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HomeMy WebLinkAboutG. Bortolotto & Company, Inc. 03.30.2026TOWN OF LOS ALTOS HILLS STATE OF CALIFORNIA CONTRACT FY 2025-26 Pavement Rehabilitation and Drainage Improvement Project ; THIS AGREEMENT, made, executed, and entered into this .�Aay of MCLY-cj 2026) by and between the Town of Los Altos Hills a General Law City, hereinafter referred to as the Town, and G. Bortolotto & Company, Inc. hereinafter referred to as the Contractor. WITNESSETH ARTICLE 1. That for and in consideration of the payments and agreements hereinafter mentioned to be made and performed by the Town, the Contractor agrees at its own cost and expense to do all the work and furnish all materials necessary to complete in a good workmanlike and substantial manner all that certain work involved and concerned with the FY 20,25-26 Pavement Rehabilitation and Drainage Improvement Project. Said work shall be done in manner and according to the terms of the Contract as the same is defined in Article 4 herein. ARTICLE 2. Said Contractor agrees to receive and accept the following prices as full compensation for furnishing all materials and doing all the work contemplated and embraced in this agreement; also for all loss or damage arising out of the nature of the work aforesaid, or from the acts of the elements, or from any unforeseen difficulties or obstructions which may arise or be encountered in the prosecution of the work until its acceptance by the Town and for all risks of every description connected with the work; also for all expenses incurred by or in consequence of the suspension or discontinuance of the work and for well and faithfully completing the work and the whole thereof, in the manner and according to the plans and specifications, to wit, according to Contractor's proposal to the City Council, entitled 'EXHIBIT "A," Proposal to the City Council' and attached hereto. ARTICLE 3. The Town hereby promises and agrees with the Contractor, to employ, and does employ, hereby, said Contractor to provide the materials and to do the work according to the terms and conditions herein contained and referred to, for the prices aforesaid, and hereby contracts to pay the same at the time, in the manner and upon the conditions above set forth; and the said parties for themselves, their heirs, executors, administrators, successors, and assigns, do hereby agree to the full performance of the covenants herein contained. ARTICLE 4. The complete Contract consists of the following documents: Notice to Bidders, Proposal, Contract, Specifications and the Plans and/or Drawings. The rights and obligations of the parties herein are governed by all of said documents, which are to be construed as a single Contract. The decision of the of the Town of Los Altos Hills as to the interpretation of said Contract shall be final and binding on the parties hereto. ARTICLE 5. It is further expressly agreed by and between the parties hereto that the work shall be completed within THIRTY (30) working days from and after the commencement of said work. ARTICLE 6. It is expressly stipulated and agreed that all legal and statutory requirements relating to the execution of this Contract and the notice inviting bids have been met. Any alleged defect or omission in the proceedings preceding the execution of this Contract is hereby waived by the Contractor. ARTICLE 7. Every contractor will be required to secure the payment of workers compensation to his or her employees. Labor Code Section 1860. The contractor shall post the applicable prevailing wage rate on the project site. Labor Code Section 1771.4. The project is subject to prevailing wages. The Contract FY 2025-26 Pavement Rehabilitation and Drainage Improvement Project 27 applicable rate wageageratesare available at www.dirza. and the agency also has access to the applicable prevailing wat www.losattoshills,,ca.gov. IN WITNESS WHEREOF, the parties haveexecute d this linstrument the year and date first above written, ATTEST: Clerk, Townof Los Aft S AC TO R By; Comm. Ct n'."7025-26 Pavement RebabtliftWon mid Uminage Improvement Project i,�ALIFORNIA ALL-PURPOSE ACKNOWLEDMENT CIVIL CODE § 1189 A nottary public or other officer completing th,is cert-l'-fi.cate ven'fies onlythe identity of the individual who si igned the docunient to which, ttivis certificate is attached., and not the truth.Uness, accuracy, or validity of that docum=t. STATE OF CMel"FORN1A COUN'"I"Y OF San Mateo 1011 March 302026before me, Matthew Costa Notary Public", personally appeared Robert Bortolotto who proved, tone oti the tx Is of satisfacto- ev dence -to be person(s) whosen4arne t. ry (s) hsi/are subsefibed to the with.in '111stat.meNtitia, n1 owledgedto -niethat he/she/they executed thesame I'll bis/he r/their authlo'rlzed oa I I pac ty'(*es),,and that by bls/her/the-ir nature on, the linstrUment the person, or the, etitity upon behalf of acted, executed, the instrument. certuy Uwa PENALT 11Y 01 F PERJU. RY under the It s of 't',he State of Cal dot 'that tl'v foregoing paragraph "1".5. trueand correct. WITNESSrny-,'tiand and officlatseal.. S.ignature. (Seal) 3 -Ah- _A&L AOL _AIL AL AhL AL _AL AIL ' OP > MATTHEW COSTA Notary Public - California San Mateo County Commission # 2429068 _i026 41r R My Comm. Expires Dec 4j, 2026 Nqw- - vr-"w _ w conduct FY 2025-26 Pavement Reh4bilhation anti Dminage Improvment Project Bond Number: ES00022628 Premium: $6,520.00 TOWN OF LOS ALTOS HtLLS STATE OF CALIFORNIA PERFORMANCE BOND KNOW ALL. PERSONS BY THESE. PRESENTS, WHEREAS, the Town of Los Altos Hills, State of California, has awarded to G. Bortolotto & Com panylnc. hereinafter designated as the "Principal," a contract for the FY .2025-26 Pavement Rehab ii 11't bon and Drainage Improvement Project, and WHERE S said Principal is required under the terms of said Contract to furnish a. bond for the faithful performance of said Contract. Everest National Insurance Company NOW, THEREFORE, we the Principal, and A i aas'surety, are held: and firmly bound unto the Town of Los Altos Hss in the penal sum of DOLLARS One Million One Hundred Three Thousand !J �03 �93 5,64.), lawful money of' the. U n ited States for the payment of which sum I well and tn.fly -to be -tly and severally, made, we bind ourselves, our heirs., executors, ad.-rninistrators, success. -s -ors, or assigns join firmly by these presents. THE CONDITION OF THIS. OBLIGATION IS SUCH, that if the above bounded Principal, his,/her or"ts- he' executc,,irs ., administrators, successors. or assigns., shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditionis and agreements •in said Contract and any alteration thwerc-,.�,,of made as therein provided, on his/her or their part, to be kept and performed at the. firne and in the manner therein specified arid I -n all respects accord ing to- their true. intent and meaning; and shall defend, indemnify and save harmless the Town of Los Altos Hills, its officers and agents as therein stipulated, then this obligation, shall becorne. invallid; cytherwise it shall be and remain null, force and virtue. n -c ard Surety, for vatue received hereby stipulates and agree -,s that i ac,.ordance with the Plans, Standc Specifications, Special Provisions and other Contract Documents, no change, extension of time, alteration or addition to the terms of the Contract or to the work to. be performed there under or the specifica.tions accompanying the sa-me shall in anywise affect its obligations on this bond. and it does hereby waive notice of any such change, extension of time, alteration or additions to the terms of the Contract or to the work or to he specifications. No ff---la 11. IN WITNESS WHEREOF, the above bounded: parties have executed thizs instrument, under their seals this 27th day of March , 2026.. the name and corporate sealss of each corporate party �xed and these, presents dulysigned by- its unders-Ig -t being hereto affi pied representative, pursuant to: aUthori -Y of its, governing body, ('06rPorate�', 'Seal) (Corporate Seal) (Ackriowledg-ment) (Sea'D "Ic Approved as toformo d...Ft .... . -,-, -1-1 . . .......... 1-1. G. Bortolotto & Com Inc. MAY -1. ............ Prin. B Title. President EYere'st National Insurance Cowan SuretY . ' Afforneys-in-ftact. , Matthew Costa Title. Attomev-in-Fact (witness) t 3, s, 0"�ay. 'Igg"n '� I - , , MiZEM-A M.'170 , , � v R , , "�t' z "t'N 3L 5*71-M-1221 ­_" -A A notary public or other offtcer com- t ,pie in this cez rfificate verifies only the. Identit"Yothe Individual who signed thedocument to which this cerfificate is attached, ani not the truthfulness, accuracy,, or vaild'ity of the document. . .. ........... ... . State of California County o.,San Mateo .. . ... ..... X� On March 30, 2026 before me., Matthew Costa, Notary Public Date ��M Insert NOMe and: 778e ofthe Officer personally appeared —Robert Bortolotto Name(s) of Signer(s) who proved to me on the basis 'o satisfactory evidence to be the person(s) whose nave, s is/are subscdbed to thewithin Instrument and acknowledgedto me that hefshe/they execwted the same- In his/her/their authorized capatfty(ies),, and that lii.$/her"`./t`heir signature(s) on the instrument the person(s), or the entity upon beh elf of which the person(s) acted, executed -the Instrument, gk a, AL, OF MATTHEW COSTA Notary Public - California < San Mateo County z z 0 10 z Commission # 2429068 4. 1, 'A My jComm. Expires Dec 4, 2026 i j w, 'w 'w P10ce Notory Seat andlor Stomp Above I collif Y. under PENAL T Y OF PERJURY under the 14V4 -of �tie State of Calffor [a that the. fore .1 n. going paragra:ph Is true -and correct WITNESS my hand and official seal,, �Signature . .. ........... Signature of Notary P LUHJIM�i'!EDWR COnloffiVthis Informatl6n �cqn ger ofterotion of the document or #00dolent re limen of thjo WOO UnIhtended docunwt. TRIe or Type of Document: Document Date,, Number of Pages:, Signer(s) Other Than Narned'Above: 02019 National Notary Association A1,L-Pwed RPOSE AC'K".`.N C! IVIL CORE § 11-89 A j.--iotary public or othei", officer coniplet-ingtfus W.I. 1-fica-te. ve.-t-i'ties only the -Idetitity o- th.e 'i ate is attac-hed, and not die it-iAlvUlual -w-'h.(,) signed the docutlle-nt to �vincli th.-is cert-Ific truttiffilness, accii,racy. o -,t,.- vabda-v of tliat S'TATE OF CALIFORNIA ("OUINTYOF San Mateo I ................... I ............ 2 .... ,meNo , Julie C. Pace taru y Rbtic� 'fly appeared. . .............. : ... . ...................................... -io pi-oved tome o -ti.-.. pe°sona wl, the basts,-i evi.deive v-) be t'he person(s) whose name(s) vs.,/are st.ibscr-tbed to the; w-Ithil-:1. <'-t 1.c'r auth.or'ze�d ISP-1. 1"": tnstru,tii,ent an. ack.i.iowledge(I-1. to ni-e that h-ec/sh..-CAII-ey executed tfic same 'ri, hY.' ity(-ies), and that. by hi.s/her/ffic-ir s:ignatttre(s) on. the t-rul-i-Tien.1 tl-v orth-e entity upon capacl. be �tn tumetil., half of wl-ilch the person(s) acfted.,. executed t1u, ,..str I -f alif' rt-uia that th.e certil'y OF PERJURY ii-nder th-e laws k -.)I' fl....1-e State o C f`0r(-,!go.ing paragraph is true and. correct. W1117NESS ffi oc.al seat, si.(51 .:• I - I i'E.1 ttl. 1.0 c! .' .13 F. �JUL�IEC�.PA`CE�� JULIE C. PACE comm. #2445833 z 0 U, -.-.j i .1 0 Notary Public - California 0 z San Mateo County C,LIFO % My Comm. Expires May 2, 2227 Q q P -kO- Bond Number: ES00022628 Premium: Included TOWN OF LOS ALTOS HILLS STATE OF CALfFORNIA PAYMENT BOND KNOWALL PERSONS BYTHES;E PRESENTS, WHEREAS, the Town of Los; Altos HIlls, a General Law City., has a -warded to G. Bortolotto & CqqjpAph�, hereinafter designated as the 0 Principa.10 a contract for the FY 2025-26 Pavement Rehabilitation and Dral niage Improvement PrOject, and WHEREAS, said Principal is required to furnish a bond with said Contract, to secure, payment of claims of laborers, mec.hanics, or material persons employed on work under sal d Contract, as provided by law. NOW, THERE -FORE, we the undersigned Principal and Surety aro held and firmly bound unto the Town of Loes Altos Hills in the sum of One Million On I J�t' e DOLLARS rQd_ThLet_Th0M5and.NM L,� ljsaid ubeing equal estrr 03,935.64 I ia, to a mount payable by se id Town of'Los Altos sm to the i Hills under t.h,,.e terms of the Contract, f which payment well and truly to be made., we bind ourselves, our and se -n y by these presents. Vit.. executors, administrators, successors, or assigns jo.int, verally, firt I y *Hundred Thirty -Five and 64/100 THE. CONDITIONS OF THIS 0: LIGATION ARE SUCH that if said Principal, his/her or its heirs, executors, administrators,' successors, or assig.-ins, or subcontractors shall fail to pay for any material, provisions, provender or other supplies, Implements or machin ery usead In., up -on, for or about the performance ofthe work contracted to be done,. or for any work or labor thereon of anykind, or for amounts due -under- the U nemployment I ns ura nce C od e with respect to work or labor or for a ny amo unts requ, fred to be. ded U Cted w 'Ithheld, ,s of -the Contractor and his/her and paid over -to the Franchise Tax. Board from: the wages of employee subc ontractor ursuant to the Revenue and Taxation Code, with respect to such work and labor., the Surety or Sure -ties hereon will pay fbr the same in an amount not. exceedf.ng the surn specified in this bond, othenuvise ILI' the. above obligation shall be voided, In case suit is brought upon this bond, said Surety wi.41 pay a reasonable attorney's fee t•o be fixed by the court. ThS i: bond shall insure to the benefit of all persons, companies and corporations entitled to file claiMS Linder Sect -Ion 3181 of the Civil Code of the State of California so., as to give a right. of action to themor their assigns I in any suit brought upon this bond, Said Surety, for value, received, here -by stipulates and agrees that, in accordance with the Plan, Standard Specifications. Special Provisions and other Contract Documents, no change, extension of time, alteration or addition to the ternis of the Contrar-A or to the -work to be performed there, under, or to the specifications accompanying the same, shall: in any -wise affect its obligations on this bond, and it does here -by waive notice of any such change, extension -cif time.. alter tip or addition to the tern s of the Contract or to -the or ort o. the specifications.. 14 IN WITNESS WHEREOF, the above -bounded parties have executed this instrument ender their seals this 27th day of March 2026, the name and corporate sez-als of each corporate party being here -to affixed and these Present,,,; duly I` reed by its undersigned representative, pursuant to authority ofits governing body. (Corporate Seal) (Acknowledgment) (Corporate Seal) (Acknowledgment) :(Seal) Approved as. -to form. city. Pr < a I Titte Pres Everest National Insurance Comany Surety .............. Aftorneys-in-fact, Matthew Costa Title Attomev-in-Fact . i P,1V,m,,am A, t "Y CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notarypublic or other officer completing this certificate verifies only the identity of the individual who signed the document to which thiscart ificate' is. attached.,, and .not the truthfulness,. accurac� y., -or validity of that document State of California County of Sa.n,,,..Ma.teo On March 30, 2026before me,, Matthew Costa, Notary Public Dote 1 , m Insert Name and ride ofthe Officer personally appeared Robert Bortolotto ,Ndtne(s) of Signer(s) who proved to me on the basisof satisfactory evidence to be the person(s) whole name(s) Is/aresubscribed to the w.,ithin instrum eM and acknowledged- to me that he/she/the Y. I , his/heritbeir emoutedthe same "n authorized capacity(ies), and that by his/herf-their signaturo(4 on the Instrurn te of the person(s),. or the, entity upon, behalf of which the person(s) acted,, qxecuted the Ins u rent, A, AL J%- llft-AL jjjj MATTHEW COSTA Notary Public - California z > San Mateo County z 00 commission # 2429068 My 7A26 Comm. Expires Dec 4, 20 0 Pqqr-v--w 'W 'W P/Oce Notory Sea/ qndo�r Stomp Above I cortif Y.- under PENALTY OF.PERJU:RYunder the bws�'Of. theState. of California:that the rejoin Pg. -40, r6phist Mue andcorrect. WTNESS my hand and official seal, $ 1 g n ratum . ... .. . . .. .. . Signature of Notary Public CompleUV this h7lbrmbbn wn deter alteration of the document or fraudUlOnt readachment of d7j� form toon unintended 0�oo��t Description of Attached Document Title or Type of Document:. DocumentDate:Nurn s: , ber of Page Signers) Other Than Named Abovo:: Capacity(les) Claimed by Si,g:ner(s) Signer"s Name: a Corporate Officer — Tffle(s),,. 0 Partner — 13 Limited .13 General 0 Individual 0 Attorney in Fact .0 Trustee o Guardian or Conservator Signer's Name, 0 Corpore.te Officer — Title(s): a Partner — a Limited 13 General. 0 fndMdua,1 0 Attorney, in Fact 0 Trustee c3 Gar an or Conservator 13 Other.. 0 othec Signer is Representing, Signer is Representing. 02019 National Notary Association CALIFORNIA ALI-RUAPOSE ACKNOWLIDMENT CIVII., CODE § 1189 . ......... ... 1-- ... . .. A nt-xar pub'[w or other officer co-Iii.plet4mf th's cerl1. Y i 'ficate verifies o-nily the draty of the .e Who sl.ecl th.e docui.,xien.t to which, tfus cert.j.-fi-cate i's attach.ed, and not t.he trUthfu-1,11-ess,. -accuracy, or validity of that docnitt..ent, ST"Al"E 01`4 ('ALA'FORNIA COUNTY OF -.San Mateo Oil .,M.a Notar, ...............BVI. . . . o i- ni C,.� . .... . .. 2026, bet' Julie C. Pace -bl i e, ....... ........... yr Pu persotially appeared Matthew Costa W11.0 proved . to nw on .......... Matthew the basis ot'siat-isfactor evidence to be the pmoti.(s) whose tmn-ie(s) Is/are stibscr.lbei -to fl -le within instruinent a,17C.I. i ge(t]. to r.ne thatI.i.e'sh-e/thev ex-ectited the sati.,ic in, hi&,`h.er,/th.eir at.-ithortzed. 1.1,S19 -1.1 -al -ANS 0.1.-1 the .i.strtn"1*wnt th.e persoi.--,i. (,)r the etiti-ty it on capaci ty(* i es"), al --i: d1al by h.1 s "hier/the' p beha-If of-wh.1ch, the perso.ril'.$) icted, execti-ted th.e instrilmztit. I eertn:f ti.n. er PENALTY OF PERJURY ttlldef, the laws of the State o -f Calff'brni.,a, ththe fioregotng pa-.t.,-,,,agrztph.. is twe and corred. WFFNESS n:iv hand ani of-I't.c.1a.1 secil, SIgnattir (Seal) JULIE C. PACE COMM. #2445833 z o Notary Public - California 0 San Mateo County LIFO4--- My Comm. Expires May 2, 2027 , e W..e,rest POWER OF ATTORNEY EVEREST REINSURANCE COMPANY and EVEREST NATIONAL INSURANCE COMPANY KNOW ALL PERSONS BY THESE PRESENTS: That Everest Reinsurance Company and Everest National Insurance Company, corporations of the State of Delaware ("Company") having their principal offices located at Warren Corporate Center, 100 Everest Way, Warren, New Jersey, 07059, do hereby nominate, constitute, and appoint: Greg McCartney, Mary Baez, Steve Suissa, Sylvia McGovern, Matthew Costa, Debbie Knipp its true and lawful Attorney(s)-in-fact to make, execute, attest, seal and deliver for and on its behalf, as surety, and as its act and deed, where required, any and all bonds and undertakings in the nature thereof, for the penal sum of no one of which is in any event to exceed UNLIMITED, reserving for itself the full power of substitution and revocation. Such bonds and undertakings, when duly executed by the aforesaid Attorneys) -in -fact shall be binding upon the Company as fully and to the same extent as if such bonds and undertakings were signed by the President and Secretary of the Company and sealed with its corporate seal. This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board of Directors of Company ("Board") on April 21, 2016: RESOLVED, that the President, any Executive Vice President, and any Senior Vice President are hereby appointed by the Board as authorized to make, execute, seal and deliver for and on behalf of the Company, any and all bonds, undertakings, contracts or obligations in surety or co -surety with others and that the Secretary or any Assistant Secretary of the Company be and that each of them hereby is authorized to attest to the execution of any such bonds, undertakings, contracts or obligations in surety or co -surety and attach thereto the corporate seal of the Company. RESOLVED, FURTHER, that the President, any Executive Vice President, and any Senior Vice President are hereby authorized to execute powers of attorney qualifying the attorney named in the given power of attorney to execute, on behalf of the Company, bonds and undertakings in surety or co -surety with others, and that the Secretary or any Assistant Secretary of the Company be, and that each of them is hereby authorized to attest the execution of any such power of attorney, and to attach thereto the corporate seal of the Company. RESOLVED, FURTHER, that the signature of such officers named in the preceding resolutions and the corporate seal of the Company may be affixed to such powers of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be thereafter valid and binding upon the Company with respect to any bond, undertaking, contract or obligation in surety or co -surety with others to which it is attached. IN WITNESS WHEREOF, Everest Reinsurance Company and Everest National Insurance Company have caused their corporate seals to be affixed hereto, and these presents to be signed by their duly authorized officers this 10th day of October 2023. Everest Reinsurance Company and Everest National Insurance Company �+� SEAL SEAL Wyk rP V` 1 4 1 \ wp�" �tvn" ` muwmrM`\v3�`': By: Anthony Romano, Senior Vice President On this 22"d of March 2023, before me personally came Anthony Romano, known to me, who, being duly sworn, did execute the above instrument; that he knows the seal of said Company; that the seal affixed to the aforesaid instrument is such corporate seal and was affixed thereto; and that he executed said instrument by like order. LINDA ROBINS , Notary Public, State of New York No 01 R06239736`` Qualified in Queens County Tenn Expires April 25, 2027 Linda Robins, Notary Public I, Sylvia Semerdjian, Assistant Secretary of Everest Reinsurance Company and Everest National Insurance Company do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the bylaws and resolutions of said Corporation as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATION, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company, this 27th day of March 2026. ES 00 01 04 16 rte: SEAL AWX B Sylvia Semerd Ian, Assistant Y� Y- 1 Secretary ,,,>,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/27/2026 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 James E. McGovern, Inc. 1625 El Camino Real Belmont, CA 94002 CONTACT NAME: Mar Ann Worman PHFAX CNN Ext): 650-753-4152 (A//C No): 650-594-9130 A DRIESS: mar ann 'emins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Everest Premier Insurance Company A+ XV 16045 www.jemins.com INSURED G. Bortolotto & Company, Inc. 582 Bragato Road San Carlos CA 94070 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 89924325 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 TYPE OF INSURANCE ADDL INSD SUBR WYD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 7 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA 76000180162 51 8/21/2025 8/21/2026 �/ SPER TATUTE OERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Work @ FY25/26 Pavement Rehab & Drain Impr, Corbetta Ln, Corte Madera Ln, E. Sunset Dr, Elena Rd, Fremont Rd, Robleda Rd, Los Altos Hills #26-160 Waiver of subrogation applies to Workers Compensation. x`30 day written Notice of Cancellation, except for non-payment of premium which is 10 days. CERTIFICATE HOLDER CANCELLATION Town of Los Altos Hills its elected ora appointed pp officials, agents and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 26379 Fremont Road Los Altos Hills CA 94022 AUTHORIZED REPRESENTATIVE Steve Suissa ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 89924325 1 BORTO-1 1 25/26 - WC I MaryAnn Worman 1 3/27/2026 12:16:46 PM (PDT) I Page 1 of 2 WORKORS COMPENSATION AND EMPLOYERS UASILrTY INSURANCE POLICY WC 04 03 06 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT low CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy, We 41 not enf9me our right against the person or. organization named In the Schedule. (This, agreement applies only to'the extent that you perform work under a written contract that requires you to obtain this agreement tom us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work descd lied In the Schedule. A The additional premium for this endorsement shall be 2% of the Californlit workeW compensabon premium otherwise due on such remuneration, PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION FOR WHOM THE BLANKET WAIVER OF SUBROGATION NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER Town, of Los Altos Hills, its elected or appointed officials, agents and employees This endorsement changes the policy to which It is attached and is eftctive on the date Issued unim bMerw1se stated. a CMe Infomme afton below Is required only when this ender Is issued subsequent to prepamdon of thenpiwlcy*j Endorsement Effective Poky No Endorsement No. 8/21/2025 %000 180162 51 Insured: G. Bortolotto & Company, Inc. Premium $ INCL. Insurance Company EVEREST NATIONAL INSURANC Countersigned By. 40 1998 by tho Workers' Companwflon Insuranco, Raft Sumau of Calif-orffle. All rlghft reseriecL From the WCIRBls Callfomla Workers' Compensation Insurance Forms Manual ** i9ft 1 89924325 1 BORTO-1 125/26 - WC I MaryAnn Worman 13/27/2026 12:16:46 PM (PDT) I Page 2 of 2 T -0 kw„ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 03/26/2026 I 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(les) 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 FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES INCLUDING PRIMARY SOURCE INSURANCE AGENCY NAME' CLIENT CONTACT CENTER PHONE FAX LAIC, No, Ext>: 888-333-4949 (AIC, No): 507-446-4664 ESS: CLIENTCONTACTCENTERQaFEDINS.COM ADDRESS: 121 E. PARK SQUARE OWATONNA, MN 55060 INSURERS AFFORDING COVERAGE NAIC # INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED I��i=WESTCHESTER SURPLUS LINES INSURANCE 10172 G. BORTOLOTTO & COM PANY 582 BRAGATO RD INSURER C: INSURER D: SAN CARLOS, CA 94070-6227 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 191 REVISION NUMBER: 0 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 TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIQDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES $100,000 (Ea occurrence) MED EXP (Any one person) EXCLUDED A Y Y 1903446 08/13/2025 08113/2026 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑X IEGT LOC PRODUCTS & COMPIOP ACC $21000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per Person) X ANYAUTO A OWNED AUTOS ONLY SCHEDULED Y Y 1903446 08/13/2025 08/13/2026 BODILY INJURY (Per Accident) PROPERTY DAMAGE (Per Accident) HIRED AUTOS ONLY NON -OWNED F-1 AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $8,000,000 A EXCESS LIAB CLAIMS -MADE Y Y 1903447 08/13/2025 08/13/2026 AGGREGATE $8,0003000 DEQ I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER STATUTE THER E.L EACH ACCIDENT ANY PROPRIETORIPARTNERI EXECUTIVE OFRCEPJMEM13ER EXCLUDED? L (Mandatory in NH) NIA E.L DISEASE -EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT CONTRACTORS POLLUTION LIABILITY Y Y G71661726 004 08/23/2025 08/23/2026 EACH LIMIT $2,000,000 B AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION TOWN OF LOS ALTOS HILLS 26379 W FREMONT RD LOS ALTOS HILLS, CA 94022-2624 191 0 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 0 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 #: -A ADDITIONAL REMARKS Page 1 of 1 AGENCY NAMEDINSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES G. BORTOLOTTO & COMPANY 582 BRAGATO RD INCLUDING PRIMARY SOURCE INSURANCE AGENCY SAN CARLOS, CA 94070-6227 POLICY NUMBER SEE CERTIFICATE # 191.0 CARRIER NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE ## 191.0 SEE CERTIFICATE ## 191.0 RKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE G. BORTOLOTTO JOB #26-160 FY25/26 PAVEMENT REHABILITATION AND DRAINAGE IMPROVEMENT PROJECT CORBETTA LANE, CORTE MADERA LANE, EAST SUNSET DRIVE, ELENA ROAD, FREMONT ROAD, ROBLEDA ROAD THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY.. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESS AUTO LIABILITY. INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAGE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION. INSURANCE PROVIDED BY THE BUSINESS AUTO LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION. GENERAL LIABILITY CONTAINS A WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC ENDORSEMENT BUSINESS AUTO LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT. GENERAL LIABILITY COVERAGE CONTAINS CG 25 03 DESIGNATED CONSTRUCTION GENERAL AGGREGATE LIMIT ENDORSEMENT APPLICABLE TO EACH CONSTRUCTION PROJECT AS REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT. COMMERCIAL UMBRELLA FOLLOWS FORM ACCORDING TO THE TERMS, CONDITIONS, AND ENDORSEMENTS FOUND IN THE COMMERCIAL UMBRELLA POLICY. FOR REASONS OTHER THAN NON-PAYMENT OF PREMIUM' 30 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED ENDORSEMENT FOR CONTRACTORS POLLUTION LIABILITY. THE CONTRACTORS POLLUTION LIABILITY COVERAGE CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE WAIVER OF SUBROGATION. INSURANCE PROVIDED BY THE CONTRACTORS POLLUTION LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE. MOLD COVERAGE IS INCLUDED UNDER CONTRACTORS POLLUTION LIABILITY. ACORD 101 (2008101) d 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARYAND NONCONTRIBUTORY OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect tocoverage provided by this endorsement, the provisions of the Coverage Form apply unless modified bythe endorsement. A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance - Primary And Excess Insurance Provisions in the Motor Conior Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to on"inaured"under your policy provided that: Y. Such "insured" is e Named Insured under such other insurance; and 2. You have agreed in writing in o contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision tothe contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary toand will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is o Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". @ Insurance Services Office, Inc., 2016 Page Imf1 CA 04 49 1116 Policy Number: 1903446 Transaction Effective [ate: 08/13/2025 1p-qi-i Pulp 0 gi This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. & WHO |8ANINSURED for "bodily injury" and "property camege"'liability is amended to include: Any person or organization other than a joint venture, for which you have agreed by written contract to procure bodily injury or property damage "auto" liability insurance arising out of operation of covered "auto" with your permission. However, this additional insurance does not apply to: (1) The owner or anyone else from whom you hire or borrow a covered "auto" This exception does not apply ifthe covered "auto"ioa "'tnai|er"connected toacovered "auto"you own. (2) Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her household. (3) Someone using a covered "auto" while hoor she imworking inobusiness of selling, servicing, repaihng, parking or storing "autos" unless that business is yours. (4) Anyone other than your "employees", partnere (if you are o partnership), members (if you are e limited liability company), or a lessee or borrower or any of their "emp|oyees", while moving property toorfrom acovered "autu" (S) A partner (if you are a partnenahip), or a member (if you are o limited liability company) for a covered "auto"owned byhim orher oramember ufhis orher household. B. The coverage extended to any additional insured by this endorsement ialimited to, and subject to all terms, conditions, and exclusions ofthe Coverage Part towhich this endorsement iaattached. |naddition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement toadd any insured, urtoprocure insurance. C. The limits of insurance applicable to such insurance shall be the lesser of the limits required by the agreement between the parties, or the limits provided by this policy. D. Additional exclusions. The insurance afforded to any person or organization as an insured under this endorsement does not apply: 1. To "loss" which occurs prior to the date of your contract with such person or organization; 2. To "loss" arising out of the mr|e negligence of any person or organization that would not be an insured except for this endorsement. 3. To "|oas"for any leased or rented ""auto" when the lessor or his or her agent takes possession of the leased mrrented "auto"orthe policy period ends, whichever occurs first. Includes copyrighted material ofInsurance Services Office, Inc. with its permission. ��27 (03-03) Policy Number: 1903446 Transaction Effective Date: 08M3/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. In the event of any payment for a loss under this Business Auto Coverage Part arising out of your ongoing operations, we agree to waive our rights under the TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US condition against any person or organization, its subsidiaries, directors, agents or employees, for which you have agreed by written contract, prior to the occurrence of any loss, to waive such rights, except when the payment results from the sole negligence of that person or organization, its subsidiaries, directors, agents or employees. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CA -F-128 (03-03) Policy Number: 1903446 Transaction Effective Date: 08/13/2025 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY - This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. © Insurance Services Office, Inc., 2018 CG 20 01 12 19 Policy Number: 1903446 Page I of I Transaction Effective Date: 08/13/2025 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONALINSURED �OWNERS,LESSEESOR CONTRACTORS =AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section |l - Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as on additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily iniury". "'property damage" or "personal and advertising injury"caused, inwhole urinpart, by: O. Your acts oromissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance oforded to such additional insured: U. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional inaureda, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury" "property damage"' or "peroona|and advertising injury" arising out of the rendering of, or the failure to render, any professional arohitootuna\, engineering or surveying services, including: a. The prepahng, epprovng, or failing to prepare orapprove, maps, shop drawings, opinions, reporta, aun/eya, field ordero, change orders or drawings and specifications; or b. Supen/iaory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence orother wrongdoing in the aupemiaion, hiring, emp\oymont, training or monitoring of others by that inaured, if the "'occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury".involved the rendering of or the failure to render any professional architeotuna|, engineering or surveying services. @ Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 1903446 Page 1 of 2 Transaction Effective Date 08/ 13/2025 2. "Bodily injury" or "property damage" occurring after: a. All work, including moteha|n, parts or equipment furnished in connection with such work, on the project (other than aemioe, maintenance or repairs) to be performed byoronbehalf ofthe additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury ordamage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for aprincipal amepart ofthe same project. C. With respect to the insurance afforded to these additional insurods, the following is added to Sec±honUI-LJmmits Of Insurance: The most we will pay on behalf ofthe additional insured isthe amount ufinsurance: U. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable limits of insurance; whichever ioless. This endorsement shall not increase the applicable limits of insurance. Page 2of2 @ Insurance Services Office, |nc..2O18 CG 20 33 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2025 COMMERCIAL GENERAL LIABILITY CG 24 53 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) AUTOMATIC This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. © Insurance Services Office, Inc., 2018 Page I of 1 CG 24 53 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2025 POLICY NUMBER: 1908146 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 41 ka4i ,WLAfflehilm This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ;*98T:N0Um: Designated Construction Each construction project aarequired bywritten contract or written I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I A. For all sums which the insured becomes legally 3. Any payments made under Coverage for obligated to pay as damages caused by damages or under Coverage C for medical "occurrences" under Section | -CuverageA, and expenses shaU reduce the Designated for all medical expenses caused by accidents Construction Project General Aggregate Limit under Section | ' Coverage C. which can be for that designated construction project. Such attributed only to ongoing operations at o single payments shall not reduce the General designated construction project shown in the Aggregate Limit shown 1nthe Declarations nor Schedule above: shall they reduce any other Designated 1. A separate Designated Construction Project Construction Project General Aggregate Limit General Aggregate Limit applies to each for any other designated construction project designated construction project, andth��|imit ' is equal to the amount of the General 4. The limits shown in the Declarations for Each Aggregate Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum ofall damages under Coverage A`except General Aggregate Limit shown in the damages because of "bodily injury" or Declarations, such limits will besubject tothe "property damage" included in the "products- applicable Designated Construction Project completed operations hazard", and for medical General Aggregate Limit. expenses under Coverage C regardless of the number of: m. Insureds; b. Claims made or"auita"brought; or c. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 @|nsurance Services Office, |nc..2008 Page 1 of 2 B. For all sums which the insured becomes legally C. obligated to pay as damages caused by "'occurrences" under Section | ' Coverage A, and for all medical expenses caused by accidents under Section | - Coverage C. which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments mode under Coverage A for damages or under Coverage C for medical D. expenses shall reduce the amount available under the General Aggregate Limit or the Pnoducts'nomp|oted Operations Aggregate Limit, whichever ieapplicable; and 2. Such payments shall not reduce any Designated Construction Project General E. Aggregate Limit. When coverage for liability mieAng out of the "pnoduots-com | hazard" is provided, any payments for damages because of "bodily injury" or "property damage"' included in the "prod ucbs-comp|eted operations hazard"' will reduce the Prod uots-comp|eted Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. If the applicable designated construction project has been obandoned, delayed, orabandoned and then reatarted, or if the authorized contracting parties deviate from p|ana, b|ueprints, daaigno, specifications or timetob|eo, the project will still bedeemed tobothe same construction project. The provisions of Section ||| - Limits Of Insurance not otherwise modified by this endorsement shall continue toapply mastipulated. Page 2 of 2 @ Insurance Services Office, |nc..2008 CG 25 03 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Named Insured G Bortolotto & Company, Inc. Endorsement Number Policy Symbol Policy Number Policy Period Effective Date of Endorsement CPW G71661726 004 8123/2025 To 8/23/2026 8/2312025 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization - As required by written contract, prior to a loss to which this insurance applies (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products -completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. All other terms and conditions remain the same. ENV -3143 (03-05) Includes copyrighted material of Insurance Services office, Inc. with its permission Page 1 of 1 ADDITIONAL INSURED ENDORSEMENT — ONGOINGWORK OR OPERATIONS Named Insured Endorsement Number G Bortolotto & Company, Inc. Policy Symbol Policy Number Policy Period Effective Date of Endorsement CPW G71661726 004 8/23/2025 TO 8/23/2026 8/23/2-025 Issued By (Name of Insurance Company) a Westchester Surplus Lines Insurance Company 1-n-sertfhopolicy inumber. The Mmainderof fhe irdoi -ill "Ition if. to be cc m p] C -ted onlywbenthis andm-soin ent ki issued subsequent to the pre par a tion lit thy: polie-y. TMS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDO&SEME NT MODIFIES INSURALNICE PROVIDED UNDER THE FOLLOWING; CONTRACTORS POLLUTION LIABILrIY C01TERAGE PART C .4jr.-UPTI-1 TY W. - Name of Person(s) or 0rganization(s): As required by written contract, prior to a loss to which this insurance. applies (If no entry appears above, iliforniation required to coinpAete this e-1.1dorsernent will be shimArn in the Delaxations as applicable to this endorsement.) A. SECTION 11 - UU10 IS AN INSURED is amended to include as an additional insured the persons or organizations showm in the Schedule, but only with respect to liability for iql'ui7f or damage., to -which this insurance applies, caused, in whole or in part, by: t. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insureds. However: .t. The insurance afforded to such additlon,:at insured only applies to the extent permittedby la-V%r; and 2. If co-vrerage provided to the additional insured is re(juired by a contract or agreement, the insurance afforded to such additional insured will not be broader than that -which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance. afforded to these additional insureds, thef-ViloNving exclusion is added: Exclusions This insurance does not apply to injury or damage occurring after: a. All work or operations, including materials, - pa.rts or equipment hirnh3hed in connection with such 4 nc%- work car o erations, on the prqject (other than service, naaintenaor repairs) to be. performed . by you or on. your behalf at the site of covered operations bas been completed: or ENV -32,-30 (12 A 8 hicludes copyrighted --material of Insurance Services Office, Inc. with its permission Page I Of 2 It't. t� le -hes. ..er A. b. That portion of your work out of whi6 the injury or damage arises has been put to its intended 0 use by any person or organization other than another contractor or subcontractor engaged in performing operations for the additional insured as a part of the same project. C. With respect to the insurance afforded to these a-d(litional insi,-,-reds, the following is added to SECTION III – LIMITS OF INSURE NCE— If coverage pro-vided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is fhe amount of insurance: :t. Required b.N,- the contract or agreement; or .2. Available under the applicable Limits of Insurance sho%m in the Declarations; -whichever is less, This endorsenient shall auL increase the applicable Lfinits of Insurance shown in theDeclaratioas. All other ternis and conditions of this policy remain unchanged. ENV -3250 Includes copyrighted inatc---Yial of Insurance Services Office. Ine. -with its permission Page 2 of (221012.1') hv`�.,,.Stchesk r ADDMON-AL INSURED ENDORSE, MENT — PRODUCTS -COMPLETED OPERATIONS HAZARD Named Insured G Bortollotto & Company, Inc. Endorsement Number Policy Symbol Policy Number Policy Period Effective Date of Endorsement Clef` 671661726 004 8123/2025 To 8/23/2026 8/2312025 Issued By (Name of Insurance Company" Westchester Surplus Lines Insurance Company Insertthe poliqynumber. The remainder of the information is to be, completed only when this entiorseme at is issued subsequent to the preparation ofthe policy. THIS ENDORSEMENT CHANGES "I"HE POLICY.'PLEASE READ FI'CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOIAING: CONTRACTORS -POII.UTK)N LTABILITY COVERAGE PART Z11414112 11-161S.51 Nazi -Le. af Person or Organization: As required by written contract, prior to a loss to which this insurance applies (If no entry appears aboi7e, inforination required. to complete this endorsement will be shown. in. the Declarations as applicable to this end.orseniefit. ) A. SECTION 11 — NVHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shoivn in the Schedule, but only with respect to liability for 111jury or dan-.kafge. to v�rhieh this insurance applies, caused .by or resulting, from yotw work performed for fhat additional insured and included in the prodxtet�s-conipleted operations liazard, -and only to the extent that suih injury or damage is caused, in 'whole or in part, by your negligence or the negligence of those acting on your behalf. liowenren i. The insurance afforded to such additional insured only applies to the extent pen-nitted- by law; and 2-. If coverage p roNrided to the additional. iusured is required by a contract or agreement, the insurance afforded to such additional insured krill not be broader than tliat,,,vhich you are required by the contract or agreement to proNdde, for such additional insured. Be NVith respect to the insurance, afforded to these additional insureds, the following is added to SECTION IH - LIMITS OF INSURANCE: If coverage provided. )rovided. to th.- additional insured is re(juired by a contract or agreement, the most we will. poly on. ff cif thea.dr.fitional insured is the'ani.ount of insurance: .t. Required by the contract or agreement; or V 2. Airailable under the applicable 11mits of Insurance sho"M in the Declarations; NA7hichever Is less. This endorsement shall not increase the applicable Limits of Insurimee shown in the Declarations. All other terms and conditions of this policy reimain unchanged. ENV -325:1 (122/18) hicludes coppighted material of Insurance Services Office, In::. v4th its pern-Assion Page I of I (221012.2) Wesi-t(hesster PRIMARY,kND NONCO NTTRIBUFORY — OTHER INSURANCE CONDITION Named Insured Endol-SeMerit Number G Bortolotto & Company, Inc. Policy Symbol Policy number Policy Period Effective Date of Endorseanent CPQ' 671661726 004 8/23/2025 To 8/23/2026 8/23/2025 Issued By (Name Of Insurance Company) Westchester Surplus Lines Insurance Company Imserf the, pe W -y- n u wiber.'l b(I PUM III T)d C I rofffie. informalion is 1s) he completed only vvhen this orsdorsouumt isi&,wvd.,;ubs(,,qu(,nL In the prepmdion of(he policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDO .SEMS N11 MODIFIES INSURANCE PROVIDED UNDER'rHEFOLLO-VVING: CONTRACTOWS POIJUrION LIABILIrry COVERAGEPART The follow, ing is added to the. Other Insurance Condition and supem-des any .provision to the contrary; PrimaiT and Noncontributory Insurance This policy is prhrlai- y to, and -,%ill not seek contribution from, any other insurance available to ail additional. itisured under this policy, prmided that: 0 a. The adr-b"tional insured is a named insured under such other insuraile-e; and b. Vie named 1*nsured has agreed in a written contract or agreement that this insurance would: (jL) act as primary hisu-rance; and (P.) would not seek contrilbution from. arky other insurance available to the additionalinsured. ,U other terms and. condlitionsuf this polley remaiii unctianged. -3 EN17-.32(12-18) 0 Includes copytightecl ma teriA- of In-5-arance services offie-e' Inc, with its Permission Page i of i 2 6 6! -) 6 ?-. 2) TOWN OF LOS ALTOS HILL6 ,26379 Fremont Road Los Altos Hillst.CA 94022 Attention'. John Chau 13. POLICY AMENDMENTS t Is O of M10 0 *1 a I st t I 'Thi's endorsement. is i s,ued in cons'derat'on of thp .11cy pre N tw, thst riding any in', on isbn, statement 'in the policy to which this endorsement *is attached or any other endorsement attached thereW it is a, gree d: as follows,*-. 1. INSURED-, TtitTo.wnbele-ic�tedora-ppointedofficiatic,;, employees, and volunteers areinclude-d Im a ctil 1 es perf -i.e on as 'Insured with rega rd to damages and defense of 61a* s ari,sing from-. -a v ti it d b behalf of the Na m1edInsured,, (b) products and completed operations of the Named Insured, or (c) premises owned, leased or I us*ed by the Named Insured. CONe amd Insurefor or on TRIBUTION NOT REQUIRED. As respects-. (a) work. per k.rmed by-hNed t behalf of the Town; or (b 0' re ises leased by the "ducts by the Named Insured to the Town, or (c) p -mi Named Insured from the Town thein-surance afforded by this policy shall be primary Insurance as respects the Town, its elected or appointed officials, employees or volunteers- or stand'in, -an unbroken chain of coverage excess of the Named Insured's scheduled underlying primary coverage. In either event, any other insurance maintained by the Town, its elected or appointed official%, employees or volunteers shall be excess of this 'Insurance and shall not contribute with'it. 3. SCOPE OF COVERAGE: The policy: (1) 'if primary, affords coverage at least as broad as Insurance Services Office form for Broad Form Commercial General Liability Insurance and Insurance Services Office form for Broad Form Commercial General Liability endorsement; or (2) if excess, affords coverage which is at least as broad as the Primary Insurance form referenced in the preceding Section (1). comw FY 2025-26 Pavement Rehabilitation and Drainage Improvement Project SEVERABILITY OF INTEREST:. The insurance afforded by this policy applies separately each 'Insured seeking coverage or against whom a claim is made or a suit is brought, except with respe to the Company's 1.11mlit of liability. ir 1111 F4, Cristobal Perla (print/type name,), warrant that I have authority to bf . nd the beiow-ll*stpd't'nsu�:ra:ncp-, company and by my signature hereon do so b1nd this com pany. Signature of Authorized Representative (orig,inal signature on endorsement furnished to the Town) O . Federated Mutual Ins Co Marketing Rep RGANIZATION TITLE,,., ADDRESS.,, 121 E Park .,Sq, Owatonna MN 55060 TELEPHONE, 650-669-1566 contrxt FY 410-15-Z6 Pavement Rehabilitation and Di-aimp Imptovemcnt Prqjv--t -5 fillill�illill�� 1111 Iwo This endorsement is issued in consideration of the policy premium. Notwithstanding any inconsistent statement 'in the policy to which this endorsement Is attached or any other endorsement attached thereto It is agreed as follovis,** 1, INSURED,.- The Town, . Its elected or appointed officials, employe -as, and volunteers aria 'Included 9defersrf d b or on as insured with regard to Barna es and of claims ar's*ng from- (a) activities pe- orme. y behalf of the Named -insured,.(b . products and completed operations,, of the,,. Named Insured, or (c) premises owned, leased or used by the Named Insured. 2. C 0IBUTION NOT REQUIRED., As respects-.* (a) viork.p'erformed by the, Named Insured for N T R or on behalf of the Town- or (b) products sold by the Named Insured to the Tovin or (c) premises leased 'by the ,Named Insured from the Town, the insurance afforded by this policy shall be primary insurance, as 0 u respects the Town, its elected or appointed officials-, employees or v I nteers, or stand in an unbroken chain of coverage excess of the Named Insured's scheduled underlying primary coverage. In either event, any other insurance maintained by the Twat its elected or appointed officials employees or volunteers shall be excess of this insurance and shall not contribute With It. I SCOPE OF COVERAGE: Thi's policy affords coverage to the Named Insured which is at least as broad as Insurance Services Office form for Automobile Liability, Code I ("any autolf).. 4. SEVERABILITY OF INTEREST:- The insurance afforded by this policy applies separately to each insured seeking coverage or against whom a claim is made or a suit is brought, except with respect to the Company's limit of liability. Contra FY 2025-26 Pavement RehabiWation anti Drainage, Improv-4ment Project 9 5. PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENT OR LOSS: Any failure to comply with reporting provisions of the policy shall not affect coverage provided to the Town, Its, elected or appointed officials, employees or volunteers. 6. CANCELLATION NOTICE: The insurance afforded by this policy shall not be suspended, voided, canceled, reduced in coverage or in limits except after THIRTY (30):days prior written notice by Certified, Mail Return Receipt Requested has been given to the Town. Such notice shall be addressed. as shown in the heading of this • NO 111 11111 OF! I I I i I I 1 1 1 111111111 1 11 11 11111111 Cristobal Perla. print/type name), warrant that I have authority to bind th.e below -fisted *insurance. company and by my signature hereon do so • this company. Signature of ----- -- - ----- Authorized Representative (original signature on endorsement furnished to the Town) ORGANIZATION, Federated Mutual Ins CO TITLE-,.. Marketing Rep. ADDRESS. 121 E Park S Owatonna MN 55060 TELEPHONE: 6506691566 Comma FY 2025-216 Pavement ReLabifitation and Drainage Improvement Project 0 TOWN OF LOS ALTOS HILLS 26379 FREMONT ROAD LOS ALTOS HILLS, CA 94022 Attention: John Chau This endorsement is issued in consideration of the policy premium. Notwithsta nd i,ng any inconsistent statement in the policy to which this endorsement is attaGhed or any other endorsement attached thereto it is agreed as follows: 1. CANCELLATION NOTICE: . The insurance afforded to this policy shall not be suspended, voided, canceled, reduced in coverage or in limits except after THIRTY (30) days prior written notice by Certified Mail Return Receipt Requested have been given to the Town. Such notice shall be addressed as shown in the heading of this endorsement. 2, WAIVER OF SUBROGATION: The Company agrees to waive all rights of subrogation agains) the Town, its elected or appointed officials, agents and employees for losses paid under the terms of this policy which arise from work performed by the Named Insured for the Town. If MaryAnn Worman ------- (print/type name), warrant that I have authority V to bind the below -listed insurance company and by my signature hereon do so bin,d this company. Signature of Authorized representative (original signature on endorsement furnished to the Town) ADDRESS: McGovern Insurance 1625 El Camino Real, Belmont CA 94002 TITLE: Certificate Specialist 650-593-8216 cora :t FY 2025-26 Pavement Rehabilitation and Drainage Improvemeni Project 8 10iiiii !111 TOWN OF LOS ALTOS HILLS 26379 FREMONT ROAD LOS ALT08 HILLS, CA 94022 Attention: John Chau This certifies that the following described phave been *ssu'd to the Insured, - a cies e i e n, med below and are in force at this time.. Insured Federated Mutual Insurance CO Address 121 E Park -Sq-Owatonna MN .... 55.06.- . ........ oi* -A Description of operat'lonsliocatio'*ns/produ'ats�. *insured (show, Contract, name anit d/or number . a . ny - - - - - - - - - - - - - POLICIES AND INSURERS - - - ------------ LIMITS EXPIRATION Bodily Injury Property Damage DATE P -0112y. Number Worker's Compensation Employees Lab PI,ty $ Insurer ------------- ----------- --------- Iffy Commercial General Ciabi I Eich- Ob 1 rn Each Occu rrence c irrerivw Ag,ggate re 2m Aggregate 08/13/2026 InsurerCombined Sr2 e limit .......... -------- - Business Auto Pol icy Liability Each Person Each Accident I M . , 08/13/2023 Coverage Symbol Ea ch Accid ent Combined Single Limit 1n 1 Insurer Umbrella Liability, Occurreence/Aggrega. M n7a 08/13/2026 Self -Retention $ Insurer The following era ges or conditions arein eff ect Yes IX No 13 WWI~ The Townjlt.s epic ila- Is, and employees are named on all liability 0-014cies described above as 'insured as respects: (a) activities performed for the Town or on behalf of the named insured, (b)- products and completed operations ons of the named "Insured and (d) premises owned, leased or used by the named insured. Products and completed ----- ,operations,. Yes EX No 0 The undersigned viii mail to the, Town 30 days written notice of cancel latilon or reduction of coverage or limits, cross liability clause (or equival ent wordi k nq) .. .. ... Yes IN No 0 Pers- nal Ee-r'ils A, a, and C. Yes IX No 0 Broad form damage. Yes W NO ,prop2E!y X, C, U hazards 'included. Yes EX No 0 Contractual flabillitY coverage a ying to this Contract. , Yes C3 No IN Li uor li a 1 r bit' I 1,r Yes EX No 0 Coverage afforded the Town, its officials, employees and volunteers as an insured applies as primary mary and not excess or contributing to any insurance issued in the name of the City. Yes 0 No EX Waiver of subrogation from worker's com ensation insurer. Contm FY 2101-5-26 Pavement RZhalhdiution and Drainage lrnprovt.-Ment Project This certificate isissued as a matter of 'Information. This certificateis not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate or insurance 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. Federated Mutual Insurance Co Agency or Brokerage Insurance Company - 121 E Park Sq Owatonna MN Address -Cristobal Perla Name of Person to be Contacted Mountain View CA Home Office -- Authorized Signature 650-669-1566 -03/27/2026 Telephone Date NOTE: Authorized signature may be the agent's, if agent has placed insurance through an agency agreement with the insurer. If insurance is brokered, authorized signature must be that of official of insurer. conalav FY 201-4-26 Pavement Rehabilitation and Drairtagpe (mprovetnent Projw 10