual renewal fee that has been set initially at $400. The fee is non-refundable and applies to all contractors and subcontractors who intend to bid or perform work on public works projects (as defined under the Labor Code). • Contractors will apply and pay the fee online and must meet minimum qualifications to be registered as eligible to bid and work on public works projects:
• Must have workers' compensation coverage for any employees and only use subcontractors who are registered public works contractors.
• Must have Contractors State License Board license if applicable to trade. • Must have no delinquent unpaid wage or penalty assessments owed to any employee or enforcement agency.
• Must not be under federal or state debarment.
• Must not be in prior violation of this registration requirement once it becomes effective. However, for the first violation in a 12-month period, a contractor may still qualify for registration by paying an additional penalty.
• The registration fee is not related to any project. It is more like a license that enables the registrant to bid on and perform public works.
• Additionally, all contractors and subcontractors must furnish electronic certified payroll records directly to the Labor Commissioner (aka Division of Labor Standards Enforcement).

The phase-in timetable for this requirement can be found on the following link at http://www.dir.ca.gov/Public- Works/SB854.html (also for all SB854 related information).

Concrete Delivery Leqislation (AB 219) Fact Sheet
Assembly Bill 219 (Daly, Chapter 739, Statutes of 2015) adds Section 1720.9 to the Labor Code.

This bill expands the definition of public works under the California Prevailing Wage Law to include:
...the hauling and delivery of ready-mixed concrete to carry out a public works, contract, with respect to contracts involving any state agency, including the California State University and the University of California, or any political subdivision of the state.

Section 1720.9 defines the term ready-mixed concrete and specifies that the rate of pay shall be the current prevailing wage "for the geographical area in which the factory or batching plant is located" as determined by the Department of Industrial Relations. The statute also requires a written agreement between the party hauling or delivering ready-mixed concrete and the party that engaged its services. The agreement must specify compliance with the Prevailing Wage Law.

Finally, section 1720.0 requires that the hauling or delivery company provide certified payroll records under Labor Code section 1776(a) to the party that engaged its services and to the general contractor within five working days after the employee has been paid, accompanied by a written time record. The time record must be certified by each driver for the performance of job duties.

The amendments do not apply to public works contracts that were advertised for bid or awarded prior to July 1, 2016.

Reqistration with the Department of Industrial Relations Ready-mix haulers and companies that deliver ready-mixed concrete for public works projects are considered subcontractors under Labor Code section 1722.1 and must register with the Department of Industrial Relations as specified in Labor Code section 1725.5. A Contractors State License Board license is not required to register with DIR or to work on a public works project (contractors working in a trade that is subject to licensing by the CSLB will still be subject to CSLB licensing requirements).

Suppliers and other trucking companies will need to provide a Public Utilities Commission license number, U.S. Department of Transportation license number, and any other state or federal license, if one is required for your business. If none of these apply, the supplier can register with DIR by selecting other in the license type menu and entering N/A for not applicable in the license number field.

Prevailinq Waqe Requirements (except from Sacramento City Code 3.60.180) Every contract for any construction project, as defined in Section 1782 of the California Labor Code, to be performed within the state at the expense of the city, or paid out of city moneys, whether such work be done directly under contract award, or indirectly by or under subcontract, sub partnership, day labor, station work, piece work, or by any other arrangement whatsoever, must provide, in addition to other provisions required by law, that any person performing labor in the state in execution of such contracts, subcontract, sub partnership, day labor, station labor, piece work or any other arrangement shall be paid not less than the general prevailing rate of wages in private employment for similar work in the city; provided, however, that the foregoing provisions as to payment of the general prevailing rate of wages shall not apply to: (a) contracts for any construction project originally awarded or executed in an amount of twenty-five thousand dollars ($25,000.00) or less; (b) contracts for any alteration, demolition, repair, or maintenance work originally awarded or executed in an amount of fifteen thousand dollars ($15,000) or less; (c) materials for which no manufacturing plant exists in the city; or (d) standard materials or commodities carried in stock by dealers or manufacturers generally.

The general prevailing rate of wages shall be the general prevailing rate of wages for the area in which the city is located as determined by the director of the Department of Industrial Relations pursuant to Labor Code Section 1773. Every contract for which the payment of the general prevailing rate of wages is required shall provide that the determination of the director of the Department of Industrial Relations in force at the time the notice to bidders is published with respect to the general prevailing rate of wages in private employment in the city for similar work shall be binding upon the parties any contract awarded as a result of such notice.

For more details, please refer to the applicable statutes and regulations regarding the payment of prevailing wages and General Prevailing Wage Determination(s) including the footnotes. Such information is available on the Department of Industrial Relations' website at htto://www.dir.ca.qov/. Frequently asked questions can be found on the following link at: http://www.dir.ca.qov/OPRL/FAQ PrevailinqWaqe.html.

These new requirements will apply to all public works that are subject to the prevailing wage requirements of the Labor Code, without regard to funding source.

Please refer to http://www.dir.ca.gov/ for general requirements by DIR (Department of lndustrial Relations in the State of California). For additional information about public works requirements, please visit the public works section at http://www.dir.ca.gov/Public-Works/PublicWorks.html.

California Wage Determinations
Website
The State Wage Determination can be found on-line by accessing the following web site:
http://www.dir.ca.gov/OPRL/pwd/
For additional information you may contact: Division of Labor Statistics and Research (DLSR) (415) 703- 4774.

The State Wage Determinations list the basic crafts, (operating engineers, carpenters, laborers, etc.) by location; most sub trades (electricians, plumbers, etc.) are by county (In the event of multiple funding sources, a comparison of the state and federal determination must be made, and the higher wage rate must be applied.)
issue Date:

The State Wage Determinations are published twice a year; approximately February 22 and August 22, to reflect updated wage increases incurred. Please be cognizant that increase dates do vary.

Sinqle Asterisk * (Good for life of project)
Example: Expiration Date of Determination: June 27, 2008* *Effective until superseded by new determination issued by the Director of Industrial Relations. Contact Division of Labor Statistics and Research (415) 703-4774 for new rates after 10 days from the expiration date if no subsequent determination is issued.

Double Asterisks ** (Indicates expiration date & a wage or fringe benefit increase) Example: Expiration Date of Determination: June 30, 2009** ** The rate to be paid for work performed after this date has been determined. If work will extend past this expiration date, the new rate must be paid and should be incorporated in contracts entered into now.

Contact Division of Labor Statistics and Research (415) 703-4774.

On-Site Posting Required
All contractors must post a copy of the applicable State Wage Determinations and Labor Compliance Contacts sheet provided at the preconstruction meeting.

Federal Wage Determinations
Web Site
The Federal Wage Determinations can be found on-line by accessing the following web site:
http://www.wdol.gov. Applicable Federal Wage Determinations are included in your contract.

The Davis-Bacon Act (DBA) requires the payment of prevailing wage rates (which are determined by the US Department of Labor) to all workers employed in the execution of the contract on federally funded construction projects. In the event of multiple funding sources, a comparison of the state and federal determination must be made, and the higher wage rate must be applied. https://www.dol.gov/compliance/guide/dbra.htm
Publication Date
There is no set date that the Federal Wage Determination is published; it is modified as needed.

Good for the Life of the Project
The applicable Federal Wage Determination is good for the life of the project.

On-Site Posting Required
All contractors must post a copy of the applicable Federal Wage Determination and the WH-1321 "Employee Rights Under the Davis-Bacon Act" poster that is provided at the preconstruction meeting. https://www.dol.gov/compliance/guide/dbra.htm
Sole Proprietors
Are sole proprietor contractors required by law to pay prevailing wages and submit eCPRs for work done on public works projects?
Sole proprietorship and general partnership companies without employees are required to pay themselves prevailing wages, in accordance with Labor Code section 1774 that states that all workers must be paid prevailing wages. If the worker is also the employer and sole proprietor for whom no payroll exists, the owner should submit eCPRs and must show that that the rate of pay is at or above the required prevailing wage. (The courts have ruled that sole owner companies cannot pay less than the prevailing wages. As such, any contract that is entered into that undercuts the labor component is unlawful.) What if the company hasn't hired any workers yet, so the owner does all the work? What if the company has employees, but the owner/partner/corporate officer does some work as well?
In the first situation, treat the business as if it were a sole proprietorship and do as explained in the following question. In the second situation, you must first determine if the work done by the owner/partner/officer falls into the category of prevailing wage work. If the work was prevailing wage work, then do as listed below assuming the worker is the owner. In the situations that the worker is the corporate officer who receive a fixed salary, you should annualize the salary to calculate the hourly rate. In the events that the hourly rate is less than the prevailing wage rate, the worker should receive the additional payment to meet the required amount.

As a sole proprietor, how do I calculate my pay rate?
You should divide your profit before labor costs (i.e., the amount of contract less fixed cost and variable costs) by the total number of hours you worked on the public works site. Please note that if your labor profit goes below the prevailing wage rate, you could be subject to public works penalties for failing to pay the correct prevailing wage rate. You need to attest under penalty of perjury that you are at or above the required prevailing wage rate for the craft/classification worked.

Do I have to issue myself a paycheck?
An individual who performs skilled or unskilled labor on a public works project is entitled to be paid the applicable prevailing wage rate for the time the work is performed, regardless of whether the individual holds a particular status such as partner, owner, owner-operator, independent contractor or sole proprietor, or holds a particular title with the employer such as president, vice-president, superintendent or foreman. In accordance with Labor Code 1774, the contractor to whom the contract is awarded, and any subcontractor under him, shall pay not less than the specified prevailing rates of wages to all workmen employed in the execution of the contract.

What happens if I lose money on the job?
The courts have held that sole proprietors cannot undercut labor costs in order to get a public works project. This would be out of compliance with public works laws and would give an unfair advantage to businesses that have no employees.

What if I do not have employees or a FEIN number?
You will need to use your social security number in order to report your hours in the DIR's online eCPR system.

Am I subject to payroll taxes?
No, as a sole proprietor, you are not subject to payroll taxes, but you may be subject to income taxes.

Do I have to employ apprentices?
Generally speaking, yes. However, the exemptions to employ apprentices are listed below. • Labor Code 1777.5 does not apply to general contractors whose contract is under $30,000. • When the craft or trade is not apprenticeable.
• When the contractor holds a sole proprietor license and no workers were employed by the contractor. In other words, the contractor performed the entire work from start to finish and worked alone.
• When the project is a federal project and the funding of the project does not contain any city, county, and/or state monies unless the project is administered by a state agency in which case the apprenticeship requirements apply.
• When the project is a private project not covered by the definition of public works as found in Labor Code section 1720.

Prevailing Wage Questions and Answers Regarding
Off- Site Hauling
Q. Will the new Driver (On/Off Hauling To/From Construction Site) rates replace the Teamster (construction site) rates and the superseded six county Driver determinations as the default rate for off the site hauling as of March 4, 2009?
A. Yes. In the absence of trucking rates for other types of materials or for different types of trucks involving On/Off Hauling To/From the Construction site, the off-the-site rates apply. For covered work that was advertised for bid prior to March 4, 2009, the on-site rate will apply except for the six counties that had an off- site rate (Labor Code section 1773.6). The new On/Off Hauling rates are not applicable to projects advertised for bids prior to March 4, 2009.

The date of notice or call for bids also referred to as the bid advertisement date is defined as the date the first notice inviting bids was published in a newspaper of general circulation or promulgated in a legally sufficient manner which results in a contract being awarded with or without competitive bidding (Title 8, California Code of Regulations section 16000).

Q. Will the Driver (On/Off Hauling To/From Construction Site) rates apply to truck drivers operating trucks in addition to dump trucks and ready-mix trucks? A. Yes. The dump truck rates at their minimums will apply to other types of trucks performing off-thesite hauling (to or from a construction site) except for ready mix trucks which have their own prevailing wage determination.

Q. Will the Driver (On/Off Hauling To/From Construction Site) rates apply to drivers when they perform hauling to or away from the job site while working for an on-site contractor? A. Yes. The off-site hauling rate(s) is the minimum rate of pay required for this type of work. In support of the off-site rate being paid, contractors are required to maintain documentation including the hours worked for each worker regarding the craft, classification or type of work being performed.

Q. What rate (the on-site or the off-site) applies to drivers who pick up materials from a dedicated material supply source that was specified in the construction contract documents? A. This question will require the Director to determine coverage of the work and the appropriate rate to be paid based on specific facts and circumstances such as the actual location of the dedicated facility and other relevant information. At this time, it is not possible to answer this question in a general manner.

Q. Will the Driver (On/Off Hauling To/From Construction Site) rate(s) apply to drivers who haul refuse from the construction site?
A. Yes. The Driver (On/Off Hauling To/From Construction Site) rate(s) will apply to drivers who haul refuse away from the construction site. See Labor Code section 1720.3; PW Case 2006-017, Off-hauling of Contaminated and Clean Soil - Long Beach Unified School District, Avalon School, (6/26/07), (explaining that off-haul of contaminated soil to a land fill is covered public work under Labor Code section 1720.3); Public Works Case No. 2008-027, On-Haul and Off-Haul to and from the Friendly Senior CenterAbatement and Demolition Project-City of Morgan Hill (10/31/08).

Q. What rate (on-site or off-site) applies to a driver who performs off-the-site hauling for:
• 1. Material supply company?
• 2. For-hire trucking company?
• 3. A construction company who also operates a legally separate and independent material supply company and does not interchange the drivers between the two companies? A. The answer to all the questions above is the off-site rate but only when the work itself is covered.

Q. What rate (the on-site or the off-site) applies when a driver who works for a construction company who uses the same driver to haul material on the site of construction and also perform work off the site that is covered by prevailing wages?
A. The off-site rate will be the minimum rate of pay for workers employed by contractors and subcontractors when those workers are performing covered off-site work. The on-site activities by these workers would require the on-site rate.

Q. Do the dump truck rates apply to all trucks delivering or picking up materials to and from a construction site irrespective of their size or tonnage, or the material being hauled or the type of truck?
A. The answer is yes until rates for these other types of trucks or sizes or types of material differentials are published as prevailing. Note that mixer truck has its own prevailing wage rate.

Q. What location determines the appropriate rate of pay (job site, material supply source, off-thesite delivery point, employers off-the-site yard or shop, etc.)? A. The geographic location of the covered job site determines the county or area rate to be applied.

Q. Does the geographic location of the job site prevail when the driver drives through different counties with different rates?
A. Yes. The rate is determined by the location of the job site.

Q. What Prevailing Wage Rate applies when the driver picks up material from a covered job site in one county and delivers it to another covered job site that has a different county rate? A. The employer should pay the off-site rate required by the job site where the public works construction contract requires the removal of the material (originating site) to be delivered to the second covered site.

Q. Is an employee driving for an intrastate or interstate trucking company entitled to prevailing wages when performing covered work?
A. Yes. Such drivers are subject to all the prevailing wage requirements including the overtime rates. The Prevailing Wage determinations set forth the overtime rates and requirements but only when the work itself is deemed to be covered. Wage and hour exemptions that may be otherwise applicable are not available for covered public works.

Q. May an employer pay more than the indicated health & welfare, pension, vacation & holiday rates and other such employer payments?
A. Yes, the employer may pay higher rates. The prevailing wage rates are minimums. The employer may pay lower benefit rates than indicated on the determination and transfer the difference to the basic hourly rate. In no case can the total compensation be less than the total hourly rate which includes the total of the basic hourly rate and the employer payments (Labor Code sections 1771 and 1774). There are two caveats: (1) The employer may not pay less than the specified published basic hourly rate (the wage rate). (2) The other employer payments must be legitimate meaning that they must be irrevocably paid to third person or trustee pursuant to a plan, fund or program for the benefit of the employee (Labor Code section 1773.1).
http://www.dir.ca.qov/OPRUFAQ Hauling.html
Apprentice Requirements
for Public Work Projects
California Labor Code Section 1777.5 requires all public works contractors and subcontractors to:

1. Submit contract award information (DAS140)

2. Employ registered apprentices (DAS142)

3. Make training fund contributions (CAC2)
Submit contract award information (DAS140)
If you are a contractor already approved to train apprentices (a member of a DAS recognized Apprenticeship Committee:
"Contractors who are already approved to train apprentices must provide contract award information to the apprenticeship committee for each applicable apprenticeable craft or trade that has approved the contractor in the area of the site of the of the public works project." The Contract Award Information must be in writing and submitted to the applicable committee(s) within 10 days of the date of the prime or subcontract but in no event later than the first day the contractor has workers employed on the public works project. You may use form DAS 140 for this purpose. This is simply a notification of award; it is not automatically a request for dispatch of a registered apprentice. All notice of awards must be in writing and sent by first class mail, fax or email. Proof of submission is required by the City of Sacramento (certified mail receipt, fax receipt or read receipt.)
If you are not already approved to train by an Apprenticeship Committee:

Contractors not already approved to train apprentices must submit Contract Award Information (DAS 140) to every apprenticeship program in the geographic area of the public works project, for each craft you intend to employ on the project. You can determine which apprenticeship programs are approved in specific geographic locations by clicking on the following link:
http://www.dir.ca.gov/databases/das/pwaddrstart.asp
The Contract Award Information must be in writing and submitted to the applicable committee(s) within 10 days of the date of the prime or subcontract but in no event later than the first day the contractor has workers employed on the public works project. This is simply a notification of award; it is not automatically a request for dispatch of a registered apprentice.

Request and Emplov registered apprentices (DAS142)
Ratio: A contractor on a public works project must employ one (1) hour of apprentice work for every five (5) hours performed by a journeyman. Title 8 California Code of Regulations, Section 230.1. for each separate craft at the end of a project. Please check the DAS Important notices to determine if any exemptions exist for your craft or trade. http://www.dir.ca.gov/DAS/PublicWorksForms.htm Can l mix and match crafts to reach the minimum ratio?
No. The minimum ratio requirement is per each individual craft and only includes straight time hours.

Do overtime hours count toward the minimum ratio?
No, only straight time hours count. Be careful not to confuse premium pay with overtime pay.

What is the maximum number of apprentices l can use on a Public Works Project? It depends on which box you have checked on your DAS 140. If you checked box 1 or 2 and fall under the regulations set forth in a specific program's standards, then you are allowed to use the maximum ratio set forth in those Standards. If you have checked box 3 and agreed to be governed by the regulations set forth by the California Apprenticeship Council, then the minimum and maximum ratio is the same: 1 apprentice hourfor every 5 journeyman hours totaled at the end of the project. l am a contractor who is approved to train by an approved program and am covered by their Standards, or l am a contractor who has agreed to be covered by a program's Standards for a single project. How do l know what the Standards allow for that program's maximum apprentice ratios? You can ask the program for a copy of their Standards or a copy of the language in Article XV which covers ratios. Or you can call the DAS office nearest the location for that program and request the same.

All contractors must request dispatch of an apprentice from an apprenticeship program (for each apprenticeable craft or trade) by giving the program actual notice of at least 72 hours (excluding Saturdays, Sundays and Holidays) before the date on which apprentices are required. A DAS 142 form is provided for this purpose. All requests for dispatch must be in writing and sent by first class mail, fax or email. Proof of submission is required by the City of Sacramento (certified mail receipt, fax receipt or read receipt.)
Contractors who do not receive a sufficient number of apprentices from their initial request, must request dispatch apprentices from all other apprenticeship committees, if more than one exists in the area of the public works project.

To determine which apprenticeship programs are approved for your craft or trade in a specific geographic location:

1. Contact the DAS District office whose assigned geographic areas of responsibility cover the county/ies in which the public works project is located.

2. Visit Apprenticeship Programs Information Guide - Public Works Search http://www.dir.ca.gov/Databases/das/pwaddrstartasp
Make Training Fund Contributions
Contractors who are awarded public works jobs must make training fund contributions in the amount established in the prevailing wage rate publication forjourneymen and apprentices. This nominal fee contributes to the assurance that new apprentices coming into the craft will be guaranteed the highest level of training and as skilled craftsmen retire, the trade will survive.

Contractors who contribute to an apprenticeship program are entitled to a full credit in the amount of those contributions. Contractors who do not contribute to an apprenticeship program must submit their contributions to the California Apprenticeship Council, P. O. Box 511283, Los Angeles, California 90051- 7838.

Training fund contributions to the Council are due and payable on the 15th day of the month for work performed during the preceding month. The contribution should be paid by check and be accompanied be a completed CAC2 Form that contains the following information:

1. The name, address and telephone number of the contractor making the contribution.

2. The contractor's license number.

3. The name and address of the public agency that awarded the contract.

4. The jobsite location, including the county where the work was performed.

5. The contract or project number.

6. The time period covered by the enclosed contributions.

7. The contribution rate and total hours worked by apprenticeable occupation.

8. The name of the program(s) that provide apprentices, if any.

9. The number of apprentice hours worked, by apprenticeable occupation and by program.

Payment of Training Fund Contributions must be sent to the California Apprenticeship Council (address below) (CAC) if the contractor is not signatory to an apprenticeship committee. The CAC will then distribute the funds to the proper apprenticeship committees. However, the CAC IS NOT AN APPRENTICESHIP COMMITTEE and will not accept the DAS140 or DAS142 forms.

California Apprenticeship Council (CAC)
P.O. Box 511283
Los Angeles, CA 90051-7838
Questions: email [email protected]
Subject to change for most recent documentation please click on the following link:
http://www.dir.ca.gov/das/DASApprenticesOnPublicWorksSummaryOfRequirements.htm Exemption
What are the instances in which a contractor on a public works project is considered exempt from the requirements of LC 1777.5?

1. Labor Code 1777.5 does not apply to general contractors whose contract is under $30,000.

2. When the craft or trade is not apprenticeable.

3. When the contractor holds a sole proprietor license and no workers were employed by the contractor. In other words, the contractor performed the entire work from start to finish and worked alone.

4. When the project is a federal project and the funding of the project does not contain any city, county, and/or state monies unless the project is administered by a state agency in which case the apprenticeship requirements apply.

5. When the project is a private project not covered by the definition of public works as found in Labor Code section 1720.

What if I am exempt from the requirements of California Labor Code Section 1777.5 as my situation falls under one of the exemptions listed above? Do I still have to provide a "Notice of Contract Award" (DAS 140 form) to the applicable program?
You do not have to submit a "Notice of Contract Award". However, for purposes of letting the applicable program know of your exemption, you may, nevertheless, want to provide the form to the applicable program so they are aware of your exemption.

If I have an Individual Contractor Exemption granted by the Chief of DAS per Labor Code § 1777.5 (j), or § 1777.5(k), do I still need to send a DAS 140 to the appropriate programs? Yes, you still need to submit a Notice of Contract Award Information (DAS 140) to the appropriate Program Committees. The Individual Contractor Exemptions and Program Committee exemptions pertain to the ratio of apprentices on a public works project and do not eliminate the DAS 140 requirement.

I am a small subcontractor and my job will take less than 40 hours. Am I exempt from hiring apprentices?
No, you must still submit a DAS 140 and 142. However, you may request apprentices in less than 8-hour increments. Important Notice: see changes in Code of Regulations section 230.1, regarding the employment of apprentices on Public Works.

Definition of a Registered Apprentice
An apprentice is someone who has signed an agreement with an employer, an approved apprenticeship program or program sponsor, and whose agreement is registered with the Division of Apprenticeship Standards (DAS).

Only an approved apprenticeship program can provide a contractor with a registered apprentice on public works projects.

Other Questions & Answers:

Do programs that provide apprentices for public works projects provide workers compensation benefits for the apprentice they send out to jobs or is the responsibility of the contractor and/or subcontractor?
This responsibility lies with the contractor and/or subcontractor.

As a contractor who has been awarded a public works contract, and has my own employees, am I still required hiring registered apprentices?
Yes. Important Notice: see changes in Code of Regulations sections 230.1, regarding the employment of apprentices on Public Works
I am a non-union contractor. Am I required to hire an apprentice? Yes, you must request dispatch from all approved programs in the geographic area of the project.

Can I employ my friend, family, or my own employee who is still beginning to learn a particular trade, as an apprentice?
No. The law requires that you employ only apprentices who are registered with an approved program.

However, if your friend or your employee is a registered apprentice and has been dispatched to you by an approved apprenticeship program, yes you can.

What happens if l employed my friend who is not a registered apprentice and l paid him the journeyman rate?
You may employ your friend and pay him journey wages, but this does not affect the apprenticeship requirements.

What are the benefits and advantages to hiring a registered apprentice? The benefits of hiring an apprentice registered in a state approved program are:

1. Lower pay rate than the journeyman pay rate.

2. Elimination of recruitment programs for workers who are already trained.

3. Creates a diversified and flexible workforce and larger pool of employees with specific skills.

4. Increases productivity; employees in a structured training program are motivated to achieve.

SACRAMENTO
Employment of Apprentices (additional information)
Bidder is directed to the provisions in Sections 1777.5, 1777.6 and 1777.7 of the California Labor Code concerning the employment of apprentices by a Contractor and any subcontractor performing a public works Contract.

Labor Code section 1777.5 requires the Contractor or subcontractor employing tradesmen in any apprentice-able occupation to apply to the joint apprenticeship committee in the area of the site of the public works project and which administers the apprenticeship program for a certificate of approval.

Contractor or subcontractor shall not be required to submit individual applications for approval to local joint apprenticeship committees provided they are already covered by the local apprenticeship standards. The ratio of apprentices to journeymen and contributions to funds to administer apprenticeship programs shall be determined by Section 1777.5 and the responsibility for compliance with that section for all apprenticeable occupations shall be with the General Contractor.

Labor Code section 1777.5 does not apply to Contracts of general contractors or to contracts of specialty contractors not bidding for work through a general or Prime Contractor, when the contracts of general contractors or those specialty contractors, involve less than Thirty Thousand Dollars ($30,000). This is the sum of the total contract amount not the individual contracts that are held between a prime contractor and their sub tiers. A contractor who willfully violates Labor Code section 1777.5 shall be denied the right to bid on or receive a public works contract for a period of up to one (1) year for the first violation, and for a period up to three (3) years for the second and subsequent violations, from the date the determination of noncompliance made by the Administrator of Apprenticeship becomes an order of the California Apprenticeship Council.

Contractor shall also be subject to the payment of the civil penalty as provided in Labor Code section 1777.7. Interpretation and enforcement of said Sections 1777.5 and 1777.7 shall be in accordance with the rules and procedures of the California Apprenticeship Council.

This information is provided as a guide. lf there are any discrepancies between the language in this handbook and the specifications in the bid package for this project, the bid package shall prevail.

For the most up to date and current apprenticeship information refer to the DIR website.

All Current and Apprenticeable Trades/Crafts
Within Sacramento County
This list is subject to change.

Asbestos Worker, Heat and Frost Insulator Parking and Highway Improvement (Striper) Boilermaker-Blacksmith Painter
Bricklayer, Stonemason Plasterer
Carpenter — All Related Trades Plaster Tender
Carpet, Linoleum and Resilient Floor Layer Roofer
Cement Mason Landscape/Irrigation Fitter
Drywall Installer/Lather (Carpenter) Sprinkler Fitter (Fire Protection/Fire Control Drywall Finisher (Painter) Pile Driver Operating Engineer Electrician, Inside Wireman Pile Driver (Carpenter)
Electrical Utility Lineman Parking and Highway Improvements Painter Elevator Constructor Plumber/Steamfitter
Field Surveyor Chainman/Rodman Pipefitter
Chief of Party Underground/Utility Pipefitter
Glazer Metal Roofing System Installer
Electrician (Comm & System Installer) Sheet Metal
Worker Electrician (Comm & System Tech, Cable Splicer) Stator Re-winder Iron Worker Terrazzo Finisher
Laborer Terrazzo Worker
Marble Finisher/ Marble Mason/ Marble Setter Tile Setter Millwright Tile Finisher
Operating Engineer Steel Erector & Fabricator
Operating Engineer (Dredger) Tunnel/Underground (Operating Engineer) Building Construction Inspector Tunnel Worker (Laborer) Operating Engineer (Landscape Construction) Parking & Highway Improvement (StriperLaborer) Pointer, Caulker and Cleaner Brick tender Acoustical Installer (Carpenter) Scaffolding and Shoring Erector (Carpenter) Hardwood Floor Layer (Carpenter Shingler (Carpenter)
Insulation Installer (Carpenter) Communications & System Installer Field Surveyor Instrument man Taper
Roofer Metal Deck and Siding
If using any of the listed crafts, you will be required to request an apprentice ai-jd pay into the apprentice-able craft training program that is applicable.

The website to see the latest list of apprenticeable trades is:
http://www.dir.ca.gov/oprl/pwappwage/ PWAppWageStart.asp

PRE-CMISTRUCTION

DOCUMENTS

SAC RA E N TO

NOTICE TO PROCEED
Project # PROJECT NUMBER

PROJECT NAME
DATE

PRIME NAME
PRIME

ADDRESS

PRIME CITY, STATE, ZIP
Notice is hereby given you are authorized to commence work on the above referenced project on DATE. You are legally required to begin work within fifteen (15) working days of this date. The entire work on the project must be completed within SPELLED OUT NUMBER OF DAYS (NUMERICAL NUMBER OF DAYS) working days from the date of this notice.

Forty-eight hours prior to starting work, please notify the Project Manager, PM NAME at (916) 808-EXT or PM [email protected]. Please address all correspondence to:

City of Sacramento

DEPARTMENT NAME

DEPARTMENTADDRESS

DEPARTMENT CITY, STATE
ZIP Attn: PM NAME
Please reference City Project # PROJECT NUMBER in all billing correspondence. We look forward to a mutually successful project. The City of Sacramento is committed to the "Partnering Concept" of open communication and cooperative construction. In that spirit, please do not hesitate to contact me at (916) 808-CONTRACT & COMP EXT or CONTRACT & COMP [email protected] if I can be of any assistance.

Respectfully,

CONTRACT & COMP NAME
Cc: CONTRACT & COMP NAME, ACCOUNTING NAME, PM NA

SACRAMENTO
Labor Compliance Requirements
DATE:

PROJECT:

PROJECT #:

Labor Compliance Officer:

Project Manager:

Consultant/Contractor:

In accordance to City of Sacramento Ordinance Section 360.180 the following is to comply with the City of Sacramento prevailing wage provision and contract provisions.

The award of a public works contract requires that all workers employed on the project be paid not less than the specified general prevailing wage rates by the contractor and its subcontractors. Owner Operators are not exempt from this requirement (LC § 1777.5).

Current Prevailing Wage Rates can be accessed at http://www.dir.ca.govh/dlsr/pvvd.

NOTE: The first bid advertisement date of the project determines the applicable wage for this project. Please check your bid advertisement date to make sure you are using the correct determination. Superseded prevailing wage determinations can be obtained at http://www.dir.ca.gov/oprl/main.htm.

Prevailing wage rates and rate changes are to be posted at the job site for workers to view.

If Federal Funded: Davis/Bacon prevailing wage rates apply, unless State prevailing wage rates are required.

Prevailinq Waqe Requirements
o All workers employed in the execution of a public works project, including sole proprietors, partners, and corporate officers, must be paid not less than the specified prevailing wage rates for the type of work performed. Reference: Labor Code 1774 o Overtime must be paid for all hours over 8 in a calendar day and 40 hours in a week.

Violations may subject the contractor to a state penalty of $25 per day per worker. Please reference the general prevailing wage determination that that is applicable for further guidance. References: Labor Code 1810-1815
o Saturday/Sunday premium rates are applicable as indicated on prevailing wage determinations. o When required shift differential rates must be paid for classifications which include a shift determination.

State Prevailing Wage Determinations
o Single asterisk indicates that this wage determination can be used for the life of the contract. • ** Double asterisk indicates that this wage determination includes predetermined increases. o Subsistence/Zone pay must be shown on the fringe benefit statement if not shown on certified payroll.
• The contractor must make applicable travel and subsistence payments in accordance with information on file with the Department of Industrial Relations (DIR) for classifications utilized. Call the Prevailing Wage Unit at (415) 703-4774 or available at: (415) 703-4774 or available at:
http://www.dir.ca.clov/dlsr/PWD/index.htm Reference: Labor Code 1773.1 o Contractors violating prevailing wage requirements are subject to a penalty of up to $200 per day per worker, paid in addition to any wage underpayments. Liquidated damages in the amount of the wage underpayments may also apply. References: Labor Code 1775 and 1742.1 Apprentices
o All requirements of the State Labor Code, Section 1777.5 apply including the following:

Submit Division of Industrial Relations form DAS-140, Public Works ContractAward Information, to the applicable apprenticeship committee prior to start of work. This form with proof of service is to be uploaded into LCPtracker. The form may be downloaded at: http://www.dirca.ciov/DAS/PublicWorksForms.htm Submit Division of Industrial Relations form DAS-142- Request for Dispatch of Apprentices (Prime and Sub-Contractors.) This form with proof of service is to be uploaded into LCPtracker.

If applicable Submit Division of Industrial Relations form DAS 7- Agreement to Train Apprentices signed and accepted by the Division of Apprenticeship Standards. (This form applies if the contractor or sub contractor has checked box 1 on the DAS 140.) .> Training funds MUST be sent to a state-approved apprenticeship program or the California Apprenticeship Council and identified on the fringe benefit statement. If you are submitting the Training Funds to the California Apprenticeship Council this must be done electronically. The form can be found at the following link: https://www.dir.ca.gov/das/tf/cac2.asp. CAC-2 Form and are due monthly by the 15th.

Training Fund Contribution Letter -are due monthly by Prime and SubContractors. (If you are a Union Contractor submit the CAC-2 form stating funds are paid to specific trust fund and letter verifying those funds have been paid please upload both forms in LCPtracker.net)
▪ Apprentices must be paid the prevailing wage rate applicable to the classification and step in which they are registered and employed.
o Proof of registration in a state-approved apprenticeship program is required and must be submitted with the first payroll on which apprentices appear. References: Labor Code 1777.5; Contract Provision
o Complaints or violations regarding apprentice ratios will be referred to DAS. Reference: CCR 16434 Certified Payroll Records
o Certified Payroll Reports (CPR) are to be Input into LCPTracker.net. All Contractors and subcontractors, on all public works projects, are required to submit certified payroll records (CPRs) to the Labor Commissioners through the eCPR system. Due within ten (10) days of pay period end date. CPR's shall contain the same information for compliance with LC § 1776. Classification and group numbers are required on all payrolls.

When work classification is not shown the City will determine the wage rate based on duties performed. Due minimum of bi-weekly with a Statement of Compliance for each pay period. (Located on LCPTracker.net under edocs) Reminder: wage increase for Master Agreements usually occurs on 06/15 and 06/29 or 06/30.
o Negative Payroll Report Due within ten (10) days of pay period end date if there is five (5) or more consecutive non-work days within any single pay period. o Fringe Benefit Statement: Form 420 (Located on LCPtracker.net under edocs) Paid in cash or contributions to plans/programs are due with first certified payroll report and anytime the fringe benefits change. Please breakdown all fringes paid to employee and to what program they are being paid to. Documentation that the amount stated on the fringe benefit statement is being paid on the employees behalf may be requested for validation. If fringes are paid in cash please list a breakdown of those cash amounts. o Other Deductions —Need to be detailed on the CPR and must be expressly authorized in writing by the employee or collective bargaining agreement. These need to be reference on the submitted CPR's and documentation uploaded into LCPtracker. There is a form available for download under the e-Documents tab.

Listinq of Subcontractors
Contractors and subcontractors are required to list all suppliers and tier subcontractors hired to perform work on a public works project (in accordance to contract standard specification). o The Subletting and Subcontracting Fair Practices Act requires prime contractors to list, at bid time, all subcontractors who will perform work in excess of one-half of one percent of the total bid amount or $10,000, whichever is greater. For building projects, subcontractors who will perform work in excess of one-half of one percent must be listed.

The prime must use those subs as listed at bid time unless a written substitution is requested and approved in writing by the Contracts Specialist and Project Manager before substitution.
■ References: Public Contract Code 4100-4114; Standard Specifications 5, Control of Work o Subcontracting Request, Prime Contractor update the Form 300 (List of Subcontractors & Suppliers) before they begin work at the jobsite and anytime there is an approved substitution. The prime must perform 30 percent of the work with their own forces.
o The prime contractor is responsible for work performed and compliance met by subcontractors and owner- operators.
o Failure to comply with the requirements of the Subletting and Subcontracting Fair Practices Act may result in a penalty of 0-10 percent of the subcontract involved and a referral to the Contractors State License Board. Reference: Public Contract Code 4110-4111 List of Subcontractors & Suppliers: Form 300 (Located on LCPtracker.net under edocs) Per Government Section 4100 et seq; prohibition against unfair competition Business & Professions Code Section 17200-17208, you must list suppliers and the amount of their product (s). Form is due within ten (10) days of pre-construction meeting.

Pay Requests/lnyoices
The Labor Compliance Officer shall notify the contractor and the Project Manager of noncompliance and labor issues prior to pay requests approval. Advance notice of submission to the Compliance Officer is required. You must submit a current schedule of values with each pay request and you must have all labor compliance requirements met before submitting a pay request. Failure to meet the labor compliance requirements will result in your pay request being denied and returned to you for full compliance. Pay request must be submitted to the inspector for his/her review first. The inspector will then forward the request to the Project Manager and the Labor Compliance Officer for their review.

Pursuant to Labor Code Section 1776, the City of Sacramento will impose penalties of
$100 per day per worker for each day the documentation that is requested is considered late (beyond the 10 days from when notice is given), even if the information you eventually submit is found to be correct. This information is to be uploaded into LCPtracker.net. lf you have been asked to make any corrections to the documents submitted, we ask that you make the requested corrections and re-upload the corrected document into LCPtracker as soon as possible. As progress payments may be delayed while these items are outstanding, it would be in your best interest to see that these documents are provided as soon as possible.

Completion of Project
• Contractor Notification of Completion: Form 264 must be submitted into LCP Tracker, due upon completion of all punch list items established during final job walk.

All of these forms discussed in this document are located on LCPtracker.net under the eDocuments tab.

In accordance with city policy and contract documents, the undersigned contractor herein certifies that it will comply with the foregoing prevailing wage requirements; and fully understands that failure to comply with these requirements will subject it to the penalties cited herein.

Contractor Signature Title Date

SACRAMENTO
Start-Up Documents Due Prior to Start of Construction:

1. Certification Statement of Contractor:

If there is any contractor working as an "Independent Contractor", "Owner- Operator", "Sole Proprietor" or "Leased Worker" the certification form must be filled out. a. The original is to be submitted prior to, or concurrent with, the first payroll in which the Independent Contractor, Owner-Operator, Sole Proprietor or Leased Worker commences work.

2. Authorization Letter for Signing Certified Payroll
a. To be signed by company officer or owner and uploaded into LCPtracker prior to the first Certified Payroll Report.
b. This document lets the Labor Compliance Department know whom is authorized to sign certify payroll reports and other documents on behalf of the Contractor.

3. FORM 300 List of all Subcontractors and Suppliers:
a. To be filled out and uploaded within 10 days of the preconstruction meeting and prior to the first Certified Payroll Report.
b. This document lets the Labor Compliance Department know who will be working on this project.

This is checked against initial form that was submitted with bid documents. If there are any changes during the life of the construction projected this form is to be updated and the Labor Compliance Officer is to be made aware of changes.
c. This form is to be filled out by all Subcontractors and their lower level subs and uploaded into LCPtracker.

4. Checklist of Labor Law Requirements:
a. To be filled out and signed by the contractor and all sub tier contractors prior to start of their work on the construction project. Please check all boxes that apply.

5. Fringe Benefit Statement:
a. Asterisk or note any form of benefits that are included in the payroll reports should be listed out as an "hourly" rate of pay for each trade used. b. If fringe payments are made directly to the employee in lieu of fringes, please note "paid in cash" under the applicable fringe payment and breakdown the hourly rate that is paid to the employee in cash.
c. Must be re-submitted when wage rates are updated, with effective dates and/or any changes in fringes are made.

6. DAS-140- Public Works Contract Award Information Form:
a. Contract award information must be sent to your Apprenticeship Committee if you are approved to train apprentices. If you are NOT approved to train apprentices, you must send the information to ALL applicable Apprenticeship Committees in your craft or trade in the area of the Public Works Project.
b. After you have completed the DAS-140 Form mail the original(s) to the appropriate Joint Apprentice Training Committee(s) within (10) days of the date of the execution of the prime contractor's subcontract, but in no even later than the first day in which the contractor has workers employed upon the public work (CA Labor Code 1777.5 (e)). c. Upload a copy of the form or all forms submitted with proof of deliver to the LCPtracker.net program under the e-Documents Tab. The form of proof can be certified mail or fax confirmation.
d. All Applicable Joint Apprentice Training Committee (s) may be found at: http://www.dir.ca.qov/Databases/das/pwaddrstartasp/ e. Templates available for download can be found at:
http://www.dir.ca.gov/DAS/PublicWorksForms.htmor on LCPtracker.net under the eDocuments tab.

7. DAS-7- Agreement to Train Apprentices Form:
a. IF Applicable: (Checked box 1 on the DAS 140)
i. Submit your DAS-7 or equivalent certification and upload into LCPtracker.net under the e-Documents tabs and inform the labor compliance person monitoring your project. This form can be submitted with your DAS140 form.

8. DAS-142 Request for Dispatch of an Apprentice Form:
a. Send to the Joint Apprentice Training Committees (JATC) in your craft or trade in the geographic area of the Public Works Project to request the dispatch of an apprentice before starting work at the site and as needed throughout the project.
b. Employment of Apprentices on Public Works project- (a) Contractor(s) shall employ registered apprentice(s), as defined by Chapter 4 (commencing with Section 3070) of Division 3, during the performance of a Public Work Project in accordance with the required (1) hour of work performed by an apprentice for every (5) hours of labor performed by a journeyman, unless covered by one of the exemptions enumerated in the Labor Code Section 1777.5 or this subchapter.
c. Provide a copy of your apprenticeship program's standards if they operate under a different ration then the California Labor Codes & Regulations.
d. Template available for download can be found at: http://www.dir.ca.qov/DAS/PublicWorksForms.htm Forms Required Prior to
Construction

SACRAMENTO
Classification Worksheet
A separate form must be filled out for each contractor/subcontractor performing on the project.

Project Name
Project Number
Contractor Name
Contact Name
Contact Phone
Contact Email
CSLB/Certificate #
Classification(s) being Utilized (check all that apply) O Asbestos
O Electricians
O Pile Drivers
O Boilermaker
O Elevator Mechanic
O Pipe Trades
O Bricklayers
O Glaziers
O Plasterer
O Carpenter
O Iron Workers
O Roofers
O Tile Workers
O Carpet/Linoleum
O Laborers
O Sheet Metal
O Cement Mason
O Millwrights
O Sound/Communication
❑ DrywallFinisher
O Operating Engineer
O Surveyor
O Drywall/Lather
O Painters
O Teamster
❑ Other(specify)
Letter of Authorization

PLACE ON COMPANY LETTERHEAD
Date:

To whom it may concern:
l, the undersigned, hereby authorize to sign on our behalf in all manners relating to certified payroll, including signing of all certified payroll related documents.

Any and all acts carried out by on our behalf shall have the same effect as acts
of our own.

This affirm that the signatories identified above have the authority under penalty of perjury to affirm that required forms and certified payroll records are originals or are full, true and correct copies of the original and correctly depict the Trades, Crafts and Classifications of work performed; hours and days worked; and the amounts by category listed, disbursed by way of cash, check, or in whatever form or manner to each person by job classification and/or skill pursuant to public works contract.

This authorization is valid until further written notice from (COMPANY NAME).

Sincerely,
(Company counsel or company officer's signature)
(Name Address and Title)
City of Sacramento
PW-300 Form
Instructions: The Prime Contractor and all Subcontractors are required to submit the PW-300 via LCPTracker.net. If there are no subs or suppliers, state on the PW-300 and upload. If you are a Subcontractor with no additional lower tier subs place the Prime Contractors information in the Prime Contractor box and list yourself as the Subcontractor. Fill out the information that is known. If you are a Subcontractor with lower tier subs, please put your company name under the Prime Contractor field and all subs under the Subcontractors List field. Please refer to Public Contract Code 4107 regarding changes to subcontractor listing. If there are any changes made to this list during the duration of the project which might include an additional subcontractorlsupplier or eliminating a subcontractorlsupplier, then a revision to the PW-300 Form is required. DIR REGISTRATION # MANDATORY
Date

PRIME CONTRACTOR
Project #
Name Project Name
Address: Contract #
City, State, Zip Total Contract Amount
Contact Name/Phone # Estimated Start Date
Email Estimated Completion Date
DIR Registration # Federal Tax ID #
Contractor Lic. #

SUBCONTRACTOR

SUBCONTRACTORS
LIST
State Tax ID #
Name Contact Name/Phone #
Address: Email
City, State, Zip Description of services
Contractor Lic. # Estimated Start Date:

DIR Registration # Estimated Completion Date
Contract $ Value LBE/EBE/DBE