HomeMy WebLinkAboutC-1558M
Job No. 604
1ALOVIIIAMWR
THIS CONTRACT, made and executed this 7th day of August
1996 , by and between the City of Arcadia, California, hereinafter
referred to simply as City, and
SEQUEL CONTRACTORS INC.
hereinafter referred to simply as Contractor.
WITNESSETH: That the parties hereto do mutually agree and covenant
as follows:
1. For and in consideration of the payments and covenants
hereinafter specified to be made and performed by City,
Contractor shall perform and complete the following:
Rehabilitation of Eastbound Huntington Drive from Holly Avenue
(Name of Project)
to Santa Clara Street. Federal Aid Project STPL - 5131 (002)
JOB NO. 604
(Bid Items Accepted by City and Included Herein)
and to perform and complete the same in a good and workmanlike
manner all the work pertaining thereto shown on the Plans and
Specifications therefor; to furnish at his own cost and
expense all tools, equipment, labor, services, and materials
necessary therefor (except such materials, if any, as in the
said specifications are stipulated to be furnished by the
City), and to do everything required by this contract, special
provisions, technical specifications, construction plans,
drawings and details, and all addenda issued by City to the
foregoing prior to the opening of bids.
2. For furnishing all said materials and labor, services, tools,
and equipment, and doing all work specified herein, also
arising out of the nature of the work aforesaid, or from the
action of the elements, or from any unforeseen difficulties
which may arise or be encountered in the prosecution of the
work until its acceptance by the City, and for all risks of
every description connected with the work, for all expenses
incurred by or in consequence of the suspension or
discontinuance of work, except such as in said specifications
are expressly stipulated to be borne by the City and for well
and faithfully completing the work in the manner specified in
said Plans and Specifications, the City will pay and the
Contractor shall receive in full compensation therefor the
lump sum price or if the bid is on the unit price basis, the
total price for the several items furnished pursuant to the
specifications, as set forth in Contractor's bid heretofore
filed by him and accepted by City, at the times and manner
specified in the Contract Documents.
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Job No. 604
CONTRACT - (cont'd)
3. Contractor agrees to perform the work according to the terms
of this Contract for prices) named in the bid, and City
agrees to pay the same at the time, in the manner, and upon
the conditions stipulated in the said contract documents.
4. Subject to the provisions of this Contract, all terms,
covenants, conditions, and provisions hereof shall inure to
and shall bind each of the parties hereto and each of their
respective heirs, executors, administrators, successors, and
assigns.
5. The Notice Inviting Bids, Information Required of Bidders,
Contractor's Bid, Special Provisions, Construction Plans,
Drawings and Details, and all addenda issued by City to the
foregoing prior to the opening of bids, are hereby
incorporated in and made part of this contract by reference
and are collectively referred to therein and herein as
"Contract Documents."
6. Contractor shall be responsible for compliance with the
Apprenticeable Occupations Regulations of Labor Code,
Section 1777.5, including compliance by all subcontractors.
7. Contractor represents and affirms that it is not affected by
any labor dispute, work stoppage or strike; that the labor
contracts of its subcontractors are not scheduled to expire
for the term of this Contract, and that these Contracts
contain "no strike" provisions. Contractor agrees that
should any labor dispute, work stoppage or strike affect it
or its subcontractors or any employees of same, Contractor
shall continue to perform according to the work schedule and
shall not be execused from non - performance and that the
Contractor is subject to the Liquidated Damage provisions of
this Contract for such non - performance.
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Job No. 604
CONTRACT - (cont'd)
IN WITNESS WHEREOF, the parties hereto have caused this contract
to be executed the day and year first above written.
CITY OF ARCADIA CONTRACTOR
By_ SEQUEL ON
y T ORS, INC.
City Manager
(SEAL) By
Thomas S. Pads, V.P. & Secretary
Title
ATTEST:
r
C Clerk
APPROVED AS TO FORM:
1-
City Attorney
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Job No. 604
FAITHFUL PERF0 Mtl%w n^XTT1
100% of contract Price Bond No 144 -29 -58
Premium:
KNOW ALL MEN BY THESE PRESENTS, THAT WE
Sequel Contractors, Inc.
hereinafter referred to as "Contractor" as PRINCIPAL, and
Federal Insurance Company
A corporation duly organized and doing business under and by virtue
of the laws of the State of California and duly licensed for the
purpose of making, guaranteeing, or becoming sole surety upon bonds
or undertakings as Surety, are held and firmly bound unto the CITY
OF ARCADIA, CALIFORNIA, hereinafter referred to as the "City" in
the sum of Two hundred five thousand ninety and 00/100
Dollars ($ 205,090.0.0 ' ) lawful money of the United States of
America for the payment of which sum, well and truly to be made, we
bind ourselves, our heirs, executors, administrators, assigns and
successors, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that whereas said
Contractor has been awarded and is about to enter into a Contract
with the City to perform all work required pursuant to the contract
documents for the project entitled:
Rehabilitation of Eastbound Huntington Drive from Holly Avenue to Santa Clara St.
(Insert Title Shown on Proposal)
which Contract is by this reference incorporated herein, and is
required by the City to give this Bond in connection with the
execution of said Contract;
NOW, THEREFORE, if said Contractor and his Subcontractors
shall well and truly do and perform all the covenants and
obligations of said Contract on his part to be done and performed
at the times and in the manner specified herein including
compliance with all Contract specifications and quality
requirements, then this obligation shall be null and void,
otherwise it shall be and remain in full force and effect;
PROVIDED, that any alterations in the work to be done, or in
the material to be furnished, which may be made pursuant to the
terms of said Contract, shall not in any way release said
Contractor or the Surety thereunder, nor shall any extensions of
time granted under the provisions of said Contract release either
said Contractor or said Surety, and notice of such alterations of
extensions of the Contract is hereby waived by said Surety.
ACA 6/89
C -4
Job No. 604
In the event suit is brought upon this Bond by the City and
judgment is recovered, said Surety shall pay all costs incurred by
the City in such suit, including a reasonable attorney's fee to be
fixed by the Court.
IN WITNESS WHEREOF, we have hereunto set our hands and seals
this 12th day of August , 19 96
Sequel Contractors, Inc. Federal Insurance Company
Principal Surety
By:
By: t
(SEAL) Tomas a& V.' . & Secretary Dou as A. Rapp EAL)
Attorney in Fact
ACA 6/89
C -5
ALL - PURPOSE ACKNOWLEDGMENT
State of California
County of Orange
8/12/96
On before me, Christine M. Rapp, Notary Public
Date Name, Title of Officer - e.g. "Jane Doe, Notary Public"
personally appeared nc) l, g 1 a G A R a ]DID
Names(s) of Signer(s)
personally known to me or proved to me on the basis of satisfactory evidence to be
the person(s) whose name(s) is /are subscribed to the within instrument and
acknowledged to me that he /she /they executed the same in his /her /their authorized
capacity(ies), and that by his /her /their signature(s) on the instrument the person(s),
or the entity on behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal,
CHRISTINE M. RAPP I
- Lip Comm. # 1102778 NOTARY PUBLIC - CALIFORNIA ��� L, Orange County
IPM, ••
M Comm: 11 iru Jul 8,
Signature of Notary
ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent
fraudulent attachment of this certificate to unauthorized documents.
THIS CERTIFICATE
MUST BE ATTACHED
TO THE DOCUMENT
DESCRIBED AT RIGHT: Title or Type of Document
Number of Pages Date of Document
OPTIONAL SECTION/
CAPACITY CLAIMED BY SIGNER
—individual(s)
_Corpora
Officer(s)
Title(s)
SIGNER IS REPRESENTING:
Name of persons or entity(ies)
—Partner(s) —Attorney-in- Fact
_Other
POWER OF ATTORNEY
FEDERAL INSURANCE COMPANY
ATTN: SURETY DEPARTMENT
15 Mountain View Road, Warren, NJ 07059
(908) 580 -2000
Know all Men by these Presents, That FEDERAL INSURANCE COMPANY, an Indiana Corporation, has constituted
and appointed, and does hereby constitute and appoint Douglas A. Rapp and Linda D. Coats of Laguna
Hills, California -------------------------------------------------------- - - - - --
each its true and lawful Attorney -in -Fact to execute under such designation in its name and to affix its corporate seal to and
deliver for and on its behalf as surety thereon or otherwise, bonds of any of the following classes, to -wit:
1. Bonds and Undertakings (other than Bail Bonds) filed in any suit, matter or proceeding in any Court, or filed with any
Sheriff or Magistrate, for the doing or not doing of anything specified in such Bond or Undertaking.
2. Surety bonds to the United States of America or any agency thereof, including those required or permitted under the
laws or regulations relating to Customs or Internal Revenue; License and Permit Bonds or other indemnity bonds under
the laws, ordinances or regulations of any State, City, Town, Village, Board or other body or organization, public or private;
bonds to Transportation Companies, Lost Instrument bonds; Lease bonds, Workers' Compensation bonds, Miscellaneous
Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public officials.
3. Bonds on behalf of contractors in connection with bids, proposals or contracts.
In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By-Laws, caused
these presents to be signed by its Vice President and Assistant Secretary and its corporate seal to be hereto affixed
this 10th day of - March 1994
Corporate Seal
Kenneth C. Wendel
Assistant Secretary
STATE OF NEW JERSEY 1 ss.
County of Somerset f
FEDERAL INSURANCE COMPANY
BY
Gerardo G. Mauriz
Vice President
On this 10th day of March 19 94 , before me personally came Kenneth C. Wendel to me known
and by me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, the corporation described in and which
executed the foregoing Power of Attorney, and the said Kenneth C. Wendel being by me duly sworn, did depose and say that
he is Assistant Secretary of FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed
to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By -laws of said Company,
and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority; and that he is acquainted
with Gerardo G. Mauriz and knows him to be the Vice President of said Company, and that the signature of said Gerardo G.
Mauriz subscribed to said Power of Attorney is in the genuine handwriting of said Gerardo G. Mauriz and was thereto subscribed
by authority of said By -Laws and in deponent's presence.
Notarial Seal
�A ~tp�D
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P4,'31t.�
Form 1510-0134 (Rev. 10-93) GENERAL
Acknowledged and Sworn to before me
on the date ab a written.
v
Notary Public
AN" A. XAVO'1NS
Xamy Pt?12ic, St t3 of Flew lesser
Csossioe lixtirao
2, 1994
PRINTED
M -55627 (500) LIT
ALL - PURPOSE ACKNOWLEDGMENT
State of California
County of Los Angeles
On VA NA before me, STACY L. JACKSON, NOTARY PUBLIC
poate Name, Title of Officer - e.g. "Jane Doe, Notary Public"
nally appeared Thomas S. Pa* V.P. & Seoretary
Names(s) of Signer(s)
personally known to me or proved to me on the basis of satisfactory evidence to be
the person(s) whose name(s) is /are subscribed to the within instrument and
acknowledged to me that he /she /they executed the same in his/her /their authorized
capacity(ies), and that by his/her /their signature(s) on the instrument the person(s),
or the entity on behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal,
_ N. STACY L. JACKSON
COMM. #982348
NOTARY PUBLIC - CALIFORNIA
:2 LOS ANGELES COUNTY
S gn ture of Notary My Comm. Expires Jan. 10, 1997 a
ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent
fraudulent attachment of this certificate to unauthorized documents.
THIS CERTIFICATE
MUST BE ATTACHED
TO THE DOCUMENT
DESCRIBED AT RIGHT: Title or Type of Document
Number of Pages Date of Document
OPTIONAL SECTION/
CAPACITY CLAIMED BY SIGNER
—Individual(s) —Partner(s) _.Attorney -in -Fact
_Corporate _Other
Officer(s)
Titic(s)
SIGNER IS REPRESENTING:
Name of persons or entity(ics) SEQUEL CONTRACTORS, INC.
Job No. 604
LABOR AND MATERIAL BOND
(1000 of contract Price) Bond No. 8144 -29 -58
Premium Included
KNOW ALL MEN BY THESE PRESENTS, THAT WE
Sequel Contractros, Inc.
hereinafter referred to as "Contractor" as PRINCIPAL, and
Federal Insurance Company
a corporation duly organized and doing business under and by virtue
of the laws of the State of California, and duly licensed for the
purpose of making, guaranteeing, or becoming sole Surety upon bonds
or undertakings as surety, are held and firmly bound unto the CITY
OF ARCADIA, CALIFORNIA, hereinafter referred to as the "City" in
the sum of Two hundred five thousand ninety and 00/100
Dollars ( $ 205, 090.00 ) , lawful money of the United States of
America for the payment of which sum, well and truly to be made, we
bind ourselves, our heirs, executors, administrators, assigns and
successors, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that whereas said
Contractor has been awarded and is about to enter into a Contract
with the City to perform all work required pursuant to the contract
documents for the project entitled:
Rehabilitation of Eastbound Huntincfton Drive from Hclly Avenue to Santa Clara St.
(Insert Title Shown on Proposal)
which Contract is by this reference incorporated herein, and is
required by the City to give this Bond in connection with the
execution of said Contract;
NOW, THEREFORE, if said Contractor or subcontractor in said
Contract fails to pay for any materials, equipment, tools,
provisions, provender or other supplies, or teams, or services, or
for rental of same, used in, upon, for or about the performance of
the work contracted to be done, or for any work or labor thereon of
any kind, or for amounts due under applicable law with respect to
any work or labor thereon, said Surety will pay for the same in an
amount not exceeding the sum specified above, and also, in case
suit is brought upon this Bond, a reasonable attorney's fee, to be
fixed by the Court. This Bond shall inure to the benefit of any
and all persons, companies, or corporations entitled to file claims
under applicable law;
ACA 9/79
C -6
Job No. 604
PROVIDED, that any alterations in the work to be done, or the
materials, equipment, tools, provisions, provender or other
supplies, or teams, or services to be furnished, which may be made
pursuant to the terms of said Contract, shall not in any way
release either said Contractor or said Surety thereunder, nor shall
any extensions of time granted under the provisions of said
Contract release either said Contractor or said Surety, and notice
of such alterations or extensions of the Contract is hereby waived
by said Surety.
IN WITNESS WHEREOF, we have hereunto set our hands and seals
this 12th day of August , 1996
Segue] Contractors, Inc. Federal Insurance Company
Principal Surety
r
By: By:,, GG.
-S ®tary Dou as A. Rapp EAL)
Attorney, in Fact
ACA 9/79
C -7
'I11W
ALL - PURPOSE ACKNOWLEDGMENT
State of California
County of Orange
On 8/12/96 before me, Christine M. Rapp, Notary Public
Date Name, Title of Officer - e.g. "Jane Doe, Notary Public"
personally appeared Qojigj ac A Rain
Names(s) of Signer(s)
personally known to me or proved to me on the basis of satisfactory evidence to be
the person(s) whose name(s) is /are subscribed to the within instrument and
acknowledged to me that he /she /they executed the same in his /her /their authorized
capacity(ies), and that by his /her /their signature(s) on the instrument the person(s),
or the entity on behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal,
CHRISTINE M. RAPP
r °rnn Comm. # 1102778 ''nn
V! `s NOTARY PUBLIC • CALIFORNIA UI
Orange County
MY Comm, Er r
I wt July B, 2111
Signature of Notary
ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent
fraudulent attachment of this certificate to unauthorized documents.
THIS CERTIFICATE
MUST BE ATTACHED
TO THE DOCUMENT
DESCRIBED AT RIGHT: Title or Type of Document
Number of Pages Date of Document
OPTIONAL SECTION/
CAPACITY CLAIMED BY SIGNER
—individual(s) —Partner(s) —Attorney-in- Fact
_Corporate Other
Officer(s)
Title(s)
SIGNER IS REPRESENTING:
Name of persons or entity(ies)
POWER OF ATTORNEY
FEDERAL INSURANCE COMPANY
ATTN: SURETY DEPARTMENT
15 Mountain View Road, Warren, NJ 07059
(908) 580 -2000
Know all Men by these Presents, That FEDERAL INSURANCE COMPANY, an Indiana Corporation, has constituted
and appointed, and does hereby constitute and appoint Dou 1 A
Hills, California - --
g as . Rapp and Linda D. Coats of Laguna
each its true and lawful Attorney -in -Fact to execute under such designation in its name and to affix its corporate seal to and
deliver for and on its behalf as surety thereon or otherwise, bonds of any of the following classes, to -wit:
1. Bonds and Undertakings (other than Bail Bonds) filed in any suit, matter or proceeding in any Court, or filed with any
Sheriff or Magistrate, for the doing or not doing of anything specified in such Bond or Undertaking.
2. Surety bonds to the United States of America or any agency thereof, including those required or permitted under the
laws or regulations relating to Customs or Internal Revenue; License and Permit Bonds or other indemnity bonds under
the laws, ordinances or regulations of any State, City, Town, Village, Board or other body or organization, public or private;
bonds to Transportation Companies, Lost Instrument bonds; Lease bonds, Workers' Compensation bonds, Miscellaneous
Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public officials.
3. Bonds on behalf of contractors in connection with bids, proposals or contracts.
In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By -Laws, caused
these presents to be signed by its Vice President and Assistant Secretary and its corporate seal to be hereto affixed
this 10th day of ' March 1994
Corporate Seal
Kenneth C. Wendel
Assistant Secretary
STATE OF NEW JERSEY
County of Somerset ss.
FEDERAL INSURANCE COMPANY
BY
ti
Gerardo G. Mauriz
Vice President
On this 10th day of March 19 94 before me personally came Kenneth C. Wendel to me known
and by me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, the corporation described in and which
executed the foregoing Power of Attorney, and the said Kenneth C. Wendel being by me duly sworn, did depose and say that
he is Assistant Secretary of FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed
to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By -Laws of said Company,
and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority; and that he is acquainted
with Gerardo G. Mauriz and knows him to be the Vice President of said Company, and that the signature of said Gerardo G.
Mauriz subscribed to said Power of Attorney is in the genuine handwriting of said Gerardo G. Mauriz and was thereto subscribed
by authority of said By -Laws and in deponent's presence.
Notarial Seal
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--
PL'I9i X
Acknowledged and Sworn to before me
on the date ab written.
j Notary Public
4XIM A. XAY(W2
9 P'ilt2ic, S.,, t3 of Thv, lecow
5-i o. 20 `J %20
Tae
r111t;ra; �a Cam, 2. 199{
Farm 15-10-0134 (Rev. 1493) GENERAL PRINTED
M•5WZ7 (500) U.SA.
ALL - PURPOSE ACKNOWLEDGMENT
State of California
County of Los Angeles
op
Onh�before me, STAGY L. JACKSON, NOTARY PUBLIC
0 \3 at
D a Name, Title of Officer - e.g. "Jane Doe, Notary Public"
personally appeared Thomas S. Pads, V.P. & Seoretwy
Names(s) of Signer(s)
personally known to me or proved to me on the basis of satisfactory evidence to be
the person(s) whose name(s) is /are subscribed to the within instrument and
acknowledged to me that he /she /they executed the same in his/her /their authorized
capacity(ies), and that by his/her /their signature(s) on the instrument the person(s),
or the entity on behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal,
STACY L. JACKSON
p� COMM. 8982348
NOTARY PUBLIC - CALIFORNIA
:2 LOS ANGELES COUNTY
Sig(! re of Notary
�.,,,., ray Comm. Expires Jan. 10, 1997 K
ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent
fraudulent attachment of this certificate to unauthorized documents.
THIS CERTIFICATE
MUST BE ATTACHED
TO THE DOCUMENT
DESCRIBED AT RIGHT: Title or Type of Document
'%W Number of Pages Date of Document
OPTIONAL SECTION/
CAPACITY CLAIMED BY SIGNER
—Individual(s) _Partner(s) _Attornev -in -Fact
_Corporate _Other
Officer(s)
TWOS)
SIGNER IS REPRESENTING:
Name of persons or entity(ics) SEQUEL CONTRACTORS, INC.
RUG.20.1996 12:12PM LIBERTY MUTUAL SALES(213)9359772 NO.ege P.4i5
ICertificate of Insurance
7115 CERTIMCATU tS ISSrJED AS A :MATTER OF 1 TFORNL4TION ONLY AND CONFERS NO RIGHTS UPON YOU THE CII:TIPlC?TE I30LDEP., THIS" CEP.TIPIC4TE IS NOT
AN INSURANCE POLICY AND DOHS NOT AMEND, H)tTEND, OR ALTER TIIH COVERAGE AFFORDED T!Y 77IE Powciris LTSTED TIFLOW,
Mg Is to Certify that
SEQUEL CONTRACTORS, INC.
12240 WOODRUFF AVENUE
DOWNEY, CA 90241~5612 Name and LIBERTY
�--- address of MUTUAL,
Insured)
Is, at the Issue date of this certificate, Insured by the Company under the.policy(ies) listed below, The insurance afforded by the listed poll%es) is subject to all their
terms, exclusions and conditions and is not altered by any requlremon> term or condition of any contract or other document with respect to which this coruGcata ma be
- - - " - - -- ---r— -" - ^• '.IoM 141111, rNU Wm up Ilu uniu II GOviaTage is cermina[ea or reaucea Detore the certtllcate expiration date.
SPECIAL NOTICE -OHIO: ANY PERSON WHO WITH INTENT TO DEFRAUD OR KNOWING THAT He IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS
AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS QUILTY OF INSURANCE FRAUD.
NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE
TNIF STATED EXPIRATION GATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED Liberty Mutual Group
UNDER THE ABOVE POLICIES UNTIL AT LEAST 3D DAYS
NOTICE OF SUPiCANCELLATION HAS BEEN MAILED To,
CITY OF ARCAfDIA
CERTI'li ATTN: RICK GOMEZ
HOLDER 240 WEST HUNTINGTON DRIVE
ARCADIA, CA 91006
I
JULIE LAMBERT
AUTHORIZED REPRESENTATIVE
LOS ANGELES (213) 938 -2282 7 -31 -96
OFFICE PHONE NUMBER DATE ISSUED
�_ �c.1 --lu to uh%;";Ca Qy i.LACICI r MU L GAL L.KUUV as respects such insurance as is adarded by Those Companies
BS 7721
EXP, DATE
y
`4 ❑ CONTINUOUS
TYPE OF POLICY
0 EXTENDED
POLICY NUMBER I LIMIT OF LIABILITY
❑ POLICY ER
WORKERS
COMPENSATION
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
EMPLOYERS LIABILITY
Bdiln
o y Ilury BY Accident
0 y
12/31/96
WC2- 161- 036614 085
000 Each
Accldant
CA
Bodily Injury By Disease
1,000,000 Peticy
Llmlt
Bodily Injury By DisaQSe
1,000,000 EACh
- 44M�, ERAL
eneral Aggregate • Other than PrnductstCompleted operations
LT�BILITY
2,000,000
® OCCURRENCE
6/26/97
YY7. 161 - 036614 -056 Products /CompletedOperailons Aggregate
2,000,000
C CLAIMS MADE
Bodlly Inlury and Property Dam Liability
1,000,000 Par
Occurrence
Personal and Advartising Injury
RET90 DATE
Per Person/
1,000,000 organization
1
Qrhor 50,000 Fire Damage Other 5,000 Mad. Expense
(Any one fire) (Any one person)
AUTOMOBILE
s
LIABILITY
Each Accident- Bin le Limit
1,000,000 W. and RD. Combined
Each Person
® OWNED
6/26/97
AS7. 1 61 - 03661 4 -046
® NON -OWNED
Each Accident orOccurmnta
TIRED
Each Accident or Occurrence
OTHER
_
UMBRELLA t;XCt:SS
6 /26/97
TH1 -161- 036614 -026
9,000,000 EACH OCCURRENCE
LIABILITY
I
ADDITIONAL COMMENTS'
RE: PROJECT #604 REHAB OF HUNTINGTON DRIVE FROM HOLLY TO SANTA CLARA
ADDITIONAL INSURED: CITY OF ARCADIA ITS OFFICERS AND EMPLOYEES
'It the cemllrere aynlrsitlnn eint. to nllnll ..J..J
- - - " - - -- ---r— -" - ^• '.IoM 141111, rNU Wm up Ilu uniu II GOviaTage is cermina[ea or reaucea Detore the certtllcate expiration date.
SPECIAL NOTICE -OHIO: ANY PERSON WHO WITH INTENT TO DEFRAUD OR KNOWING THAT He IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS
AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS QUILTY OF INSURANCE FRAUD.
NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE
TNIF STATED EXPIRATION GATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED Liberty Mutual Group
UNDER THE ABOVE POLICIES UNTIL AT LEAST 3D DAYS
NOTICE OF SUPiCANCELLATION HAS BEEN MAILED To,
CITY OF ARCAfDIA
CERTI'li ATTN: RICK GOMEZ
HOLDER 240 WEST HUNTINGTON DRIVE
ARCADIA, CA 91006
I
JULIE LAMBERT
AUTHORIZED REPRESENTATIVE
LOS ANGELES (213) 938 -2282 7 -31 -96
OFFICE PHONE NUMBER DATE ISSUED
�_ �c.1 --lu to uh%;";Ca Qy i.LACICI r MU L GAL L.KUUV as respects such insurance as is adarded by Those Companies
BS 7721
6A�
t�
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I
1
HUG-20.1996 12 :12PM LIBEPTY MUTUAL SALES(213)9359772
08/19/96 11:
a
,Tob No. 604
Liberty mutual Insurance Co
same 01 Insurance company
YY7 -161- 036614 -056
Pe icy Number
6/26/96 to 6/26/97
EI EIVe pate
N0.898 NtP.5i5 wn�
The following endorsements are hereby incorporated by reference
onto the attached Certificate of insurance as though fully set
forth thereon:
1. The naming of an additional, insured as herein provided
shall not affect any recovery to which such additional
insured would be entitled under this Policy if not named
as such additional insured, and
2„ T6 additional, insured named heroin shah, not be held
liable for any premium or expense of any nature on this
policy or any extensions thereof, and
3. The additional insured named herein shall not by reason
of being so named considered e any
inslraAce co?np ny for any K � oever,ad
4. The provisions of the policy will not be changed,
suspended, cancelled or otherwise terminated as to the
interest of the additional insured named herein without
first giving such additional insured twenty (2o) days
written notice.,
... 5. Any other insurance
not be required to
expense covered by
this certificate.
held by the additional insured shall
contribute anything toward any loss or
the insurance which is referred to by
It is agreed that the Cif_ :9f. Arr-adia and its Off'grrs__and
e=loyees, are included as Additional insured.
8/7'7
C -8
Aut ar %ed Znsuranca Agent
,P
Job No. 604
IN ACCORDANCE WITH
LABOR CODE SECTION 1861
The undersigned is aware of the provisions under Section 3700 of
the California Labor Code which requires every employer to be
insured against liability for Worker's Compensation or to undertake
self - insurance in accordance with the provisions of that Code, and
it will comply with such provisions before commencing the
performance of the work of this Contract.
SEQUEL CONTRACTORS, INC.
Contr for
By:
e
T!iomas S. Pads, J.P. & Swetary
C -9
RECORDING REQUESTED BY "111111111/
CITY OF ARCADIA
AND WHEN RECORDED MAIL TO:
NAME JUNE D. ALFORD, CITY CEERK
STREET CITY OF ARCADIA
ADDRESS 240 WEST HUNTINGTON DRIVE
CITY, STATE A P.O. BOX 60021
LIP CODE ARCADIA, CA 91066-6021,
06 +2!46830
RECORDED/FILED IN OFFICIAL RECORDS
RECORDER'S OFFICE
LOS CAI�FORN AOi�TY
8:04 AM DEC 12 1996
SPACE ABOVE THIS LINE FOR RECORDER'S USE
If,I�`��������������
5 NOTICE OF COMPLETION FREE 1 /
Notice pursuant to Civil Code Section 3093, must be filed within 10 days after completion. (See reverse side for Complete requirements.)
Notice is hereby given that:
1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described:
2.. The full name of the owner is CITY OF ARCADIA
3. The full address of the owner is 240 WEST HUNTINGTON DRIVE, ARCADIA, CALIFORNIA 91007
4. The nature of the interest or estate of the owner is: In fee.
(IF OTHER THAN FEE, STRIKE "IN FEE" AND INSERT, FOR EXAMPLE, "PURCHASER UNDER CONTRACT OF PURCHASE," OR "LESSEE ")
5. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint tenants or as tenants in common are:
NAMES ADDRESSES
6. The full names and full addresses of the predecessors in interest of the undersigned, if the property was transferred subsequent to the
commencement of the work or improvements herein referred to:
NAMES ADDRESSES
7. A work of improvement on the property hereinafter described was completed on NOVEMBER 19, 1996 . The work done was:
REHABILITATION OF EASTBOUND HUNTINGTON DRIVE FROM HOLLY AVE. TO SANTA CLARA ST., JOB 604
8. The name of the contractor, if any, for such work of improvement was
SEQUEL CONTRACTORS, INC. AUGUST 7, 1996
(IF NO CONTRACTOR FOR WORK OF IMPROVEMENT AS A WHOLE, INSERT "NONE ") (DATE OF ONTFACT)
9. The property on which said work of improvement was completed is in the City of ARCADIA
Countyof LCS ANGELES Stateof CA and is described as follows: REHABILITATION OF HUNTINGTON DRIVE
EASTBOUND FROM HOLLY AVENUE TO SANTA CLARA STREET WITHIN THE CITY OF ARCADIA
10. The street address of said property is VARIOUS ADDRESSES UNDER PROJECT NO. 604 AS NOTED ABOVE
(IF NO STREET ADD S HA R N FICIALLY ASSIGNED, INSERT "NONE ".)
Dated: NOVEMBER 20, 1996
(SIGNATURE OF OWNER OR CORPORATE OFFICER OF OWNER NAMED IN PARAGRAPH 2 OR HIS AGENT)
WILLIAM R. KELLY, CITY MANAGER
VERIFICATION
I, the undersigned, say: I am the CITY CLERK OF THE CITY OF ARCADIA the declarant of the foregoing notice of completion;
( "PRESIDENT OF ", "MANAGER OF ", "PARTNER OF ", "OWNER OF ", ETC.)
I have read said notice of completion and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury
that the foregoing is true and correct.
Executed on NOVEMBER 20
�l
( "AL SIGNATURE OF THE 11
JUNE D. ALFORD,
WOLCOTTS FORM 1114 - Rev. R -94 (price class 3A)
NOTICE OF COMPLETION
01994 WOLCOTTS FORMS, INC.
1996 at ARCADIA, CALIFORNIA
(CITY) (STATE)
WHO IS SWEARING THAT THE CONTENTS OF THE NUTICE OF LUMPLL I IUN AKE I HUt.I
( CLERK
(See reverse side for additional Information)
I�I6l7775 l�3l9l114 llll5