HomeMy WebLinkAboutC-5341 - Service Agreement for Demolition of Structures at Big Canyon ReservoirSERVICE AGREEMENT
WITH TIGHT QUARTERS, INC. FOR
DEMOLITION OF STRUCTURES AT BIG CANYON RESERVOIR
T HIS SERVICE AGREEMENT ( "Agreement ") is made and entered into as of this
�} 'x day of November, 2052 ( "Effective Date ") by and between the CITY OF
NEWPORT BEACH, a California municipal corporation and Charter City ( "City "), and
1 TIGHT QUARTERS, INC., a California corporation ( "Contractor"), whose address is
2031 S. Anne Street, Santa Ana, CA 92704, and is rnade with reference to the
following:
RECITALS
A. City is a municipal corporation duly organized and validly existing under the laws
of the State of California with the power to carry on its business as it is now being
conducted under the statutes of the State of California and the Charter of City.
B. City desires to engage Contractor to demolish three structures and remove
debris, including asbestos materials from the Big Canyon Reservoir site
( "Project ").
C. Contractor possesses the skill, experience, ability, background, certification and
knowledge to provide the services described in this Agreement.
D. The principal member of Contractor for purposes of Project shall be Telford
Cottarn.
E. City has solicited and received a proposal from Contractor, has reviewed the
previous experience and evaluated the expertise of Contractor, and desires to
retain Contractor to render professional services under the terms and conditions
set forth in this Agreement.
NOW, THEREFORE, it is mutually agreed by and between the undersigned
parties as follows:
1. TERM
The term of this Agreement shall commence on the Commencement Date, and
shall terminate sixty (60) days from the date of completion and acceptance of the Work,
unless terminated earlier as set forth herein. In any event, the term of this Agreement
shall not extend beyond June 30, 2013.
City and Contractor acknowiedge that the above Recitals are true and correct
and are hereby incorporated by reference into this Agreement. Contractor shall
diligently perform all the services described in the Scope of Services attached hereto as
Exhibit A and incorporated herein by reference ( "Services" or "Wore). The City may
elect to delete certain Services within the Scope of Services at its sole discretion.
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3. TIME OF PERFORMANCE
3.1 Time is of the essence in the performance of Services under this
Agreement and Contractor shall complete the Work within the time set forth in this
Section. The failure by Contractor to meet this deadline may result in termination of this
Agreement by City.
3.2 All Work shall, be completed within Sixty (60) days from the Notice to ,
Proceed: The Notice to Pro: eed shall be given by the Project Administrator, and shall
constitute written declaration by the Project Administrator that the Project may begin.
3.3 Notwithstanding the foregoing, Contractor shall not be responsible for
delays due to causes beyond Contractor's reasonable control. However, in the case of
any such delay in the Services to be provided for the Project, each party hereby agrees
to provide notice within two (2) days of the occurrence causing the delay to the other
party so that all delays can be addressed.
3.4 Contractor shall submit all requests for extensions of time for performance
in writing to the Project Administrator (as defined in Section 6 below) not later than ten
(10) calendar days after the start of the condition that purportedly causes a delay. The
Project Administrator shall review all such requests and may grant reasonable time
extensions for unforeseeable delays that are beyond Contractor's control.
15 For all time periods not specifically set forth herein, Contractor shall
respond in the most expedient and appropriate manner under the circumstances, by
fax, hand - delivery or mail.
4. COMPENSATION TO CONTRACTOR
4.1 City shall pay Contractor for the Services on a time and expense not -to-
exceed basis in accordance with the provisions of this Section and the Schedule of
Billing Rates attached hereto as Exhibit B and incorporated herein by reference.
Contractor's compensation for all Work performed in accordance with this Agreement,
including all reimbursable items and subcontractor fees, shall not exceed Twelve
,Thousand .Five Hundred Dollars and 00/100 ($12,500.04) without prior written
authorization from City. No billing rate changes shall be made during the term of this
Agreement without the prior written approval of City.
4.2 Contractor shall submit monthly invoices to City describing the Work
performed the preceding month. Contractor's bills shall include the name of the person
who performed the Work, a brief description of the Services performed and/or the
specific task in the Scope of Services to which it relates, the date the Services were
performed, the number of hours spent on all Work billed on an hourly basis, and a
description of any reimbursable expenditures. City shall pay Contractor no later than
thirty (30) days after approval of the monthly invoice by City staff.
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4.3 City shall reimburse Contractor only for those costs or expenses
specifically identified in Exhibit B to this Agreement, or specifically approved in writing in
advance by City.
4.4 Contractor shall not receive any compensation for Extra Work performed
without the prior written authorization of City. As used herein, "Extra Work" means any
Work that is determined by City to be necessary for the proper completion of the
Project, but which is not included within the Scope of Services and which the parties did
not reasonably anticipate would be necessary at the execution of this Agreement.
Compensation for any authorized Extra Work shall be paid in accordance with the
Schedule of Billing Rates as set forth in Exhibit B.
5. PROJECT MANAGER
5.1 Contractor shall .designate a Project Manager, who shall coordinate all
phases of the Project. This Project Manager shall be available to City at all reasonable
times during the Agreement term. Contractor has designated Telford Cottam to be its
Project Manager. Contractor shall not remove or reassign the Project Manager or any
personnel listed in Exhibit A or assign any new or replacement personnel to the Project
without the prior written consent of City. City's approval shall not be unreasonably
withheld with respect to the removal or assignment of non -key personnel.
5.2 Contractor, at the sole discretion of City, shall remove from the Project any
of its personnel assigned to the performance of Services upon written request of City.
Contractor warrants that it will continuously furnish the necessary personnel to complete
the Project on a timely basis as contemplated by this Agreement.
6. ADMINISTRATION
This Agreement will be administered by the Municipal Operations Department.
John Salazar, Field Maintenance Superintendent or designee, shall be the Project
Administrator and shall have the authority to act for City under tills Agreement. The
Project Administrator or designee shall represent City in all matters pertaining to the
Services to be rendered pursuant to this Agreement.
7. CITY'S RESPONSIBILITIES
To assist Contractor in the execution of its responsibilities under this Agreement,
City agrees to provide access to and upon request of Contractor, one (1) copy of all
existing relevant information on file at City. City will provide all such materials in a
timely manner so as not to cause delays in Contractor's Work schedule.
8.1 All of the Services shall be performed by Contractor or under Contractor's
supervision. Contractor represents that it possesses the professional and technical
personnel required to perform the Services required by this Agreement, and that it will
perform -all Services in a manner commensurate with the highest industry standards.
For purposes of this Agreement, the phrase "highest industry standards" shall mean
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those standards of practice recognized by one (1) or more first -class firms performing
similar work under similar circumstances.
8.2 All Services shall be performed by qualified and experienced personnel
who are not employed by City, nor have any contractual relationship with City. By
delivery of completed Work, Contractor certifies that the Work conforms to 'the
requirements of this Agreement and all applicable federal, state and local laws and the
highest industry standard.
8;3 Contractor represents and warrants to City that it has, shall obtain, and
shall keep in full force and effect during the term hereof, at its sole cost and expense, all
licenses, permits, qualifications, insurance and approvals of whatsoever nature that is
legally required of Contractor to practice its profession. Contractor shall maintain a City
of Newport Beach business license during the term of this Agreement.
8.4 Contractor shall not be responsible for delay, nor shall Contractor be
responsible for damages or be in default or deemed to be in default by reason of strikes,
lockouts, accidents, or acts of Cod, or the failure of City to fumish timely information or
to approve or disapprove Contractor's Work promptly, or delay or faulty performance by
City, contractors, or governmental agencies.
HOLD HARMLESS
9.1 To the fullest extent permitted by law, Contractor shall indemnify, defend
and hold harmless City, its City Council, boards and commissions, officers, agents and
employees (collectively, the "Indemnified Parties ") from and against any and all claims
(including, without limitation, claims for bodily injury, death or damage to property),
demands, obligations, damages, actions, causes of action, suits, losses, judgments,
fines, penalties, liabilities, costs and expenses (including, without limitation, attorney's
fees, disbursements and court costs) of every kind and nature whatsoever (individually,
a Claim; collectively, "Claims "), which may arise from or in any manner relate (directly or
indirectly) to any breach of the terms and conditions of this Agreement, any Work
performed or Services provided under this Agreement including, without limitation,
defects in workmanship or materials or Contractor's presence or'activities conducted on
the Project (including the negligent and /or willful acts, errors and/or omissions of
Contractor, its principals, officers, agents, employees, vendors, suppliers, consultants,
subcontractors, anyone employed directly or indirectly by any of them or for whose acts
they may be liable or any or all of them).
9.2 Notwithstanding the foregoing, nothing herein shall be construed to
require Contractor to indemnify the Indemnified Parties from any Claim arising from the
sole negligence or willful misconduct of the Indemnified Parties. Nothing in this
indemnity shall be construed as..authorizing.any award of attorney's fees in any action
on or to enforce the terms of this Agreement. This indemnity shall apply to all claims
and liability regardless of whether any insurance policies are applicable. The policy
limits do not act as a limitation upon the amount of indemnification to be provided by the
Contractor.
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(r INDEPENDE 1�.
It is understood that City retains Contractor on an independent contractor basis
,and Contractor is not am agent or employee of City. The manner and means of
conducting the Work are under the control of Contractor, except to the extent they are
limited by statute, rule or regulation and the expressed terms of this Agreement. No
civil service status or other right of employment shall accrue to Contractor, or its
employees. Nothing in this Agreement shall be deemed to constitute approval for
Contractor or any of Contractor's employees or agents, to be the agents or employees
of City. Contractor shall have the responsibility for and control over the means of
performing the Work, provided that Contractor is in compliance with the terms of this
Agreement. Anything in this Agreement that may appear to give City the right to direct
Contractor as to the details of the performance of the Work or to exercise a measure of
control over Contractor shall mean only that Contractor shall follow the desires of City
with respect to the results of the Services.
i 1. COOPERATION
Contractor agrees to work closely and cooperate fully with City's designated
Project Administrator and any other agencies that may have jurisdiction or interest in the
Work to be performed. City agrees to cooperate with the Contractor on the Project.
12, CITY POLICY
Contractor shall discuss and review all matters relating to policy and Project
direction with City's Project Administrator in advance of all critical decision points in
order to ensure the Project proceeds in a manner consistent with City goals and
policies.
13. PROGRESS
Contractor is responsible for keeping the Project Administrator and /or his /her
duly authorized designee informed on a regular basis regarding the status and progress
of the Project, activities performed and• planned, and any meetings that have., been
scheduled or are desired. I -
FL Ilk [-V C7ffl C
-Without limiting Contractor's indemnification of City, and prior to commencement
of Work, Contractor shall obtain, provide and maintain at its own expense during the
term of this Agreement or for other periods as specified in this Agreement, policies of
insurance of the type, amounts, terms and conditions described in the Insurance
Requirements attached hereto as Exhibit C, and incorporated herein by reference.
15. PROHIBITION AGAINST ASSIGNMENTS AND TRANSFERS
Except as specifically authorized under this Agreement, the Services to be
provided under this Agreement shall not be assigned, transferred contracted or
subcontracted out without the prior written approval of City. Any of the following shall
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be construed as an assignment: The sale, assignment, transfer or other disposition of
any of the issued and outstanding capital stock of Contractor, or of the interest of any
general partner or joint venturer or syndicate member or cotenant if Contractor is a
partnership or joint- venture or syndicate or cotenancy, which shall result in changing the
control of Contractor. Control means fifty percent (50 %) or more of the voting power, or
-twenty -five percent (25 %) or more of the assets of the corporation, partnership or joint -
venture.
16. SUBCONTRACTING
The subcontractors authorized by City, if any, to perform Work on this Project are
identified in Exhibit A. Contractor shall be fully responsible, to City for all acts and
omissions of any subcontractor. Nothing in this Agreement shall create any contractual
relationship between City and any subcontractor nor shall it create any obligation on the
part of City to pay or to see to the payment of any monies due to any such
subcontractor other than as otherwise required by law. The City is an intended
beneficiary of any Work performed by the subcontractor for purposes of establishing a
duty of care between the subcontractor and the City. Except as specifically authorized
herein, the Services to be provided under this Agreement shall not be otherwise
assigned, transferred, contracted or subcontracted out without the prior written approval
of City.
17. OWNERSHIP OF DOCUMENTS
17.1 Each and every report, draft, map, record, plan, document and other
writing produced (hereinafter "Documents "), prepared or caused to be prepared by
Contractor, its officers, employees, agents and subcontractors, in the course of
implementing this Agreement, shall become the exclusive property of City, and City
shall have the sole right to use such materials in its discretion without further
compensation to Contractor or any other party. Contractor shall, at Contractor's
expense, provide such Documents to City upon prior written request.
17.2 Documents, including drawings and specifications, prepared by Contractor
pursuant to this Agreement are not intended or represented to be suitable for reuse by
City or others on any -other project. Any use of completed Documents for other projects
and any use of incomplete Documents without specific written authorization from
Contractor will be at City's sole risk and without liability to Contractor. Further, any and
all liability arising out of changes made to Contractor's deliverables under this
Agreement by City or persons other than Contractor is waived against Contractor and
City assumes full responsibility for such changes unless City has given Contractor prior
notice and has received from Contractor written consent for such changes.
18. COMPUTER DELIVERABLES
All written documents shall be transmitted to City in the City's latest adapted
version of Microsoft Word, Excel or portable digital format (.pdf).
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19. CONFIDENTIALITY
All documents, including drafts, preliminary drawings or plans, notes and
communications that result from the Services in this Agreement, shall be, kept
confidential unless City expressly authorizes in writing the release of information.
20. INTELLECTUAL PROPERTY INDEMNITY
The Contractor shall defend and indemnify City, its agents, officers,
representatives and employees against any and all liability, including costs, for
infringement or alleged infringement of any United States' letters patent, trademark, or
copyright, including costs, contained in Contractor's Documents provided under this
Agreement.
21. RECORDS
Contractor shall keep records and invoices in connection with the Services to be
performed under this Agreement. Contractor shall maintain complete and accurate
records with respect to the costs incurred under this Agreement and any Services,
expenditures and disbursements charged to City, for a minimum period of three (3)
years, or for any longer period required by law, from the date of final payment to
Contractor under this Agreement. All such records and invoices shall be clearly
identifiable. Contractor shall allow a representative of City to examine, audit and make
transcripts or copies of such records and invoices during regular business hours.
Contractor shall allow inspection of all Work, data, Documents, proceedings and
activities related to the Agreement for a period of three (3) years from the date of final
payment to Contractor under this Agreement.
22. WITHHOLDINGS
City may withhold payment to Contractor of any disputed sums until satisfaction
of the dispute with respect to such payment. Such withholding shall not be deemed to
constitute a failure to pay according to the terms of this Agreement. Contractor shall not
discontinue Work as a result of such withholding. Contractor shall have an immediate
right to appeal to the City Manager or his /her designee with respect to such disputed
sums. Contractor shall be entitled to receive interest on any withheld sums at the rate of
return that City earned on its investments during the time period, from the date of
withholding of any amounts found to have been improperly withheld.
23. ERRORS AND OMISSIONS
In the event of errors or omissions that are due to the negligence or professional
inexperience of Contractor which result in expense to City greater than what would have
resulted if there were not errors or omissions in the Work accomplished by Contractor,
the additional design, construction and /or restoration expense shall be borne by
Contractor. Nothing in this Section is intended to limit City's rights under the law or any
other sections of this Agreement.
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24: CITY'S RIGHT TO EMPLOY OTHER. CONTRACTORS
City reserves the right to employ other Contractors in connection with the Project.
25. CONFLICTS OF INTEREST
25.1 The Contractor or its employees may be subject to the provisions of the
California Political Reform Act of 1974 (the "Act "), which (1) requires such persons to
disclose any financial interest that may foreseeably be materially affected by the Work
performed under this Agreement, and (2) prohibits such persons from making, or
participating in making, decisions that will foreseeably financially affect such interest.
25.2 If subject to the Act, Contractor shall conform to all requirements of the
Act. Failure to do so constitutes a material breach and is grounds for immediate
termination of this Agreement by City. Contractor shall indemnify and hold harmless
City for any and all claims for damages resulting from Contractor's violation of this
Section.
26. NOTICES
26.1 All notices, demands, requests or approvals, including any change in
mailing address, to be given under the terms of this Agreement shall be given in writing,
and conclusively shall be deemed served when delivered personally, or on the. third
business day after the deposit thereof in the United States mail, postage prepaid, first -
class mail, addressed as hereinafter provided. All notices, demands, requests or
approvals from Contractor to City shall be addressed to City at:
Attn: George Murdoch, Utilities General Manager
Municipal Operations Department
City of Newport Beach
3300 Newport Boulevard
PO Box 1768
Newport Beach, CA 92658
Phone: (949) 644 -3011
Email: GMurdoch @newportbeachca.gov
26.2 All notices, demands, requests or approvals from City to Contractor ;ball
be addressed to Contractor at: .
Attn: Tena Swisher
TIGHT QUARTERS, INC.
2031 S. Anne Street
Santa Ana, CA 92704
Phone: (714) 557 -7901
Email: tgtena @sbcglobal.net
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27. CLAIMS
Unless a shorter time is specified elsewhere in this Agreement, before making its
final request for payment under this Agreement, Contractor shall submit to City, in
writing, all claims for compensation under or arising out of this Agreement.
Contractor's acceptance of the final payment shall constitute a waiver of all claims for
compensation under or arising out of this Agreement except those previously made in
writing and identified by Contractor in writing as unsettled at the time of its final request
for payment. The Contractor and the City expressly agree that in addition to any claims
filing requirements set forth in the Agreement, the Contractor shall be required to file
any claim the Contractor may have against the City in strict conformance with the
Government Claims Act (Government Code sections 900 et seq.).
28. TERMINATION
-28.1 In the event that either party fails or refuses to perform any of the
provisions of this Agreement at the time and in the manner required, that party shall be
deemed in default in the performance of this Agreement. If such default is not cured
within a period of two (2) calendar days, or if more than two (2) calendar days are
reasonably required to cure the default and the defaulting party fails to give adequate
assurance of due performance within two (2) calendar days after receipt of written
notice of default, specifying the nature of such default and the steps necessary to cure
such default, and thereafter diligently take steps to cure the default, the non- defaulting
party may terminate the Agreement forthwith by giving to the defaulting party written
notice thereof.
28.2 Notwithstanding the above provisions, City shall have the right, at its sole
and absolute discretion and without cause, of terminating this Agreement at any time by
giving no less than seven (7) calendar days prior written notice to Contractor. In the
event of termination under this Section, City shall pay Contractor for Services
satisfactorily performed and costs incurred up to the effective date of termination for
which Contractor has not been previously paid. On the effective date of termination,
Contractor shall deliver to City all reports, Documents and other information developed
or accumulated'in the performance of this Agreement, whether in draft or final form.
29.1 Compliance with All Laws. Contractor shall at its own cost and expense
comply with all statutes, -ordinances, regulations and requirements of all governmental
entities, including federal, state; county or municipal, whether now in force or hereinafter
enacted. In addition, all Work prepared by Contractor shall conform to applicable City,
county, state and federal laws, rules, regulations and permit requirements and be
subject to approval of the Project Administrator and City.
29.2 Waiver. A waiver by either party of any breach, of any term, covenant or
condition contained herein shall not be deemed to be a waiver of any subsequent
breach of the same or any other term, covenant or condition contained herein, whether
of the same or a different character.
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29.3 Integrated Contract. This Agreement represents the full and complete
understanding of every kind or nature whatsoever between the parties hereto, and all
preliminary negotiations and agreements of whatsoever kind or nature are merged
herein. No verbal agreement or implied covenant shall be held to vary the provisions
herein.
29.4 Conflicts or Inconsistencies. in the event there are any conflicts or
inconsistencies between this Agreement and the Scope of Services or any . other
attachments attached hereto, the terms of this Agreement shall govern.
29.5 Interpretation. The terns of this Agreement shall be construed in
accordance with the meaning of the language used and shall not be construed for or
against either party by reason of the authorship of the Agreement or any other rule of
construction which might otherwise apply.
29:6 Amendments. This Agreement may be modified or amended only by a
written document executed by both Contractor and City and approved as to form by the
City Attorney.
29.7 Severability. If any term or portion of this Agreement is held to be invalid,
illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining
provisions of this Agreement shall continue in full force and effect,
29.8 Controlling Law and Venue. The laws of the State of California shall
govern this Agreement and all matters relating to it and any action brought relating to
this Agreement shall be adjudicated in a court of competent jurisdiction in the County of
Orange, State of California.
29.9 Equal Opportunity Employment. Contractor represents that it is an equal
opportunity employer and it shall not discriminate against any subcontractor, employee
or applicant for employment because of race, religion, color, national origin, handicap,
ancestry, sex, age or any other impermissible basis under law.
29.10 No Attorney's Fees. in the event of any dispute or legal action arising
under this Agreement, the prevailing party shall not be entitled to attorney's fees..
29.11 Counterparts. This Agreement may be executed in two (2) or more
counterparts, each of which shall be deemed an original and all of which together shall
constitute one (1) and the same instrument. I .
[SIGNATURES ON NEXT PAGE]-
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IN WITNESS WHEREOF; the parties have caused this Agreement to be
executed on the dates written below.
APPROVED AS TO FORM -
CITY ATTORNEY'S OFFICE
Date:
By -- ��.�� --
Aaron C. Harp
City Attorney
ATTEST. -
Date,
c
By: 1 ,
P64�-
Leilan-i 1.13rown
City Clerk
CITY OF NEWJ. ORT BEACH,
a California mftV-
corporation
Date: /�i /
By:._ ----
Mark Marmon
Municipal Operations Director
CONTRACTOR: TIGHT QUARTERS,
INC., a California corporation
Date:
By: J
k 0 �CAoffamRresident
Date: //- � - ( y
By:(�--�
Tena Swir
Contro!le
[END OF SIGNATURES]
Aitachl-nents: Exhibit A - Scope of Services
Exhibit B - Schedule of Billing Rates
Exhibit C - Insurance Requirements
Exhibit D - Asbestos Inspection Report
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EXHIBIT A
SCOPE OF SERVICES
Scope of Services: Demolition of Structures
The City is requesting a franchised hauler to demolish three structures and remove the
resulting debris from the project site adjacent to the Big Canyon Reservoir at 3300
Pacific View Drive (near MacArthur Blvd. and San Joaquin Hills Rd.).
« Structure #1. is a mobile home approximately 28'x 50' in size. The mobile home
is sifting on steel stands with wood pads directly on the coil.
Structure #2 is a single -story home approximately 1,500 sq. ft. in size. The
original home size, approximately 1,000 sq. ft., is constructed on a raised
wooden floor with the other 500 sq. ft. located on a concrete foundation.
• Structure #3 is divided into two 400 sq. ft. garages and foundation
Trees and vegetation are to be protected in place. The City authorizes the removal of all
concrete sidewalks and foundations. All utilities will be disconnected by the City prior to
the project commencement. Contractor may salvage any material from the project;
however this shall not delay the completion date.
All work performed under this Agreement shall be performed in such a manner as to
provide maximum safety to the public and where applicable comply with all safety
standards required by CAL -OSHA.
Contractor shall comply with any federal, state, or local laws regarding the disposal and
subsequent cleaning of contaminated areas as required by law to demolish buildings,
Scope of Services: Asbestos Abatement
The City retained an independent consultant to conduct an asbestos inspection on the
structures. The asbestos inspection report dated May 1, 2012, is attached hereto as
Exhibit D and incorporated herein by reference. The contractor or subcontractor must
provide the supervision, equipment, tools, labor, and materials, to provide asbestos
abatement sen ices for City facilities at 3300 Pacific View Dr.
Abatement must include the collection and disposal of all asbestos containing and
contaminated materials and subsequent cleaning of contaminated areas as required by
State and Federal laws to demolish structures.
Abatement, collection and disposal must be performed in accordance with all applicable
State and Federal laws. Vendor is solely responsible for knowledge of and compliance
to all applicable laws and regulations.
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Secure all notifications as required by law. All fees for such notifications are the
responsibility of the Vendor.
The asbestos to be removed is detailed in the asbestos inspection report provided by
Patriot Environmental Laboratory Services, included herein as Exhibit D.
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EXHIBIT B
SCHEDULE OF BILLING RATES
,Demolition of Structures & Removal of Debris
$ 11,000.00
• Remove (1) double wide mobile home structure,
$130.00
frame and supports
$35.00
o Remove (1) 1,500 sq. ft. single family residence
$100.00 Ll
A Remove concrete foundation and flatwork
• Remove (2) 400 sq ft garages and foundation
• Apron and approach to remain
• Remove concrete sidewalks and foundation
Asbestos Removal
• Remove and properly dispose of all asbestos
contaminated materials identified in the asbestos
$1,500.00
inspection report by Patriot Environmental
Laboratory Services
Total
$12,500.00
Hourly Rate of Equipment
Excavator /Linkbeit
$155.00
Bobcat Grappler
$130.00
Labor
$35.00
Semi truck
$100.00 Ll
h +ote: The City forfeits ownership of any and all materials recovered during the
project. Contractor must recycle a minimum of 55% of materials as required
by the franchise agreement. Contractor is responsible for any and all fees.
B -1
EXHIBIT C
INSURANCE REQUIREMENTS
1.1 Provision of insurance. Without limiting Contractor's indemnification of
City, and prior to commencement of-Work, Contractor shall obtain, provide and maintain .
at its own expense during the term of this Agreement, policies of insurance of 'the type
and amounts described below and in a form satisfactory to City. Contractor agrees to
provide insurance in accordance with requirements set forth here. if Contractor uses
-existing coverage to comply and that coverage does not meet these requirements,
Contractor agrees to amend, supplement or endorse the existing coverage.
1.2 Acceptable 'Insurers. All insurance policies shall be issued- by an
insurance company currently authorized by the insurance Commissioner to transact
business of insurance in the State of California, with an assigned policyholders' Rating
of A- (or higher) and Financial Size Category°Class Vii (or larger) in accordance with the
latest edition of Best's Key Rating Guide, unless otherwise approved by the City's Risk
Manager.
13 Coverage Requirements.
1.3.1 Workers' Compensation Insurance. Contractor shall maintain
Workers' Compensation insurance, statutory limits, and Employer's Liability Insurance
with limits of at least one million dollars ($1,000,000) each accident for bodily injury by
accident and each employee for bodily injury by disease in accordance with the laws of
the State of California, Section 3700 of the Labor Code.
Cot kractor shall submit to City, along with the certificate of insurance, a Waiver of
Subrogation endorsement in favor of City, its officers, agents, employees and
volunteers.
1.3.2 General Liability Insurance. Contractor shad maintain commercial
general liability insurance, and if necessary umbrella liability insurance, with coverage at
ieast as broad as provided by insurance Services Office form CG 00 01, in an ;amount
not less than one million dollars ($1,000,000) per occurrence, two million dollars
($2,000,000) general aggregate. The policy shall cover liability arising from premises,
operations, products - completed operations, personal and advertising injury, and liability
assumed under an insured contract (including the tort liability of another assumed in a
business contract) with no endorsement or modification limiting the scope of coverage
for liability assumed under a contract.
1.3.3 Automobile Liability Insurance. Contractor shall maintain
automobile insurance at least as broad as Insurance Services Office form CA 00 01
covering bodily injury and property damage for all activities of the Contractor arising out
of or in connection with Work to be performed under this Agreement, including coverage
for any owned, hired, non -owned or rented vehicles, in an amount not less than one
million dollars ($1,000,000) combined single limit each accident.
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1.4 Other Insurance Reouirements. The policies are to contain, or be
endorsed to contain, the following provisions:
1.4.1 Waiver of Subrogation. All insurance coverage maintained or
procured pursuant to this agreement shall be endorsed to waive subrogation against
City, its elected or appointed off€cersi agents, officials, employees and volunteers or
shall specifically allow Contractor or others providing insurance evidence in compliance
with, these requirements to waive their right of recovery prior to a loss. Contractor
hereby waives its own right of recovery against City, and shall require similar written
express waivers from each of its subcontractors.
1.4.2 Additional Insured Status: All liability policies including general
liability, excess liability, 'pollution liability, and automobile liability, but not including
professional liability, shall provide or be endorsed to provide that City and its officers,
officials; employees; and agents shall be included as insureds under` such policies.
1.4.3 Primary. and Won Contributory. All liability coverage shalt apply on a
primary basis and shall not require contribution from any insurance or self- insurance
maintained by City.
1.4.4 Notice of Cancellation. All policies shall provide City with thirty (30)
days notice of cancellation (except for nonpayment for which ten (10) days notice is
required) or nonrenewal of coverage for each required coverage.
1,5 Additional Agreements Between the Parties. The parties hereby agree to
the following:
1:5.1 Evidence of € nsurance. Contractor shall provide certificates of
insurance to City as evidence of the insurance coverage required herein, along with a
waiver of subrogation endorsement for workers' compensation and other endorsements
as specified herein for each coverage. Insurance certificates and endorsement must be
approved by City's Risk Manager prior to commencement of performance. Current
certification of insurance shall be kept on fife with City at all times during the term of this
contract. City reserves the right to require complete, certified copies of all required
insurance policies, at any time.
1.5.2 Cm's Riahf to Revise Requirements. The City reserves the right at
any time during the term of the contract to change the amounts and types of insurance
required by giving the Contractor sixty (50) days advance written notice of such change.
If such change results in substantial additional cost to the Contractor, the City and
Contractor may renegotiate Contractor's compensation.
1.5.3 Enforcement of Contract Provisions. Contractor acknowledges and
agrees that any actual or alleged failure on the part of the City to inform Contractor of
non - compliance with any requirement imposes no additional obligations on the City nor
does it waive any rights hereunder.
Tight Quarters, Inc. C -2
1.5.4 Requirements not Limiting. Requirements of specific coverage
features or limits contained in this Section are not intended as a limitation on coverage,
limits or other requirements, or a waiver of any coverage normally provided by any
insurance. Specific reference to a given coverage feature is for purposes of clarification
only as it pertains to a given issue and is not intended by any party or insured to be all
inclusive, or to the exclusion of other coverage, or a waiver of any type.
1.5.5 Self- insured Retentions. Any self - insured retentions must be
declared to and approved by City. City reserves the right to require that self - insured
retentions be eliminated, lowered, or replaced by a deductibie. Self- insurance will not be
considered to comply with these requirements unless approved by City.
1.5.6 Citv Remedies for Non Compliance If Contractor or any
subcontractor fails to provide and maintain insurance as required herein, then City shall
have the right but not the obligation, to purchase such insurance, to terminate this
agreement, or to suspend Contractor's right to proceed until proper evidence of
insurance is provided. Any amounts paid by City shall, at City's sole option, be
deducted from amounts payable to Contractor or reimbursed by Contractor upon
demand.
1.5.7 Timely Notice of Claims. Contractor shall give City prompt and
timely notice of claims made or suits instituted that arise out of or result from
Contractor's performance under this Agreement, and that involve or may involve
coverage under any of the required liability policies.
1.5.8 Contractor's Insurance. Contractor shall also procure and
maintain, at its own cost and expense, any additional kinds of insurance, which in its
own judgment maybe necessary for its proper protection and prosecution of the Work.
Tight Quarters, Inc. C -3
EXHIBIT D
ASBESTOS INSPECTION REPORT
DATED MAY 1, 2412
C -1
W 714 8991
ftgP - R 74MM
fax - 7109Q-10%
"W nAOWah ao
1041$-NMAw 0,510
May 1, 2012
John Salazar
City of Newport
3300 Newport Blvd.
Newport Beach, CA 92663
Re: Asbestos Inspection
3300 Pacific View Drive Property
3300 Pacific View Drive
Newport Beach, CA 92625
Claim No: N/A
Project No: 43187
Dear Mr. Salazar,
On April 20, 2012, California DOSH Cc
3027) of Patriot Environmental Laboratc
inspection at the above subject property
the inspection was to determine if asb(
upcoming demolition at the subject pr
Summary o(Findinps
The following asbestos containing mater
White Vinyl Sbeet
2,3
Vinyl Floor Tile 8 Kitchei
with Multi-Lavers I Floor
Putty 119,20,21
of
SF
of
Roof Penetration
Roof at
Mastic
31,32 33
Penetration
Good
0%
5 SF
12% Chrysotile
*see attached drawing
Propertv Description
The subject property is a single - family residential structure and a mobile home structure . The
subject buildings are a single -story wood frame building set on raised and cement slab
foundations. At the time of this inspection, the identified asbestos - containing materials were in
good condition.
Scone of Work
On April 20, 2012, Mr. Chris Blake (CAC 01 -3027) of Patriot conduct
inspection at the subject property. The interior and exterior of the built
inspected for the purpose of inventorying any suspect asbestos contain
upcoming demolition at the subject property. Once the inventory ofsu
created, physical bulk samples were collected of the materials from rer
Samples were collected in airtight containers. Upon collection, sample
acid collection locations were entered on,,to a chain of custody for trans
NVLAP accredited laboratory.
Sampled Suspect Materials
Samples of the following suspect materials were
White Vinyl Sheet Flooring Tan "Weave Pattern" Vinyl Wood Pattern 12 " x 12" Vinyl
with Mastic Sheet Flooring with Mastic Floor Tile with MttI i Layer Sub
Floor & Mastic ,
Drywall & Joint Compound Plaster with Hutton Board Acoustic Ceiling
Exterior Stucco with Barrier
Window Putty, : Par White Insulation
Built Un Asohalt Shingle Roof Penetration Mnetie.
Samples
Built
Barrier P I --
Sampled Suspect Materials
Samples of the following suspect materials were collected: (Mobile Home Structure)
Sample ProtocollAnalrsis
Samples were collected in accordance
Act (40 CFR 763 Subpart E) as man(L
Air Quality Management District (Rul
Physical bulk samples were analyzed by Patriot. Pal
Laboratory Accreditation Program (200358 -0). The
Microscopy (EPA 600/M4 -82 -020).
Recommendations
If any of the asbestos containing materials identified in this report is schedule
renovation or demolition activities, an asbestos abatement contractor must re
disturbance. Asbestos abatement contractors must be registered with the Divi
Occupational Safety and Health.
Limited destructive sampling was Conducted at the subject property. If a
materials are discovered during rcnovati(m, all "w; is should cease until a Cerl
Consultant is contracted to ascertain the possibility of asbestos content. This
performed in accordance with current regulations'aud state of the art practice.,
asbestos containing materials and determination of,their condition are based 1
observed at the time of inspection. Patriot does not "assume responsibility for
changes or changes in the condition of the building.;
Coast
3
Enclosed is the laboratory analysis report. Please contact our office if there are any questions
regarding this inspection.
Sincerely,
.1
Chris Blake
Certified Asbestos Consultant No. 01 -3027
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected: 4/20/2012
Date Received: 4/20/2012
Date Analyzed: 4120/2012
Date Reported: 4/21/2012
Lab /Client ID/Layer L
tel - 714- 999 -8900
House Structure Entry VSF
White.. 15% Linoleum
free 888- IM -09%
Floor Under Wood Parquet
60% Vinyl
fax 714-89: -7098
Binder
wwvr pa riotlab'com
FAMN
- 5% Glass Fibers
1841 S. P" acenda r,mm, Fullerton, CA 92891
None Detected
Report Number:
452425
452425 -OOIM
Project Number:
43187
1
Project Name:
3300 Pacific View Drive Prope
Total Asbestos
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
452425 -002
Collected By:
Chris Blake
2
Claim Number:
' 55 1% Vinyl
PO Number:
Binder
Number of Samples:
114
in Material Description..........: Color
Composition
452425 -001
House Structure Entry VSF
White.. 15% Linoleum
1
Floor Under Wood Parquet
60% Vinyl
Binder
20% Cellulose
- 5% Glass Fibers
Total Asbestos
None Detected
452425 -OOIM
House Structure Entry ':Mastic
Brown Yellow, 100% Binder
1
Floor Under Wood Parquet
Total Asbestos
None Detected
452425 -002
House Structure Entry VSF
White ' 15% Linoleum
2
Floor Under Wood Parquet
' 55 1% Vinyl
Binder
15 %a Cellulose
Chrysotile
15 %
Total Asbestos
15 %
452425 -002M
2
Total Asbestos
452425 -003
3
Chrysotile
Total Asbestos
House Stricture Entry
Floor Under Wood Parquet
None Detected
House Structure Entry
Floor Under Wood- Parouet
15 %
VSF
Brown
Page I of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID/Layer Location Material
452425 -003M
House Structure Entry Mastic
3
Floor Under Wood Parquet
Total Asbestos
None Detected
452425 -004 Back Bathroom Floor
4
Total Asbestos None Detected
452425 -004M Back Bathroom
4
Total Asbestos None Detected
452425 -005 Back Bathroom
5
Total Asbestos None Detected
452425 -005M Back "tBathro
5
Total Asbestos None Detected
VSF
Binder
'15% Linoleum
65% Vinyl
Binder
Page 2 of 23
tel - 714- 999 -9930
free - 999. 743 -0999
fax - 714499 -7999
vompatt?ctlat.com
0415. Placentia Arenas,. xulletton, cA 57331
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Binder
'15% Linoleum
65% Vinyl
Binder
Page 2 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID/Layer Location Material
452425 -006
Back Bathroom Floor VSF
6
Project Number:
Vinyl
er
Cellulose
Total Asbestos
lei - 715- 699 -$990
free - - 743 -0998
452425 -007AM
fax - 714499 -1i198
7
www.pa rmttab.com
Total Asbestos
1041 S. p atentla Avenue. Fulleitatt, fA 921631
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Vinyl
er
Cellulose
Total Asbestos
None Detected
452425 -007AM
Kitchen Floor Mastic Clear 100% Binder
7
Total Asbestos
None Detected
452425 -007B
Kitchen Floor 12 Inch VFT Beige 5% Linoleum
7
80 % Carbonate -
Total Asbestos None Detected
Page 3 of 23
Certificate of Analysis
PLM Asbestos Identification
.el - 714-899-8900
free - 8811 -713 -0996
fax 713499 -Wa
!-11
Iri��t.yE� rrr t.�.il.toeil
anal S. Racentla Avenue. Fullerton. (A 9:631
City of Newport
Report Number:
452425
John Salazar
Project Number:
43187
3300 Newport Blvd,
New
New port Beach, CA 92663
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Date Collected: 4/20/2012
Collected By:
Chris Blake
Date Received: 4/20/2012
Claim Number:
Date Analyzed: 4/20/2012
PO Number:
Date Reported: 4/21/2012
Number of Samples:
114
Lab /Client ID/Layer Location
Material Description -. Color
Composition ( %)
452425 -007BM Kitchen Floor
Mastic Yellow 100% Binder
7
Total Asbestos None Detected
452425 -008A Kitchen Floor 12 Lich VFT Brown S% Linoleum
8 80% Carbonate
15% Vinyl
Total Asbestos None Detected
452425 -008AM Kitchen Floor
8
Total Asbestos None Detected
452425 -008B Kitchen Floor
8
Total Asbestos None Detected
452425 -00SBM Kitchen Floor
8
Total Asbestos None Detected
Page 4 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4120/2012
Date Reported:
4/21/2012
Lab /Client ID/Layer Location
452425 -008C
Kitchen Floor
8
Project Number:
Chrysotile
Total Asbestos
452425 -008CM
8
Total Asbestos
452425 -OO8D
8
Total Asbestos
452425 -008DM
8
Total Asbestos
452425 -009A
9
15 %
15 %
Kitchen Floor
None Detected
Kitchen Floor
None Detected
Kitchen Flo(
None Detected
Kitchen Floor
Total Asbestos None Detected
12 Inch
12
Inch
Yellow
5%
809
159
Vinyl
er
Cellulose
Page 5 of 23
tO - 714-899 -8900
free - M-743-099a
tax -?13 -299 095
Vw"yga rtQ ia:&.0 ra
W15. PCaceutia Avenue, Nflerton, CA 928D
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Yellow
5%
809
159
Vinyl
er
Cellulose
Page 5 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID/Layer Location
452425 -009AM Kitchen Floor
9
Total Asbestos None Detected
452425 -009B Kitchen Floor
9
5% Linoleum
90% Carbonate
15% Vinyl
Total Asbestos
tel - 71 =9 499 -49Q0
free ! f9 t13 °4994
fax - 714-W-7091
wympatrceflall.com
;041 S. p afentld Avenue,. Enlletton, CA 92431
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Material Description -. Color
Composition ( %)
Mastic Clear
TV Rm Wall
5% Linoleum
90% Carbonate
15% Vinyl
Total Asbestos
None Detected
452425 -009BM
Kitchen Floor
Mastic
Clear !
100% Binder
9
Total Asbestos
None Detected
452425 -010
TV Rm Wall
Drywall and Joint
Beige$rown1
80 % Sulfate
10
Compound
White '
0% Carbonate
7% Cellulose
3 %Paint ;
Total Asbestos
None Detected
452425 -OIOA
TV Rm Wall
Zut Compound
Beige White
86% Carbonate
10
4% Paint
Total Asbestos
None Detected
452425 -OIOB
TV Rm Wall
Drywall
3town White
90% Sulfate,,
10
10% Cellulose
Total Asbestos
None Detected
Page 6 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID/Layer Location
452425 -011
Back Bathroom Wall
II
Total Asbestos
Total Asbestos
None Detected
452425 -OI IA
Back Bathroom Wall
11
fax - 714 -899 -7093
Total Asbestos
None Detected
452425 -011B
Back Bathroom Wall
11
452425
Total Asbestos
None Detected
452425 -012
Kitchen Wall
12
3300 Pacific View Drive
Drywall and Joint
tel - 114 -2,99 -9900
Compound
free - 888 - 143 -0998
Kitchen Wall
fax - 714 -899 -7093
12
mompatriott&COM
Joint Compound
1041 S. Placentia Amu, €'ulieftOn. to 9ZO
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Total Asbestos
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Material Description -- Color.
_ Composition ( %)
Drywall and Joint
,Brown, White 80% Sulfate
Compound
l0 %a Carbonate
Kitchen Wall
7 % Cellulose
12
3% Paint
Joint Compound
White ` 96% Carbonate
None Detected
4% Paint
Total Asbestos
None Detected
452425 -012A
Kitchen Wall
Joint Compound White ; 96% Carbonate
12
4% Paint
Total Asbestos
None Detected
452425 -012B
Kitchen Wall
Drywall Siown White' _ 90% Sulfate
12
10% Cellulose
Total Asbestos
None Detected
Page 7 of 23
Certificate of Analysis
PLM Asbestos Identification
2%
Total Asbestos None Detected
Page 8 of 23
teE- i1+S- 899 -39J0
free - 383- 71,3 -M98
fax - 714 -899 -7093
wulw9a?rigtLab.com
Ml S. kiattntia Avenue, Fullerton. (A 52331
City of Newport
Report Number:
452425
John Salazar
Project Number:
43187
3300 Newport Blvd.
New
New port Beach, CA 92663
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Date Collected:
4/20/2012
Collected By:
Chris Blake
Date Received:
4/20/2012
Claim Number:
Date Analyzed:
4/20/2012
PO Number:
Date Reported:
4/21/2012
Number of Samples:
114
Lab /Client ID /Layer Location
Material Description -= Color
Composition ( %)
452425 -013A
Living Rm Wall
Plaster White
75 %a'Minerals
13
20 %v Carbonate
5% Paint
Total Asbestos
None Detected
452425 -013B
Living Rm Wall
Buttonboard Brown White 90% Sulfate
13
10% Cellulose
Total Asbestos
None Detected
452425 -014
Bedroom R Wall
Plaster White
? 75% Minerals
14
20% Carbonate
5% Paint
Total Asbestos
None Detected
452425 -015A
Bedroom L Wall
Plaster White,
75% Minerals
15
!. 20% Carbonate
5% Paint
Total Asbestos
None Detected
452425 -015B
Bedroom L Wall
Butfonboard Brown White 90 % Sulfate
15
10 % Cellulose
Total Asbestos
None Detected
452425 -016
Living Rio Ceiling
Acoustic Ceiling :, White
73 %Carbonate
16
20% Foam
2%
Total Asbestos None Detected
Page 8 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID /Layer Location
452425 -017
Bedroom R Ceiling
17
Project Number:
Total Asbestos
452425 -018
18
None Detected
Bedroom L Ceiling
Material
Acoustic
'Foam
Paint
Vermiculite
73% Carbonate
20% Foam
Total Asbestos
tel - 714-899-8900
free - 89- ba3ds'M
fax -118 999-7038
wwwpattdctl£b.coon
452425 -019
19415. Piacet fla Mew,, Fullerton, (A 92831
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
'Foam
Paint
Vermiculite
73% Carbonate
20% Foam
Total Asbestos
None Detected
452425 -019
Exterior Original Windows
Window Putty White'
90 % Carbonate
19
5% Paint,
Chrysmile
5 %
Total Asbestos
5
452425 -020
Exterior Original Windows
,Window Putty White
90 % Carbonate..
20
5% Paint
Chrysotile
5 %
Total Asbestos
5 %
452425 -021
Exterior Original Windows
Window Patty. White,
90% Carbonate
21
5% Paint
Chrysotile
5
Total Asbestos
5 °%
Page 9 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /ClientID/Layer Location
452425 -022A
Exterior Walls
22
tree 88&- 1x3-0998
Chrysotile
<1 %
Total Asbestos
<1%
§041 S. Raeentia Avenue, Fullerton, (A 92'31
452425 -022B
Exterior Walls
22
43187
Total Asbestos
None Detected
Project Location:
3300 Pacific View Drive
452425 -023A
Exterior Walls
23
Chris Blake
Chrysmile
<1 %
Total Asbestos
<1%
Number of Samples:
114
452425 -023B
Exterior Walls'
23
Total Asbestos
None Detected
452425 -024A
Exterior Walls
24
Total Asbestos
None Detected
Material
Exterior ;
Carbonate
85% Cellulose
10 of 23
tel - t14. 899 -f900
tree 88&- 1x3-0998
tax - 714- 899 -1098
www.patrtodab.com
§041 S. Raeentia Avenue, Fullerton, (A 92'31
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Carbonate
85% Cellulose
10 of 23
Certificate of Analysis
PLM Asbestos Identification
Total Asbestos None Detected
452425 -029 Roof Field
29
15%
Total Asbestos None Detected
11 of 23
tel - 714- 9994900
free - W -743 -0999
fax - ?14-099- ?090
wvdw.pathotCab,com
1041 S. Placentia Avenue Nlieiton. (A 920if
City of Newport
Report Number:
452425
John Salazar
Project Number:
43187
3300 Newport Blvd.
Project Name:
3300 Pacific View Drive Prope
New
New port Beach, CA 92663
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Date Collected:
4/20/2012
Collected By:
Chris Blake
Date Received:
4/20/2012
Claim Number:
Date Analyzed:
4/20/2012
PO Number:
Date Reported:
4/21/2012
Number of Samples:
114
Lab /Client ID/Layer Location
Material Description -- Color
Composition ( %)
452425 -024B
Exterior Walls
Barrier Paper Brown 85 %Cellulose
24
15% Tar
Total Asbestos
None Detected
452425 -025
Attic
Insulation White
100% Glass
25
Fibers
Total Asbestos
None Detected
452425 -026
Attic
Insulation White
I 100% Glass
26
Fibers
Total Asbestos
None Detected
452425 -027
Attic
insulation " White
100%a Glass
27
Fibers
Total Asbestos
None Detected
452425 -028
Roof Field
Built Up Asphalt Black Brown 60% Tar
28
Shingle
15% Glass Fibers
Total Asbestos None Detected
452425 -029 Roof Field
29
15%
Total Asbestos None Detected
11 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID/Layer Location
452425 -030
Roof Field
30
Project Number:
Built Up
Shingle
Glass Fibers
Minerals
Cellulose
Total Asbestos
tel - 714 -1199 -8930
tree - ESaal j Q998
fax - 7It- 899 799
nw.oatr ottan.cofn
1941 S.NacentiaAue u%Fulleltol,(A920
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Total Asbestos
Number of Samples:
114
Glass Fibers
Minerals
Cellulose
Total Asbestos
None Detected
452425-031
Roof At Penetrations
hoof Penetration
Black';
88% Tar
31
Mastic
Chrysotile
12 %
Total Asbestos
12 %
452425 -032
Roof At Penetrations
Roof Penetration
Black
88% Tar
32
Mastic
Chrysmile
12 %
Total Asbestos
12 %
452425 -033
Roof At Penetrations
Roof Penetration
Black
88% Tar
33
Mastic
Chrysotile
12 %
Total Asbestos
12 %
452425 -034
Garage 1 Exteriors Walls
Stucco
Gray Beige
76 % Minerals
34
20% Carbonate
4 %v Palm
Chrysotile
<1
Total Asbestos
<1%
12 of 23
Certificate of Analysis
PLM Asbestos Identification
Page 13 of 23
- 766y4}4�ny- u99y4/�9(q1�y(0tY
('.el
tree - 0- 143'4990
fax - 714- 899 -7998
vrt+nu:par?a=lab.com
fi341 S. Nwenna Avenue. Fullerton, (A 92MR
City of Newport
Report Number:
452425
John Salazar
Project Number:
43187
3300 Newport Blvd.
Project Name:
3300 Pacific View Drive Prope
Newport Beach, CA
92663
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Date Collected:
4120/2012
Collected By:
Chris Blake
Date Received:
4/20/2012
Claim Number.
Date Analyzed:
4/20/2012
PO Number:
Date Reported:
4/21/2012
Number of Samples:
114
Lab /Client ID/Layer Location
Material Description Color
Composition ( %)
452425 -035
Garage 1 Exteriors Walls
Stucco Gray BeigeGray 76% Minerals
35
20% Carbonate
4% Paint
Chrysmile
<1 %
Total Asbestos
<1%
Stucco White Gray !' 77% Minerals
452425 -036
Garage I Exteriors Walls
36
20% Carbonate
3% Paint
Chrysmile
<1 %
Total Asbestos
<1%
89 %v Sulfate
452425 -037
Garage 1 Interior Walls
Drywall and Joint White
37
Compound:
8 %'Cellalose
3% faint
Total Asbestos
None Detected
92 %O Sulfate
452425 -038
Garage I Interior Walls
Drywall and Joint White
38
Compound,
8 50 Cellulose
Page 13 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /CtientID/Layer Location
452425 -038B
Garage 1 Interior Walls
38
Project Number:
Total Asbestos
None Detected
Material
Joint Cor
Paint
452425 -039 Garage 1 Interior Walls Drywall and Joint Beige 80% Sulfate
39 Compound ' 10% Carbonate
7% Cellulose
Total Asbestos None Detected
452425 -039A Garage 1 Ini
39
Total Asbestos None Detected
452425 -039B Garage 1
39
Total Asbestos None Detec
452425 -040 Garage 1`Roof Field
40
2%
Total Asbestos None Detected
Page 14 of 23
le! - fill -$49 89J1
free ! ;43 -f99i1
fax -114- 999 -1993
www.patri&,Lab.com
X41 S. Ratantla Avenue. Fullerton, (A92831
Report Number,
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Paint
452425 -039 Garage 1 Interior Walls Drywall and Joint Beige 80% Sulfate
39 Compound ' 10% Carbonate
7% Cellulose
Total Asbestos None Detected
452425 -039A Garage 1 Ini
39
Total Asbestos None Detected
452425 -039B Garage 1
39
Total Asbestos None Detec
452425 -040 Garage 1`Roof Field
40
2%
Total Asbestos None Detected
Page 14 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
tai -?I4 -899 7099
Date Analyzed:
4/20/2012
Brown
Date Reported:
4/21/2012
452425
Lab /Client ID/Layer Location
Material De.
452425 -041
Garage 1 Roof Field
Built Up Asr
41
Shingle
Total Asbestos
None Detected
Claim Number:
Brown
PO Number:
44
452425 -042
Garage 2 Roof Field
Built Up Asp
42
Total Asbestos
Shingle
Glass Fibers
47% Minerals
Fibers
Total Asbestos
lel - 714- 999.2900
tree - 9M -743 -0998
tai -?I4 -899 7099
Garage I Wall Cavity
h:vrvr.patr att?tr.tn m
Brown
1041 S. P a[enfla Avenue, Fullettotr, CA 92831
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
Brown
PO Number:
44
Number of Samples:
114
Glass Fibers
47% Minerals
Fibers
Total Asbestos
None Detected
452425 -043
Garage I Wall Cavity
Barrier Paper
Brown
100 % Cellulose
43
Total Asbestos
None Detected
452425 -044
Garage 1 Wall Cavity
BatrierPaper
Brown
100% Cellulose
44
Total Asbestos
None Detected
452425 -045A
Garage 2 Exterior Walls
Stucco
Gray Pink,
77% Minerals
45
20% Carbonate ,
3 % Paint'
Total Asbestos
None Detected
15 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID /Layer Location
452425 -045B
Garage 2 Exterior Walls
45
free - 689. 743 -0998
Total Asbestos
None Detected
tu- tm.patrvLab.c=
452425 -046A
Garage 2 Exterior Walls
46
452425
Total Asbestos
None Detected
Project Name:
3300 Pacific View Drive Prope
452425 -046B
Garage 2 Exterior Walls
46
Newport Beach, CA 92625
Total Asbestos
None Detected
Claim Number:
452425 -047
Mobile Home Interior A
47
114
Material
Barrier
CrrayPink 77% Minerals
`20% Carbonate
_ . ..= 3% Paint
Page 16 of 23
lel - 714- 899 -8980
free - 689. 743 -0998
fax - 114 -899 -'998
tu- tm.patrvLab.c=
1,041 S. Placentia Avenue, fulletton, to 9283¢
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
CrrayPink 77% Minerals
`20% Carbonate
_ . ..= 3% Paint
Page 16 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID/Layer Location Material
452425 -047B
Mobile Home Interior Walls Joint Con
47
Total Asbestos None Detected
452425 -048 Mobile Home
48
Paint
76% Sulfate
12% Carbonate
7% Cellulose
30/c Paint
2% Glass Fibers
Total Asbestos
tel - 714 - 999 -8908
free -1:89 -tai -;1998
452425 -048A
fax - 714- 899-7998
Drywall Pink
www.>utrmUab,cwn
48
1!1415. piatc ifla Aventte, FUllefton, CA 9283E
Report Number.
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
'; 90% Carbonate
PO Number:
Number of Samples:
114
Paint
76% Sulfate
12% Carbonate
7% Cellulose
30/c Paint
2% Glass Fibers
Total Asbestos
None Detected
452425 -048A
Mobile Home Interior Walls
Drywall Pink
90% Sulfate
48
9% Cellulose
2 %Glass'Fibers
Total Asbestos
None Detected
452425 -048B
Mobile Home Interior Walls,
Joint Compound White
'; 90% Carbonate
48
10% Paint
Total Asbestos
None Detected
452425 -049
Mobile Home Interior Walls
. Drywall and Joint White ;
796/o Sulfate
49
Compound
I I% Carbonate
7% Cellulose
3% Paint
Total Asbestos None Detected
Page 17 of 23
Certificate of Analysis
PLM Asbestos Identification
Page 18 of 23
?el - F14- 999.9990
tree - 90.743 -0998
fax - 114 - 899 -7090
www.patr atLab,com
11741 S. Placentia Avenue, Follefton, (A 9281
City of Newport
Report Number:
452425
John Salazar
Project Number:
43187
3300 Newport Blvd.
Newport Beach, CA 92663
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Date Collected:
4/20/2012
Collected By:
Chris Blake
Date Received:
4/20/2012
Claim Number:
Date Analyzed:
4/20/2012
PO Number:
Date Reported:
4/21/2012
Number of Samples:
114
Lab /Client ID /Layer Location
Material Description -- Color
Composition ( %)
452425 -049A
Mobile Home Interior Walls
Drywall White
92 % Sulfate
49
8% Cellulose
Total Asbestos
None Detected
452425 -049B
Mobile Home Interior Walls'
. Joint Compound White
90% Carbonate
49
10% Paint
Total Asbestos
None Detected
452425 -050
Mobile Home Interior Walls
''Drywall and Joint White
7990 Sulfate
50
.:.Compound -
lI %a Carbonate
7% Cellulose
3% Paint `
Total Asbestos
None Detected
452425 -050A
Mobile Home Interior Walls
"Drywall White
9196 Sulfate
50
8°k Cellulose
Total Asbestos
None Detected
452425 -050B
Mobile Home Interior Walls
Joint Compound White
? 90% Carbonate
50
10% Paint'
Total Asbestos
None Detected
452425 -051
Mobile Home InteriohWalls
Drywalf and JointBeige'White" 87 %Sulfate .
51
Compound
8% Cellulose. `
5% Paint;:
Total Asbestos
None Detected
Page 18 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID /Layer Location Material
452425 -052
Mobile Home Entry Floor VSF
52
Project Number:
Total Asbestos
452425 -052M
52
Total Asbestos
452475-053
53
None Detected
Mobile Home Entry
None Detected
Mobile Home
Vinyl
der
> Cellulose
Glass Fibers
100%
Total Asbestos None Detected
Page 19 of 23
tel - 719- 899 -8930
free - 898 - 743 -099b
fax - 719 - 899 -1000
www.patrrtab.cotn
;9415. Ra €mfla Aventla, Fullerton, 2CA 920
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Vinyl
der
> Cellulose
Glass Fibers
100%
Total Asbestos None Detected
Page 19 of 23
Certificate of Analysis
PLM Asbestos Identification
Page 20 of 23
tel - ii4.299 -8990
free - W -743 -8999
fax - 114- 89?- 10i1
vtwvr.pctr oftabxeru
041 S. Piatcntia Mew, rU1121tOrt, to SAW
City of Newport
Report Number:
452425
John Salazar
Project Number:
43187
3300 Newport Blvd.
New
New port Beach, CA 92663
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Date Collected:
4/2012012
Collected By:
Chris Blake
Date Received:
4/20/2012
Claim Number:
Date Analyzed:
4/20/2012
PO Number:
Date Reported:
4/21/2012
Number of Samples:
114
Lab /Client ID/Layer Location
Material Description - Color
Composition ( %)
452425 -054M
Mobile Home Laundry
Mastic Yellow 100% Binder
54
Floor
Total Asbestos
None Detected
76% Carbonate
452425 -055
Mobile Home Ceiling
Acoustic Ceiling White
55
20% Foam
4% Paint
Total Asbestos
None Detected
+ . 76% Carbonate
452425 -056
Mobile Home Ceiling
Acoustic Ceiling White
56
20 %r Foam
4% Paint
Total Asbestos
None Detected
^ ,76% Carbonate
452425 -057
Mobile Home Ceiling
Acoustic Ceiling White'
57
20 Foam
4% Paint
Total Asbestos
None Detected
' 12% Linoleum
452425 -058
MBR Closet Floor
VSF Beige
58
68 % Vinyl
Binder
18% Cellulose
'- 2% Glass Fibers
Total Asbestos
None Detected
Page 20 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4120/2012
Date Received:
4/20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID /Layer Location Material D
452425 -058M
MBR Closet Floor Mastic
58
Project Number:
Total Asbestos
None Detected
452425 -059
MBR Closet Floor VSF
59
452425 -060
Binder
12% Linoleum
68% Vinyl
Binder
Fibers
Total Asbestos
lel - 7t vM -8900
free - e88.7e3 -0998
fas - 718 - 8994098
452425 -059M
m+ww.palr od ab.cam
Yellow 100% Binder
l S. Placenfia Auenu €, Fullettart, CA 92831
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
452425 -060
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
68 %d Vinyl
PO Number:
Number of Samples:
114
Binder
12% Linoleum
68% Vinyl
Binder
Fibers
Total Asbestos
None Detected
452425 -059M
MBR Closet Floor Mastic
Yellow 100% Binder
59
Total Asbestos
None Detected
452425 -060
MBR Closet Floor VSF ,
Beige'' 12% Linoleum
60
68 %d Vinyl
Total Asbestos None Detected
452425 -060M MOP Closet Floor
60
Total Asbestos None Detected
Page 21 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
4/20/2012
Date Received:
4(20/2012
Date Analyzed:
4/20/2012
Date Reported:
4/21/2012
Lab /Client ID/Layer Location
452425 -061
Mobile Home Roof Field
61
Project Number:
Total Asbestos None Detected
452425 -062 Mobile Home
62
Total Asbestos None Detected
452425 -063 Mobile Home
63
Total Asbestos None Detected
452425 -064 Mobile Hon
64 Penetration
Total Asbestos None Detected
Material
Asphalt S
Gray
Fibers
50% Minerals
43% Tar
5% Cellulose
Page 22 of 23
*el - 714- 899-000
tree - U3 -M -0998
tax - 714 -M -7098
www.paitiutC?la (=
1041 S. platentia Avenue, - ulletlon, (A 92831
Report Number:
452425
Project Number:
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By:
Chris Blake
Claim Number:
PO Number:
Number of Samples:
114
Gray
Fibers
50% Minerals
43% Tar
5% Cellulose
Page 22 of 23
Certificate of Analysis
PLM Asbestos Identification
City of Newport
John Salazar
3300 Newport Blvd.
Newport Beach, CA 92663
Date Collected:
Date Received:
Date Analyzed:
Date Reported:
Lab /Client ID/L
4/20/2012
4/20/2012
4/20/2012
4/21/2012
Location
452425 -014 Sample is plaster only.
452425 -037 Sample contained drywall only.
452425 -051 Sample contained drywall only.
Bulk sample(s) submitted was (were) analyzed in accordance
F, Appendix A; EPA- 600/R- 93/116 (Method for Determinati
Interim Method for the Determination of Asbestos in Bulk In
(CVES); therefore, results may not be reliable for samples of
and separable layers are analyzed separately and reported as e
results for individual layers. This report applies only to the ite
represent the entire material from which the samples were col
"<1 %" (less than one percent) means that asbestos was obser
Lyn Terry - Analyst
This report was issued by a NIST/NVLAP (Lab Cod
be reproduced without the expressed written consent
claim product certification, approval or endorsement
tel - 714 -899 -8980
tree - E88.743 -0998
flax - 714-M-7098
www.patrtetiah.(om
1041 S. Placentia Arenas. Fullefton, `A 92831
Report Number:
452425
Project Number.
43187
Project Name:
3300 Pacific View Drive Prope
Project Location:
3300 Pacific View Drive
Newport Beach, CA 92625
Collected By: Chris Blake
Claim Number:
PO Number:
Number of Samples: 114
Material
uooedure outlined in the US Federal Register 40 CFR 763, Subpart
ntos in Building Materials), and EPA-6000/N14 82.020 (US EPA
amples).Samples were analyzed using Calibrated Visual Estimations
tos concentration levels. Samples of wall systemi containing discrete
unless specifically requested by the customer to `report analytical
. Results are representative of the samples submitted and may not
Qone Detected" means that no asbestos was observed in the sample,
sample but the, concentration is below die quantifiable level of I %.
Page 23 of 23
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Project #: j 31
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Samples Received By: Sig . Datefrime:
Bulk Sample COC Rev 1.24.2012
GPI,
Requested Lab TAT: tel
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www.7atdO1L .rom
1041 S. plaw is AaeM FuRnm, CA 92831 pAj*k
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1041 S, None AvINWk Follow% CA 92031 Environmental LaboaatOry Services, Inc.
ASBESTOS FIELD BULK SAMPLE CDC
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Project #;
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Samples Received By: Sign: Daterrime: $? .
Bulk sample COC Rev 1.24.2022
1,16pa,
Certificate of Analysis
PLM Asbestos Identification
td fl4 a99 E1990
free - �i+- ,43 -G999
fax - 714- 994 -798
WWW.pz ria tab.(om
1941 S. Nacontia Avefw, .Fullerton' CA 92931
City of Newport
Report Number:
453311
John Salazar
Project Number:
43187
3300 Newport Blvd.
Project Name:
3300 Pacific View Drive Prope
Newport Beach, CA 92663
Project Location:
3300 Pacific View Drive
Newport Beach, 92625
Date Collected: 4/20/2012
Collected By:
Chris Blake
Date Received: 4/27/2012
Claim Number:
Date Analyzed: 4/27/2012
PO Number:
Date Reported: 4/27/2012
Number of Samples:
2
Lab /Client ID /Layer Location
Material Description - Color
Composition ( %)
453311 -001 Exterior Walls
Exterior Stucco Grey „
85% Minerals
22
12% Carbonate
3 % Paint
Chrysotile <0.1 %
Total Asbestos < 0.1 %
453311-002 Garage 1 Walls Exterior
Stucco Gray Beige 76% Minerals
34
20% Carbonate
4% Paint
Chrysotile <01 %
Total Asbestos < 0.1%
Note: Sample(s) was /were analyzed following the EPA Point Count method using 1.000 g
meet the Cal OSHA Detection Limit of 0.1%.
Bulk sample(s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Re
F, Appendix A; EPA- 6001R- 93/116 (Method for Detemuaat "ton of Asbestos. in Building Materials), and EPA-6
Interim Method for the Determination of Asbestos in Bulk Insulation Samples).Samples were analyzed using
(CVES); therefore, results may not be reliable for samples of tow asbestos concentration levels. Samples of wal
and separable layers are analyzed separately and reported as composite unless specifically requested by the cost
results for individual layers. This report applies only to the items.tested. Results are representative of the samph
represent the entire material from which the tamples were collected," 'None Detected" means that no asbestos v
" <I %" (less than one percent) means that asbestos was observed in the sample but the concentration is below it
Elaine Wai - Analyst
This report was issued by
be reproduced without the
claim product certification
David Espique - Approved By
and CADOHS- ELAP (Cert. Nox 2540) accredited laboratory and
Did
Subpart
EPA
Page 1 of 1
ommilliall
Vj
iel -114 -899 -8900
Requested Lab TAT: free - 809-743 -0998 PATR&
W- 934.899-70
1041 PWaMU Avenue, FuRoWn,(A92831 Environmental Laboratory Services, Inc.
ASBESTOS FIELD BULK SAMPLE CDC
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3300 Pacific View Drive Property
3300 Pacific View Drive
Newport Beach, CA 92625
Project No: 43187
House
23 1&
6 5
Back Bath
11 4
28
TV Room
to
1
2 Entry
Mobile Home
21 22
17
18 Bedroom
Bedroom 15
Raised Foundation
AR
42
Garage #2
45
67
4s
Living Room
Bedroom
5o Bath
47
51 Bedroom
Dining
Room
55
52
Family Room 56
48
Kitchen
54 53
Bathroom
Master Bedroom
AR
42
Garage #2
45
CERTIFICATE OF LIABILITY INSURANCE
11 1A
11/2/2012
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), AUTHORRED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER..
IMPORTANT: if the cars fIcats holder is an ADDITIONAL INSURED, the popry (Iwo) most W amlonW, R SUBROGATION IS WAIVED, oubjeet to
the tenor and conditions of the PORGY, Certain P*fttn may nqufra an endonatmat A sixNani d on this carUfleste does not Bonder rights to the
cer0ceta holier (a Phu of SUBh sndon even a .
PRODUCER
TRI WORLD INSURANCE AGENCY INC
4500 Campus Drive * 670
Newport Beach CA 92660 -1830
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HELEN
949 756-0863 �aG tw 4 X56 =135
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LIMITS
INSURER A: INTERSTATE FIRE & CASUALTY CO.
22829
INSURED
TIGHT QUARTERS, INC.
2031 S. ANNE STREET
SANTA ANA, CA 92704
INSURER s: AMERICAN AUTOMOBILE INS. CO.
21849
INSURER C : CALIFORNIA INS. CO. A VIII_
38865
INSURER 0: GREAT AMERICAN INS COu�
16691
INSURER E :
S 300.000
INSURER F:
X COMMERCwt GENERAL LIABILITY
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY HE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONSOF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMSS,
IIR.Tx
TYPE OF INSURANCE
POLICY NUMBER
IMM"
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
i i,p00,D0
PREMISES ru, owmana
S 300.000
X COMMERCwt GENERAL LIABILITY
CLA)MSMADE C1 OCCUR
MED ExP (Any one Pwwn)
fLL 5,000
PERSONAL NJURY
1 1,000,000
A
X XCU INCLUDED
DAN1000243
7/14/12
07/14/13
CONTRACTUAL
GENERAL AGGREGATE
f 2 DOD DDD
059L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COIAPtGPAGG
s2,0001000
-
S
POLICY X PRO LOC
AUTOMOBILE LIABILITY
a
1,000,000
BODILY INJURY(PW
s
B
X
ALL OKNED SCHEDULED
AUTOS NINt Nh{A ED
X HIRED AUTO6 X AUTOS
MXA80291935
7/14/12
7/14113
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BODILY INJURY (ParamSBent)
5
Par Iwoidwl
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S
UMBRELLA LIAS
OCCUR
EACH OCCURRENCE
S
AGGREGATE
S
EXCESS L"
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46.006875 -01.01
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01/01/13
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DESCRIP710N OF OPERATIONS IeW.v
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08/14/12
08/14/13
$200,000 PER ITEM
DESCRIPTION OF OPERATIONS t LOCATKINSt VEHICLES {Attach ACORO IDS, AABXiona)RemarFS Srl,eMas,aman •P°•ahta¢Jiw#
RE: STRUCTURE #1 & #2, 3380 PACIFIC VIEW DR., NEWPORT BEACH, CA
ADDITIONAL INSURED ENDORSEMENT W /PRIMARY & NON CONTRIBUTORY CLAUSE ATTACHED.
WAIVER OF SUBROGATION ON GENERAL LIABILITY & WORKERS COMPENSATION ATTACHED.
TEN (10) DAY NOC FOR NON PAYMENT OF PREMIUM, THIRTY (30) DAY NOC ALL OTHER AND
APPLIES TO ALL LISTED POLICIES.
CITY OF NEWPORT BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ATfN: GEORGE MURDOCK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
3300 NEWPORT BLVD. ACCORDANC WITH THE POLICY PROVISIONS,
NEWPORT BEACH CA 92663 AUTHORIZED f RESENTA
- 01955.2010 ACORD CORPORATION. All rights reserved.
annonvRtomITmA� T'h. anrMen ,,.,.,. e,.,i inns .w r.�I.,.rori .m. m Arnan
INSURED: TIGHT QUARTERS, INC. COMMERCIAL GENERAL LIABILITY
POLICY #DAN1000243 CG 20 37 10 01
THE ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS9 LESSEES OR
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
5pl�
NAME OF ADDITIONAL INSURED PERSON(S)
OR ORGANIZATION(S):
CITY OF NEWPORT BEACH, ITS OFFICERS, AGENTS, EMPLOYEES & VOLUNTEERS
Location / Description: STRUCTURE #1 & #2, 3300 PACIFIC VIEW DR., NEWPORT BEACH, CA
Section II - Who Is An Insured Is amended to include as an additional insured the person or organization
shown In the schedule, but only with respect to liability arising out of "your work" at the location
designated and described In the schedule of this endorsement performed for that Insured and included in
the "products- completed operations hazard ".
PRIMARY INSURANCE CLAUSE: To the extent that this Insurance is afforded to any additional insured
under this policy, such Insurance shall apply as primary and non contributory with any insurance carried
by such additional Insured, as required by written contract.
CG 20 37 10 01 p ISO Properties, Inc., 2004 Page I of 1
INTERSTATE FIRE & CASUALTY CO.
INSURED: TIGHT QUARTERS, INC.
POLICY NUMBER: DAN1000243 COMMERCIAL GENERAL LIABILITY
CG 20 10 10 01
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
CITY OF NEWPORT BEACH, ITS OFFICERS, AGENTS, EMPLOYEES & VOLUNTEERS
Location/ Description: STRUCTURE #1 & #2,3300 PACIFIC VIEW DR., NEWPORT BEACH, CA
(If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to this
endorsement.)
A. Section II - Who Is An Insured Is amended to Include as an insured the person or organization shown in the Schedule,
but only with respect to liability arising out of your ongoing operations performed for that Insured.
S. With respect to the insurance afforded to these additional Insureds, the following exclusion is added:
2, Exclusions:
This Insurance does not apply to "bodily injury" or "property damage" occurring after:
(1) All work, Including materials, part or equipment furnished In connection with such work, on the project (other
than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the site of
the covered operations has been completed; or
(2) That portion of "your work" out of which the Injury or damage arises has been put to its intended use by any
person or organization other than another contractor or subcontractor engaged In performing operations for a
principal as a part of the same project.
PRIMARY INSURANCE CLAUSE: To the extent that this Insurance Is afforded to any additional Insured under this policy,
such insurance shall apply as primary and non contributory with any Insurance carried by such additional Insured, as
required by written contract.
CG 20 10 10 01 CISO Properties, Inc. 2000 Page i of 1 0
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
WAIVER OF TRANSFER OF RIGHTS OF ;
OTHERS • US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL. LIABILITY COVERAGE PART
PRODUCTStOOMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization: As Required By Written Contract
CITY OF NEWPORT BEACH, IT'S OFFICERS, AGENTS, EMPLOYEES & VOLUNTEERS
RE: STRUCTURE #1 & #2, 3300 PACIFIC VIEW DR., NEWPORT BEACH, CA
(If no entry appears above, Information required to complete this endorsement will be shown In the
Declarations as applicable to this endorsement.)
The following is added to Paragraph B. Transfer of Rights of Recovery Against Others To Us
of SECTION IV — COMMERCIAL GENERAL CONDITIONS:
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.
G 24 04 05 09 Copyright, Insurance Services Orifice, Inc. 2008 Page 1 of t
11 111 • . • pq •
POLICY NUMBER: MXAS0291935
NAMED INSURED: TIGHT QUARTERS, INC.
This endorsement changes the policy, Please read It carefully.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHER TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
Schedule
Name of Person(s) or Organization(s):
CITY OF NEWPORT BEACH, IT'S OFFICERS, AGENTS, EMPLOYEES & VOLUNTEERS
DESCRIPTIONILOCATION: STRUCTURE #1 ,3300 PACIFIC VIEW DR., NEWPORT BEACH, CA
The Transfer of Rights of Recovery Against Other to Us Condition does not apply to the person(s) or
organizations) 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 03 10 0 Insurance Services Office, Inc. 2009 Page 1 of 1
CALIFORNIA INSURANCE CO.
Policy Number: 46- 006875 -01 -01
Policy Period: 01/01/2012 TO 01101/2013
Named Insured: TIGHT QUARTERS, INC.
The Information above Is required only when this endorsement Is issued subsequently to preparation of the policy.
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA
We have the right to recover our payments from anyone liable for an Injury covered by this polity. We will not
enforce out right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the
work described in the Schedule.
The additional premium for this endorsement shall be 3% of the California workers' compensation premium otherwise
due on such remuneration.
SCHEDULE
PERSON OR ORGANIZATION
CITY OF NEWPORT BEACH
ITS OFFICERS, AGENTS, EMPLOYEES & VOLUNTEERS
3300 NEWPORT BLVD.
NEWPORT BEACH, CA 52663
ATTN: GEORGE MURDOCK
This endorsement changes the policy to which It is attached and is effective on the date Issued unless otherwise stated.
PRODUCER: TRI -WORLD INSURANCE AGENCY, INC.
WC 04 03 06