Loading...
HomeMy WebLinkAboutSafety-Kleen Systems; 2025-11-12; PSA26-3950FLTPSA26-3950FLT City Attorney Approved Version 5/30/2025 Page 1 RATIFICATION OF AGREEMENT FOR FLEET RELATED ENVIRONMENTAL & CLEANING SERVICES SAFETY-KLEEN SYSTEMS, INC. THIS RATIFICATION OF AGREEMENT (“Agreement”) is made and entered into as of the ______________ day of _________________________, 2025, but effective as of the 8th day of July 2025, by and between the City of Carlsbad, California, a municipal corporation ("City") and Safety-Kleen Systems, Inc., a Wisconsin corporation ("Contractor"). RECITALS City requires the professional services of a consultant that is experienced in cleaning services. Contractor has the necessary experience in providing these professional services, has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained in this Agreement, City and Contractor agree as follows: 1.SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services (“Services”) that are defined in Exhibit “A,” attached and incorporated by this reference in accordance with the terms and conditions set forth in this Agreement. 2.TERM The term of this Agreement will be effective from July 8, 2025 to July 7, 2026. 3.COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term shall not exceed nine thousand six hundred forty-three dollars and eighty cents ($9,643.80). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. Payment terms are Net 30 unless otherwise provided in Exhibit “A” or agreed to in writing by the parties. City reserves the right to withhold a ten percent (10%) retention until City has accepted the work and/or the Services specified in Exhibit “A.” 4.CONSTRUCTION MANAGEMENT SOFTWARE Procore Project Management and Collaboration System. This project may utilize the City’s Procore (www.procore.com) online project management and document control platform. The intent of utilizing Procore is to reduce cost and schedule risk, improve quality and safety, and maintain a healthy team dynamic by improving information flow, reducing non-productive activities, reducing rework and decreasing turnaround times. Contractor is required to create a free web-based Procore user account(s) and utilize web-based training / tutorials (as needed) to become familiar with the system. Unless the City Engineer approves otherwise, Contractor shall process all project documents through Procore because this platform will be used to submit, track, distribute and collaborate on project. If unfamiliar or not otherwise trained with Procore, Contractor and applicable team members shall complete a free training certification course located at http://learn.procore.com/procore-certification-subcontractor. Contractor is responsible for obtaining Contractor’s own Procore support, as needed, either through the online training or reaching out to the Procore support team. It will be the responsibility of Contractor to regularly check Procore and review updated documents as they are added. There will be no cost to Contractor for use of Procore. Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 November12th PSA26-3950FLT City Attorney Approved Version 5/30/2025 Page 2 It is recommended that Contractor provide mobile access for Windows, iOS located at https://apps.apple.com/us/app/procore-construction-management/id374930542 or Android devices located at https://play.google.com/store/apps/details?id=com.procore.activities with the Procore App installed to at least one on-site individual to provide real-time access to current posted drawings, specifications, requests for information, submittals, schedules, change orders, project documents, as well as any deficient observations or punch list items. Providing mobile access will improve communication, efficiency, and productivity for all parties. The use of Procore for project management does not relieve Contractor of any other requirements as may be specified in this Agreement. 5. STATUS OF CONTRACTOR Contractor will perform the Services as an independent contractor and in pursuit of Contractor’s independent calling, and not as an employee of City. Contractor will be under the control of City only as to the results to be accomplished. 6. INDEMNIFICATION Contractor agrees to defend (with counsel approved by City), indemnify, and hold harmless City and its officers, elected and appointed officials, employees and volunteers from and against all claims, damages, losses and expenses including attorneys fees arising out of the performance of the work described in this Agreement caused by any willful misconduct or negligent act or omission of Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. If Contractor’s obligation to defend, indemnify, and/or hold harmless arises out of Contractor’s performance as a “design professional” (as that term is defined under California Civil Code Section 2782.8), then, and only to the extent required by California Civil Code Section 2782.8, which is fully incorporated in this Agreement, Contractor’s indemnification obligation shall be limited to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of Contractor, and, upon Contractor obtaining a final adjudication by a court of competent jurisdiction. Contractor’s liability for such claim, including the cost to defend, shall not exceed Contractor’s proportionate percentage of fault. The parties expressly agree that any payment, attorneys fee, costs or expense City incurs or makes to or on behalf of an injured employee under City’s self-administered workers’ compensation program is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 7. INSURANCE Contractor will obtain and maintain policies of commercial general liability insurance, automobile liability insurance, a combined policy of workers' compensation, employers liability insurance, and professional liability insurance from an insurance company authorized to transact the business of insurance in the State of California which has a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report, in an amount of not less than one million dollars ($1,000,000) each, unless otherwise authorized and approved by the Risk Manager or City Manager. Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. The insurance will be in force during the life of this Agreement and will not be canceled without thirty (30) days prior written notice to City by certified mail. City will be named as an additional insured on General Liability which shall provide primary coverage to City. The full limits Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 PSA26-3950FLT City Attorney Approved Version 5/30/2025 Page 3 available to the named insured shall also be available and applicable to the as an additional insured. Contractor will furnish certificates of insurance to the Contract Department, with endorsements to City prior to City’s execution of this Agreement. 8. NOTICES The name of the persons who are authorized to give written notice or to receive written notice on behalf of City and on behalf of Contractor under this Agreement. For City For Contractor Name Esequiel Perez Name Dan Ostermeier Title Public Works Supervisor Title Territory Account Manager Department Fleet Address 197 Vernon Way City of Carlsbad El Cajon, California 92020 Address 1635 Faraday Ave. Phone No. 619-401-3133 Carlsbad, CA 92008 Email Daniel.ostermeier@safety- kleen.com Phone No. 760-607-9920 Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 9. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. Contractor shall report investments or interests as required in the City of Carlsbad Conflict of Interest Code. Yes ☐ No ☒ If yes, list the contact information below for all individuals required to file: Name Email Phone Number 10. COMPLIANCE WITH LAWS Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment and will obtain and maintain a City of Carlsbad Business License for the term of this Agreement. Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 PSA26-3950FLT City Attorney Approved Version 5/30/2025 Page 4 11. CALIFORNIA AIR RESOURCES BOARD (CARB) ADVANCED CLEAN FLEETS REGULATIONS Contractor’s vehicles with a gross vehicle weight rating greater than 8,500 lbs. and light-duty package delivery vehicles operated in California may be subject to the California Air Resources Board (CARB) Advanced Clean Fleets regulations. Such vehicles may therefore be subject to requirements to reduce emissions of air pollutants. For more information, please visit the CARB Advanced Clean Fleets webpage at https://ww2.arb.ca.gov/our-work/programs/advanced-clean-fleets. 12. TERMINATION City or Contractor may terminate this Agreement at any time after a discussion, and written notice to the other party. City will pay Contractor's costs for services delivered up to the time of termination, if the services have been delivered in accordance with the Agreement. 13. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees it may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, California Government Code Sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. Contractor further acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to terminate this Agreement. 14. JURISDICTIONS AND VENUE This Agreement shall be interpreted in accordance with the laws of the State of California without regard to, or application of, choice of law rules or principles. Contractor agrees and stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this Agreement is the State Superior Court, San Diego County, California. 15. ASSIGNMENT Contractor may assign neither this Agreement nor any part of it, nor any monies due or to become due under it, without the prior written consent of City. 16. THIRD PARTY RIGHTS Nothing in this Agreement should be construed to give any rights or benefits to any party other than City and Contractor. 17. AMENDMENTS This Agreement may be amended by mutual consent of City and Contractor. Any amendment will be in writing, signed by both parties, with a statement of estimated changes in charges or time schedule. 18. ENTIRE AGREEMENT This Agreement, together with any other written document referred to or contemplated by it, along with the purchase order for this Agreement and its provisions, embody the entire Agreement and understanding between the parties relating to the subject matter of it. In case of conflict, the terms of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions may be amended, modified, waived or discharged except in a writing signed by both parties. This Agreement may be executed in counterparts. 19. AUTHORITY The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 PSA26-3950FLT City Attorney Approved Version 5/30/2025 Page 5 CONTRACTOR CITY OF CARLSBAD, a municipal corporation of the State of California SAFETY-KLEEN SYSTEMS, INC., a Wisconsin corporation By: By: (sign here) Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager Brian Weber, President (print name/title) ATTEST: By: SHERRY FREISINGER, City Clerk (sign here) By: Michael McDonald, Secretary Deputy / Assistant City Clerk (print name/title) If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A. Group B. Chairman, Secretary, President, or Assistant Secretary, Vice-President CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CINDIE K. McMAHON, City Attorney By: _____________________________ Assistant City Attorney Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 PSA26-3950FLT City Attorney Approved Version 5/30/2025 Page 6 EXHIBIT A SCOPE OF SERVICES AND FEE Safety-Kleen Systems, Inc., shall service the vehicle parts washer, sump tank and recycle used motor oils as required and requested by the Project Manager. Contractor shall collect, transport, recycle and dispose of, and appropriately document hazardous waste associated with said services. The Parts Washer Wastes/Clarifier will be treated to capture any oil and recycle through best industry standards. Recycled oil will be removed by vendor at no cost. Item No. Description Approx. Service Term (weeks) Price per service # Service per year Total Cost 1 Model 90.5 parts washer with armakleey 4 in 1 12 $300.06 5 $1,500.30 2 Model 26730 Brake Parts Washer,stand with armakleey 12 $140.00 5 $700.00 3 Recovery/Security Fee 12 $43.70 5 $218.50 4 E-Manifest Filling 12 $20.00 5 $100.00 Sump Tank Cleaning Estimated Quantity (units) Price per Unit 5 Vac Service Fee-automative 4 $87.00 as- needed $348.00 6 Vac Fee with 20% solids 5200 gallons 1.26/gallon as- needed $6,552.00 7 Recovery/Security Fee 2 $85.50 as- needed $171.00 8 E-Manifest Filling 2 $27.00 as- needed $54.00 TOTAL: $9,643.80 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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 THISCERTIFICATE 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY Willis Towers Watson Northeast, Inc.c/o 26 Century BlvdP.O. Box 305191Nashville, TN 372305191 USA Safety-Kleen Systems Inc.and its affiliates42 Longwater DriveNorwell, MA 02061 This Voids and Replaces Previously Issued Certificate Dated 10/29/2025 WITH ID: W41461705. Scope of work: All operations of the Named Insured Umbrella is follow form over the General Liability, Excess Auto Liability, and Employer's Liability.SEE ATTACHED City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O. Box 947Murrieta, CA 92564 11/04/2025 1-877-945-7378 1-888-467-2378 certificates@wtwco.com Starr Indemnity & Liability Company 38318 Lloyd's ACE American Insurance Company B7874 22667 W41683037 A 2,000,000 1,000,000 10,000XCU Contractual 2,000,000 4,000,000 4,000,000 Y Y 1000090736251 11/01/2025 11/01/2026 A 5,000,000 11/01/202611/01/2025 MCS-90 Y 1000679502251(AOS) A 10,000,000 1000095587251 11/01/2025 11/01/2026 10,000,000 1000005137(AOS)A Y 2,000,000No11/01/2025 11/01/2026 2,000,000 2,000,000 B Excess Business Auto Liability Per Occurrence B080126749U25 11/01/2025 11/01/2028 Aggregate 419279228806653SR ID:BATCH: $10,000,000 $5,000,000 WTW Certificate Center Page 1 of 3Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: Safety-Kleen Systems Inc.and its affiliates42 Longwater DriveNorwell, MA 02061 Agreement Name : Fleet Related Environmental & Cleaning ServicesAgreement Number : PSA23-2143FLTOrganizational Unit : City of Carlsbad -> Public Works The City of Carlsbad are named as Additional Insureds for General Liability, Contractor's Pollution Liability and AutoLiability as their interests may appear if required by written contract but only with respect to liability arising outof operations of the Named Insured. It is further agreed that the General Liability, Contractor's Pollution Liability and Auto Liability shall be Primaryand Non-contributory with any other insurance in force for or which may be purchased by Additional insureds. It is understood and agreed that the company waives its right of subrogation which may arise by reason of a payment ofclaim under the General Liability, Contractor's Pollution Liability, Auto Liability and Worker's Compensation policiesas required by written contract where allowed by state law. INSURER AFFORDING COVERAGE: Starr Indemnity & Liability Company NAIC#: 38318POLICY NUMBER: 1000005140 EFF DATE: 11/01/2025 EXP DATE: 11/01/2026 SUBROGATION WAIVED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:Workers Compensation & Empl Liab E.L. EACH ACCIDENT $2,000,000(AK, AZ, IA, NJ, NY, NC, VT, CT) E.L. DISEASE - EA EMP $2,000,000Per Statute E.L. DISEASE-POL LMT $2,000,000 INSURER AFFORDING COVERAGE: Starr Indemnity & Liability Company NAIC#: 38318POLICY NUMBER: 1000005138 (MA, FL) EFF DATE: 11/01/2025 EXP DATE: 11/01/2026 SUBROGATION WAIVED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:Workers Compensation E.L. EACH ACCIDENT $2,000,000& Employers Liability E.L. DISEASE - EA EMP $2,000,000Per Statute E.L. DISEASE-POL LMT $2,000,000 2 3 Willis Towers Watson Northeast, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance W41683037CERT:4192792BATCH:28806653SR ID: Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: Safety-Kleen Systems Inc.and its affiliates42 Longwater DriveNorwell, MA 02061 INSURER AFFORDING COVERAGE: Starr Indemnity & Liability Company NAIC#: 38318POLICY NUMBER: 1000679513251(MA) EFF DATE: 11/01/2025 EXP DATE: 11/01/2026 ADDITIONAL INSURED: YSUBROGATION WAIVED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:Auto Liability (MA) CSL (Ea accident) $5,000,000Any Auto, Owned Autos only, MCS-90 Hired Autos only, Non-owned Autos only INSURER AFFORDING COVERAGE: ACE American Insurance Company NAIC#: 22667POLICY NUMBER: COO G27416603 011 EFF DATE: 11/01/2025 EXP DATE: 11/01/2026 ADDITIONAL INSURED: YSUBROGATION WAIVED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:Contractor's Pollution Liability Per Poll'n Condition $10,000,000 Aggregate Limit $10,000,000 SIR $250,000 INSURER AFFORDING COVERAGE: ACE American Insurance Company NAIC#: 22667POLICY NUMBER: COO G27416603 011 EFF DATE: 11/01/2025 EXP DATE: 11/01/2026 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:Professional Liability Per Wrongful Act $10,000,000 Aggregate Limit $10,000,000 SIR $250,000 3 3 Willis Towers Watson Northeast, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance W41683037CERT:4192792BATCH:28806653SR ID: Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 04-84) WC 00 03 13 Schedule WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. Endorsement Effective:Policy No.:Endorsement No.: Insured:Premium: Insurance Company:Countersigned by: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) WC 00 03 13 (Ed. 04-84)Page 1 of 1 CLEANHARBORS,INC. 11/01/2025 100 0005137 Starr Indemnity &Liability Co Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 Dallas, TX 1-866-519-2522 WHERE REQUIRED BY WRITTEN CONTRACT  WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 4-15) WC 99 06 18 AMENDMENT – 30 DAY NOTICE OF CANCELLATION FOR THIRD PARTIES We agree to give thirty (30) days’ notice of cancellation to the following certificate holder(s) in the event that we cancel the policy for any reason other than non-payment of premium: SCHEDULE We will endeavor to provide advice of cancellation (the “Advice”) to the certificate holders listed in the schedule by e-mail. Certificate holders include only those entities for which thirty (30) days’ notice of cancellation is required by an “insured contract” but only with respect to an entity for which you are directly or indirectly performing your work. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such Advice will neither extend the policy cancellation nor negate cancellation of the policy; nor will such failure result in obligation or liability of any kind upon us, our agents or representatives. This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or the effective date of cancellation. Endorsement Effective:Policy No.:Endorsement No.: Insured:Premium: Insurance Company:Countersigned by: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Copyright © Starr Indemnity & Liability Company. All rights reserved. WC 99 06 18 (Ed. 4-15)Page 2 of 14 Starr Indemnity &Liability Co 11/01/2025 CLEAN HARBORS,INC. 100 0005137 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 Dallas, TX 1-866-519-2522 WHERE REQUIRED BY WRITTEN CONTRACT  WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 4-15) WC 99 06 18 AMENDMENT – 30 DAY NOTICE OF CANCELLATION FOR THIRD PARTIES We agree to give thirty (30) days’ notice of cancellation to the following certificate holder(s) in the event that we cancel the policy for any reason other than non-payment of premium: SCHEDULE We will endeavor to provide advice of cancellation (the “Advice”) to the certificate holders listed in the schedule by e-mail. Certificate holders include only those entities for which thirty (30) days’ notice of cancellation is required by an “insured contract” but only with respect to an entity for which you are directly or indirectly performing your work. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such Advice will neither extend the policy cancellation nor negate cancellation of the policy; nor will such failure result in obligation or liability of any kind upon us, our agents or representatives. This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or the effective date of cancellation. Endorsement Effective:Policy No.:Endorsement No.: Insured:Premium: Insurance Company:Countersigned by: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Copyright © Starr Indemnity & Liability Company. All rights reserved. WC 99 06 18 (Ed. 4-15)Page 2 of 14 Starr Indemnity &Liability Co 11/01/2025 CLEAN HARBORS,INC. 100 0005140 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 04-84) WC 00 03 13 Schedule WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. Endorsement Effective:Policy No.:Endorsement No.: Insured:Premium: Insurance Company:Countersigned by: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) WC 00 03 13 (Ed. 04-84)Page 1 of 1 Starr Indemnity &Liability Co 11/01/2025 100 0005140 CLEAN HARBORS,INC. Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 04-84) WC 00 03 13 Schedule WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. Endorsement Effective:Policy No.:Endorsement No.: Insured:Premium: Insurance Company:Countersigned by: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) WC 00 03 13 (Ed. 04-84)Page 1 of 1 Starr Indemnity &Liability Co CLEAN HARBORS,INC. 11/01/2025 100 0005138 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 Dallas, TX 1-866-519-2522 WHERE REQUIRED BY WRITTEN CONTRACT   WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 4-15) WC 99 06 18 AMENDMENT – 30 DAY NOTICE OF CANCELLATION FOR THIRD PARTIES We agree to give thirty (30) days’ notice of cancellation to the following certificate holder(s) in the event that we cancel the policy for any reason other than non-payment of premium: SCHEDULE We will endeavor to provide advice of cancellation (the “Advice”) to the certificate holders listed in the schedule by e-mail. Certificate holders include only those entities for which thirty (30) days’ notice of cancellation is required by an “insured contract” but only with respect to an entity for which you are directly or indirectly performing your work. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such Advice will neither extend the policy cancellation nor negate cancellation of the policy; nor will such failure result in obligation or liability of any kind upon us, our agents or representatives. This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or the effective date of cancellation. Endorsement Effective:Policy No.:Endorsement No.: Insured:Premium: Insurance Company:Countersigned by: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Copyright © Starr Indemnity & Liability Company. All rights reserved. WC 99 06 18 (Ed. 4-15)Page 2 of 14 Starr Indemnity &Liability Co 11/01/2025 CLEAN HARBORS,INC. 100 0005138 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 Dallas, TX 1-866-519-2522 Manuscript (1022) Page 1 of 1 Copyright © Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. NOTICE OF CANCELLATION FOR THIRD PARTIES AMENDATORY ENDORSEMENT Policy Number: 1 Effective Date: Named Insured: Clean Harbors, Inc. This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. Auto Dealers Coverage Form, Business Auto Coverage Form, Business Auto Physical Damage Coverage Form, Commercial General Liability Coverage Form, Contractor’s Pollution Liability Coverage Form, Electronic Data Liability Coverage Form, Excess Liability Policy Form, Garage Coverage Form, Liquor Liability Coverage Form, Motor Carrier Coverage Form, Owners And Contractors Protective Liability Coverage Form-Coverage For Operations Of Designated Contractor, Pollution Liability Coverage Form Designated Sites, Products/Completed Operations Liability Coverage Form, Product Withdrawal Coverage Form, Professional Liability Coverage Form, Railroad Protective Liability Coverage Form, Site Pollution Liability Coverage Form, Special Protective And Highway Liability Policy-New York Department Of Transportation, Truckers Coverage Form, Underground Storage Tank Policy Designated Tanks. It is agreed that in the event the “Insurer” cancels the policy for any reason other than non-payment of premium, the “First Named Insured” must, within five (5) days of receiving the notice of cancellation, provide the “Insurer”, either directly or through the retail broker, with a written list of certificate holder(s) (“Schedule”) that the “First Named Insured” is contractually obligated to notify in the event that the policy is cancelled. The “Schedule” must specify the name and current email address of a contact for each certificate holder. The “Insurer” will provide notice of cancellation to the certificate holder(s) listed in the “Schedule” by email. This notification of a pending cancellation of coverage is intended as a courtesy only. The “Insurer’s” failure to provide such notice will neither extend the policy cancellation nor negate cancellation of the policy; nor will this failure result in obligation or liability of any kind upon the “Insurer”, its agents or representatives. This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or the effective date of cancellation. The following definitions apply to this endorsement: 1. “First Named Insured” means the named insured shown in the Declarations Page of this policy. 2. “Insurer” means the insurance company shown in the header on the Declarations Page of this policy. 3. “Schedule” means the written list of certificate holder(s). All other terms and conditions of this Policy remain unchanged. DocuSignEnvelopeID:5F151D97-E705-4CE0-94E4-3930AE2E38E3 The "Insurer" will provide notice at least 30 days prior to cancellation date to the certificate holder(s) listed in the "Schedule" by email. 1000679502251 11/1/2025 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 Dallas, TX 1-866-519-2522 Page 1 of 1Manuscript (1022) Copyright © Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. NOTICE OF CANCELLATION FOR THIRD PARTIES AMENDATORY ENDORSEMENT Effective Date: This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. Auto Dealers Coverage Form, Business Auto Coverage Form, Business Auto Physical Damage Coverage Form, Commercial General Liability Coverage Form, Contractor’s Pollution Liability Coverage Form, Electronic Data Liability Coverage Form, Excess Liability Policy Form, Garage Coverage Form, Liquor Liability Coverage Form, Motor Carrier Coverage Form, Owners And Contractors Protective Liability Coverage Form-Coverage For Operations Of Designated Contractor, Pollution Liability Coverage Form Designated Sites, Products/Completed Operations Liability Coverage Form, Product Withdrawal Coverage Form, Professional Liability Coverage Form, Railroad Protective Liability Coverage Form, Site Pollution Liability Coverage Form, Special Protective And Highway Liability Policy-New York Department Of Transportation, Truckers Coverage Form, Underground Storage Tank Policy Designated Tanks. It is agreed that in the event the “Insurer” cancels the policy for any reason other than non-payment of premium, the “First Named Insured” must, within five (5) days of receiving the notice of cancellation, provide the “Insurer”, either directly or through the retail broker, with a written list of certificate holder(s) (“Schedule”) that the “First Named Insured” is contractually obligated to notify in the event that the policy is cancelled. The “Schedule” must specify the name and current email address of a contact for each certificate holder. The “Insurer” will provide notice of cancellation to the certificate holder(s) listed in the “Schedule” by email. This notification of a pending cancellation of coverage is intended as a courtesy only. The “Insurer’s” failure to provide such notice will neither extend the policy cancellation nor negate cancellation of the policy; nor will this failure result in obligation or liability of any kind upon the “Insurer”, its agents or representatives. This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or the effective date of cancellation. The following definitions apply to this endorsement: 1. “First Named Insured” means the named insured shown in the Declarations Page of this policy. 2. “Insurer” means the insurance company shown in the header on the Declarations Page of this policy. 3. “Schedule” means the written list of certificate holder(s). All other terms and conditions of this Policy remain unchanged. DocuSignEnvelopeID:5F151D97-E705-4CE0-94E4-3930AE2E38E3 The "Insurer" will provide notice at least 30 days prior to cancellation date to the certificate holder(s) listed in the "Schedule" by email. Policy Number: 1000679513251 Named Insured: Clean Harbors, Inc. 11/1/2025 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 © Insurance Services Office, Inc., 2012 Page 1 of 1CG 20 26 12 19 ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1.In the performance of your ongoing operations; or 2.In connection with your premises owned by or rented to you. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Where Required By Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Name Of Additional Insured Person(s) Or Organization(s): POLICY NUMBER: 1000090736251 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 04-84) WC 00 03 13 Schedule WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. Endorsement Effective:Policy No.:Endorsement No.: Insured:Premium: Insurance Company:Countersigned by: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) WC 00 03 13 (Ed. 04-84)Page 1 of 1 Starr Indemnity &Liability Co CLEANHARBORS,INC. 11/01/2025 100 0005139 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899 Dallas, TX 1-866-519-2522 WHERE REQUIRED BY WRITTEN CONTRACT  WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 4-15) WC 99 06 18 AMENDMENT – 30 DAY NOTICE OF CANCELLATION FOR THIRD PARTIES We agree to give thirty (30) days’ notice of cancellation to the following certificate holder(s) in the event that we cancel the policy for any reason other than non-payment of premium: SCHEDULE We will endeavor to provide advice of cancellation (the “Advice”) to the certificate holders listed in the schedule by e-mail. Certificate holders include only those entities for which thirty (30) days’ notice of cancellation is required by an “insured contract” but only with respect to an entity for which you are directly or indirectly performing your work. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such Advice will neither extend the policy cancellation nor negate cancellation of the policy; nor will such failure result in obligation or liability of any kind upon us, our agents or representatives. This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or the effective date of cancellation. Endorsement Effective:Policy No.:Endorsement No.: Insured:Premium: Insurance Company:Countersigned by: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Copyright © Starr Indemnity & Liability Company. All rights reserved. WC 99 06 18 (Ed. 4-15)Page 2 of 14 Starr Indemnity &Liability Co 11/01/2025 CLEAN HARBORS,INC. 100 0005139 Docusign Envelope ID: 03923B35-5A7D-42E4-9192-82EB64D7D899