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HomeMy WebLinkAboutC-1561A-1 ORIGINAL c /s�/ Oqa o -83 CITY OF ARCADIA, CALIFORNIA SPECIFICATIONS AND CONTRACT DOCUMENTS FOR 1996 -1999 MAINTENANCE SERVICES DEPARTMENT WATER DIVISION STREET CUT REPAVING TOTAL BID PRICE: $41,280.00 - IFFY 1996 -97 $42,518.00 - FY 1997 -98 $43,775.00 - FY 1998 -99 By Cash Contract NOTE: Should it be necessary to remove any of the contract documents for typing the proposal, etc., please reassemble and submit in original form. This is required by the City Attorney. CITY COUNCIL n •�I"li� • I" •� 11�. I�l �I �. �l •�l��l` DR. SIH[IENG CHANG ROBERT T C. HARBICHT DAIRY A. KO VACIIC MARY B. YOUNG WILLIAM R. KELLY C ITY MANAG EIR ]PAT MAILIL ®Y MAINTENANCE SERVICES DI RECI OR Work Order 569 THIS CONTRACT, made and executed this 23RD day of SEPTEMBER , 19 96 , by and between the City of Arcadia, California, hereinafter referred to simply as City, and G.M. SAGER CONSTRUCTION CO., 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: 1996 -1999 WATER SERVICES DIVISION STREET CUT REPAVING FY 1996 -97 - Forty -one thousand, two - hundred eighty dollars ($41,280.00) FY 1997 -98 - Forty -two thousand, five - hundred eighteen dollars (542.518.00) FY 1998 -99 - Forty -three thousand, seven - hundred seventy -five dollars (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, 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. C -1 Work Order 569 CONTRACT - (cont'd) 3. Contractor agrees to perform the work according to the terms of this Contract for price (s) 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, Technical Specifications, 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. IN WITNESS WHEREOF, the parties hereto have caused this contract to be executed the day and year first above written. CITY OF ARCADIA CONTRACTOR gy G.M. SAGER CONSTRUCTION CO., INC. City Manager _--- By (SEAL) SUPERINTENDNET Title ATTEST: Q—,-2a-r Ci Clerk APPROVED AS TO FORM�j� City Attorn y C -2 0 CONTRACTOR SHALL BE RESPONSIBLE FO R INCLUDING ANY ADDITIONAL PREMIUMS IN THEIR BILLINGS FOR ANY ADDITIONAL WORK OR CHANGE ORDERS. PREMIUMS WILL BE. ADJUSTED UPON COMPLETION OF WORK BASED ON FINAL CONTRACT PRICE, Park Order 569 BOND NO. CC2632 PREMIUM: $3,827.00 MM ALL MEN aY ZAMMM 2=r= AhCL B= 1001 of contrAct Price PRESENTS, THAT WE FINAL PREMIUM WILL BE ADJUSTED BASED ON FINAL CONTRACT PRICE G.M.. SAM MF;;;inafter rto as "Contractor" as PRTNCIP , and CONTRACTORS BOINSURANCE COMPANY A corporation duly rganized and doing business and r and by virtue of the. laws of the state of California and duly licensed for the purpose of making, aranteeing, or becoming soles ety upon bonds or undertakings as urety, are held and firmly bo unto the CITY OF ARCAD�IA, CALL IA, hereinafter referred to as the "City" in ONE HUND SEVEN THOUSAND FIVE HUND SEVENTY THREE the sum. of DOTJ ARS N� /1 fl(Z Dollars (S 127,573.(0 y 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 OIBLIGATION ARE SUCIJ, t*t whereas said Contractor has been awarded and is about to enter Lnto a Contract with the City to perform all work required putsuant Ito the contract documents for the project entitled: 191 -1999 X&TRR SRRVICXS DIVTSX STRaaT CDT MPAVING which Contract is this reference incorporated 1herein, and is required by the City to give this Bond in corn ction with the execution of said retract; WW, THMFORJ shall well and ti obligations of said at the times and compliance with requi,remerits, then otherwise it shall PROVIDED, that the material to be terMs of said Coi Contractor or the time gr?nted under said Contractor or extensions of the c if said Contractor and. his Subcontractors my do and perform all the covenants and Contract on his part to be donD and performed in the manner specified herein including all Contract specifications and quality this obligation shall be uli and void, �e and remain in -full force an effect; any alterations in the work �o be done, or in furnished, which may be made ursuant to the :Tact, shall not in any Way release said xrety thereunder, nor shall aryr extensions of he provisions of said Contract release either aid Surety, and notice of much alterations of . ntract is hereby waived by mail Surety. C -3 I Hark Order 969 In.the event it is brought upon this Bond loy the City and judgment is recover ,. said surety shall pay all co* ts incurred by the City in such suit, including a reasonable attorjay,s faa to be fixed by the Court. MWITNESS WU R20F, we have hereunto sat our hands and aeals this 93RD day of MWTEMBM 19 96 G.M. SAS �•• CONTRACTORS NDING AND INSURANCE CC14PANY r . c ® Surety By: $ , WILL N, A:; - - ACT C -4, ADS mw Home Office: c is limited 1213 Valley Street P.O. Box 9271 Power of Attorney Y Seattle, WA 98109 -0271 (206) 622 -7053 KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of Washington, and having its principal office in Seattle, King County, Washington, does by these presents make, constitute and appoint WILLIAM SYRKIN of Laguna Hills, California, its true and lawful attorney -in -fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver: (1) SBA guaranteed performance and payment bonds not exceeding the penal sum of $1,250,000; (2) bid bonds for jobs where, if the contract is awarded, the SBA guaranteed performance and/or payment bond(s) will not exceed $1,250,000; (3) all other bonds coded and classified by the Surety Association of America in its Rate Manual of Fidelity, Forgery and Surety Bonds (including future amendments thereto) as Judicial, Contract (excluding bid bonds), Miscellaneous, License and Permit, and Federal not exceeding the penal sum of $3,000,000; (4) bid bonds for jobs written pursuant to the authority in clause (3) above where, if the contract is awarded, the performance and /or payment bond(s) will not exceed $3,000,000; and (5) all other bonds not exceeding the penal sum of $500,000. Provided, however, that WILLIAM SYRKIN is granted power and authority to exceed the applicable penal limit previously set forth for any bond in an amount equal to the amount of any letter of credit, or similar security, received as collateral security by the Company as an inducement to issue the bond; and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary; hereby ratifying and confirming all that the said attorney - in -tact may do in the premises. Said appointment is made under and by authority of the following resolutions adopted by the Board of Directors of the CONTRACTORS BONDING AND INSURANCE COMPANY on June 5,1996: RESOLVED that the President is authorized to appoint as attorney -in -fact of the Company WILLIAM SYRKIN with power and authority to sign on behalf of the Company: (1) SBA guaranteed performance and payment bonds not exceeding the penal sum of $1,250,000; (2) bid bonds forjobs where, if the contract is awarded, the SBA guaranteed performance and /or payment bond(s) will not exceed $1,250,000; (3) all other bonds coded and classified by the Surety Association of America in its Rate Manual of Fidelity, Forgery and Surety Bonds (including future amendments thereto) as Judicial, Contract (excluding bid bonds), Miscellaneous, License and Permit, and Federal not exceeding the penal sum of $3,000,000; (4) bid bonds for jobs written pursuant to the authority in clause (3) above where, if the contract is awarded, the performance and /or payment bond(s) will not exceed $3,000,000; and (5) all other bonds not exceeding the penal sum of $500,000. RESOLVED FURTHER that WILLIAM SYRKIN is granted power and authority to exceed the applicable penal limit set forth in the preceding resolution for any bond in an amount equal to the amount of any letter of credit, or similar security, received as collateral security by the Company as an inducement to issue the bond. RESOLVED FURTHER that the authority of the Secretary of the Company to certify the authenticity and effectiveness of the foregoing two resolutions in any Limited Power of Attorney is hereby delegated to the following persons, the signature of any of the following to bind the Company with respect to the authenticity and effectiveness of the foregoing resolutions as if signed by the Secretary of the Company: Donald Sirkin, Steven A. Gaines, J.D. Minto, Chris Reuman, Ann Croul and Wm. Blair Meixell. RESOLVED FURTHER that the signatures (including certification that the Power of Attorney is still in force and effect) of the President, Notary Public and person certifying authenticity and effectiveness, and the corporate and Notary seals appearing on any Limited Power of Attorney containing this and the foregoing resolutions as well as the Limited Power of Attorney itself and its transmission, may be by facsimile; and such Limited Power of Attorney shall be deemed an original in all aspects. RESOLVED FURTHER that all resolutions adopted priorto today appointing the above named as attorney- in-fact for CONTRACTORS BONDING AND INSURANCE COMPANY are hereby superseded. IN WITNESS WHEREOF, CONTRACTORS BONDING AND INSURANCE COMPANY has caused these presents to be signed by its President and its corporate seal to be hereto affixed this 5th day of June, 1996. CONTRACTORS BONDING AND INSURANCE COMPANY r AND yNSUt4t 0 °; 0a90P4 r SEAS, 1' By: �4,yo�'•.. s Steven A. Gaines, President '' %4SH (N STATE OF WASHINGTON — COUNTY OF KING On this 5th day of June, 1996, personally appeared STEVEN A. GAINES, to me known to be the President of the corporation that executed the foregoing Limited Power of Attorney and acknowledged said Limited Power of Attorney to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he is authorized to execute the said Limited Power of Attorney. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written. Notary Public in and for the tale o ashington, residing at Seattle ----------------- NOTARY PUBLIC STATE OF WASHINGTON MOLLY A. HUDSPETH My Appointment Expires JAN 9, 1997 The undersigned, acting under authority of the Board of Directors of CONTRACTORS BONDING AND INSURANCE COMPANY, hereby certifies, as or in lieu of Certificate of the Secretary of CONTRACTORS BONDING AND INSURANCE COMPANY, that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said Company, and does hereby further certify that the said Power of Attorney is still in force and effect. GIVEN under my hand .D(7f TNTA NTT.T.0 ('A 7 "2AT1 PoaWS01.01- US060596 DI• = .m ALL - PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County of ORANGE On 9/23/96 before me, REBECCA A HAAS, NOTARY PUBLIC , Date Name, Title of Officer - e.g. "Jane Doe, Notary Public" personally appeared _ WILLIAM SYRKTN Name(s) of Signer(s) (x] 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 Rebecca A. Haas signature(s) on the instrument the erson s or the entit on Comm. #1049415 P ( )F Y cNOTARY PUBLIC • CALIFORNIAO behalf of which the person(s) acted, executed the instrument. G ORANGE COUNTY Q 1FOF Comm Expire3Jan 30. 1999 -4 WITNESS my hand and official seal, Signature of Notary OPTIONAL Though the information requested below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED El Individual(s) DOCUMENT ❑ Corporate Officer(s) BOND Title(s) ❑ Partner(s) ❑ Limited ❑ General I—Xl Attorney -in -Fact ❑ Trustee(s) ❑ Guardian /Conservator ❑ Other: SIGNER IS REPRESENTING: Name of persons or entity(ies) CONTRACTORS BONDING AND INSURANCE COMPANY Title or Type of Document 2 Number of Pages 9/23/96 Date of Document Signer(s) Other than Named Above MscALPA.02- CA060194 Work Order S69 BOND NO. CC2632 r.ap...•Mc.ZM MUM Tar. 13M I PREMIUM INCLUDED IN (100F of Contract Price) it PERFORMANCE BOND X QOP ALL IwQEId BY THE R PRESENTS, THAT WE f G.M.. 00., iNC. hereinafter referred to as "Contractor" as PRI=IPAL, and CONTRACTORS BONDING ADD INSURANCE COMPANY a corporation duly crgaZized and doing business Under and by virtue of the laws of the 5tate of California, and duly 1'censed for the purpose of making, aranteeing, or becoming sole S raty upon bonds or undertakings as uxety, are held and firmly bo unto the CITY OF ARCADIA, CALIFO IA, hereinafter referred to as the *City^ in ONE RID TWEN'T'Y SEVEN THOUSAND FIVE RED SEVENTY THREE the Sum of nnTj.: A6m Nn/inn bollare t$ 127, 573. 0 ) , lawful money of the United States of America for the pa ent of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators, assigns and succenaors, jointl and severally, firmly by these presents. THE CMVITIONS OF THIS OBLIGATION ARE SUCH, tr Contractor has been awarded and is about to enter with the City to pej,form all work required pursuant documents for the Droject ehtitied: 199x6 1999 WAT P. 9ERVYCMB DIV-ZOTON J STRBgT COT &SPAVZNo which Contract , y this reference incorporated required by the C.' ty to give this Bond in c:ozu7e Execution of said ntract; t whereas said nto a Contract to the contract herein,,, and is ction with the NOW, THEREFORE, if said Contractor or aubccm rector in said Contract fails to pay for any materials, a pment, tools, provision, provendar 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 abor thereon of any kind, or for a urts due under applicable law ith respect to any work or labor t iereon, said Surety will pay fox the same in an amount not exCeedi g the sum specified above, an .a►lso, in case suit is brought upon this Bond, 'a reasonabla atto eye fee, to be fixed by the Court This Bond shall inure to the benefit of any and all persons, co hies, or corporations entitle to file claims ander applicable 1 ; - f C -5 I ' work order 569 t P10VIDED, that* alterations in the work to a done, or the materials, equipme t, tools, provisions, prove der or other supplies, or teams, r services to be furnished, wh ch may be made pursuant to the to ms of said Contract, shall t in any way reileace either said ntract or or said Surety there der, nor shall any extensions of time granted under the pray; ions of said Contract release either said Contraetcr'or said Su ty, and notice of such alterations' or extensions of the Contract. is hereby waived by said Surety. IN W17 NESS WHM10F, we have hereunto set our ands and seals this 23RD Ljy of CONTRACTORS NDING AND a.m. MGM =bMwa= Co., INC. INSURANCE ANY ritC D� . surety By,: By, (SEAL)'' c8 FJUJ1 WILLIAM SM IN, AT'T'ORNEY -IN -FACT C -6 r i TOTAL P.08 BONDS Home Office: c is Limited 1213 Valley Street Power of Attorney P.O. 9271 INSUlSANC'E Y Seattlele, , WA 98109 -0271 (206) 622 -7053 KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of Washington, and having its principal office in Seattle, King County, Washington, does by these presents make, constitute and appoint WILLIAM SYRKIN of Laguna Hills, California, its true and lawful attorney -in -fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver: (1) SBA guaranteed performance and payment bonds not exceeding the penal sum of $1,250,000; (2) bid bonds for jobs where, if the contract is awarded, the SBA guaranteed performance and /or payment bond(s) will not exceed $1,250,000; (3) all other bonds coded and classified by the Surety Association of America in its Rate Manual of Fidelity, Forgery and Surety Bonds (including future amendments thereto) as Judicial, Contract (excluding bid bonds), Miscellaneous, License and Permit, and Federal not exceeding the penal sum of $3,000,000; (4) bid bonds for jobs written pursuant to the authority in clause (3) above where, if the contract is awarded, the performance and /or payment bond(s) will not exceed $3,000,000; and (5) all other bonds not exceeding the penal sum of $500,000. Provided, however, that WILLIAM SYRKIN is granted power and authority to exceed the applicable penal limit previously set forth for any bond in an amount equal to the amount of any letter of credit, or similar security, received as collateral security by the Company as an inducement to issue the bond; and to bind the Company thereby as fully and to The same extent as if such bonds were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary; hereby ratifying and confirming all that the said attorney - in -fact may do in the premises. Said appointment is made under and by authority of the following resolutions adopted by the Board of Directors of the CONTRACTORS BONDING AND INSURANCE COMPANY on June 5,1996: RESOLVED that the President is authorized to appoint as attorney -in -fact of the Company WILLIAM SYRKIN with power and authority to sign on behalf of the Company: (1) SBA guaranteed performance and payment bonds not exceeding the penal sum of $1,250,000; (2) bid bonds forjobswhere, if the contract is awarded, the SBA guaranteed performance and /orpayment bond(s) will not exceed $1,250,000; (3) all other bonds coded and classified by the Surety Association of America in its Rate Manual of Fidelity, Forgery and Surety Bonds (including future amendments thereto) as Judicial, Contract (excluding bid bonds), Miscellaneous, License and Permit, and Federal not exceeding the penal sum of $3,000,000; (4) bid bonds for jobs written pursuant to the authority in clause (3) above where, if the contract is awarded, the performance and/or payment bond(s) will not exceed $3,000,000; and (5) all other bonds not exceeding the penal sum of $500,000. RESOLVED FURTHER that WILLIAM SYRKIN is granted power and authority to exceed the applicable penal limit set forth in the preceding resolution for any bond in an amount equal to the amount of any letter of credit, or similar security, received as collateral security by the Company as an inducement to issue the bond. RESOLVED FURTHER that the authority of the Secretary of the Company to certify the authenticity and effectiveness of the foregoing two resolutions in any Limited Power of Attorney is hereby delegated to the following persons, the signature of any of the following to bind the Company with respect to the authenticity and effectiveness of the foregoing resolutions as if signed by the Secretary of the Company: Donald Sirkin, Steven A. Gaines, J.D. Minto, Chris Reuman, Ann Croul and Wm. Blair Meixell, RESOLVED FURTHER that the signatures (including certification that the Power of Attorney is still in force and effect) of the President, Notary Public and person certifying authenticity and effectiveness, and the corporate and Notary seals appearing on any Limited Power of Attorney containing this and the foregoing resolutions as well as the Limited Power of Attorney itself and its transmission, may be by facsimile; and such Limited Power of Attorney shall be deemed an original in all aspects. RESOLVED FURTHER that all resolutions adopted prior to today appointing the above named as attomey -in -fact for CONTRACTORS BONDING AND INSURANCE COMPANY are hereby superseded. IN WITNESS WHEREOF, CONTRACTORS BONDING AND INSURANCE COMPANY has caused these presents to be signed by its President and its corporate seal to be hereto affixed this 5th day of June, 1996. CONTRACTORS BONDING AND INSURANCE COMPANY _ \*G AND /* f4tr pRPORgr �y's 5 ni i �• SEAL••' CC 7b By: /,�� �� ,1979,.• Steven A. Gaines, President STATE OF WASHINGTON — COUNTY OF KING On this 5th day of June, 1996, personally appeared STEVEN A. GAINES, to me known to be the President of the corporation that executed the foregoing Limited Power of Attorney and acknowledged said Limited Power of Attorney to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he is authorized to execute the said Limited Power of Attorney. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written. Notary Public in and for the tale o ashington, residing at Seattle ----------------- NOTARY PUBLIC STATE OF WASHINGTON MOLLY A. HUDSPETH MV Appointment Expires JAN 9, 1097 The undersigned, acting under authority of the Board of Directors of CONTRACTORS BONDING AND INSURANCE COMPANY, hereby certifies, as or in lieu of Certificate of the Secretary of CONTRACTORS BONDING AND INSURANCE COMPANY, that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said Company, and does hereby further certify that the said Power of Attorney is still in force and effect. GIVEN under my hand at LAGUNA HILLS, CA , this 23RD day of SEPTEMBER 1996 PoaWS01.01- US060596 ALL - PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County of ORANGE On 9/23/96 Date before me, REBECCA A. HAAS, NOTARY PUBLIC , Name, Title of Officer - e.g. "Jane Doe, Notary Public" personally appeared WILLIAM SYRKTN Name(s) of Signer(s) Ix1 personally known to me - OR - 1 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 Rebecca A. Haas signature(s) on the instrument the person(s), or the entity on U Comm. #1049415 behalf of which the person(s) acted, executed the instrument. • TARY PUBLIC - CALIFORNIAG) ORANGE COUNTY 0 Comm Expires Jan so 1999 WITNESS my hand and official seal, a ;7 Signature of Notary OPTIONAL Though the information requested below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED C1 Individual(s) DOCUMENT [_] Corporate Officer(s) Title(s) Partner(s) f _ l Limited C ] General fX Attorney -in -Fact ❑ Trustee(s) ❑ Guardian /Conservator ❑ Other: SIGNER IS REPRESENTING: Name of persons or entity(ies) CONTRACTORS BONDING AND INSURANCE COMPANY BOND Title or Type of Document 2 Number of Pages 9/23/96 Date of Document Signer(s) Other than Named Above MscALPA.02- CA060194 alalia� CERTIFICATE OF INSURANCE ISSUE M/DDnv, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE COACHELLA VALLEY INSURANCE SERVICE, INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 81-557 DR. CARREON #B -8 POLICIES BELOW. INDIO, CA 92201 COMPANIES AFFORDING COVERAGE COMPANY A GOLDEN EAGLE INSURANCE COMPANY LETTER COMPANY B INSURED LETTER G.M. SAGER CONSTRUCTION CO., INC. LETTER PANY C X11431 EAST END POMONA, CA 91766 CO LETTERNY D COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM /DD /YY) DATE (MM /DD /YY) ' A GENERAL LIABILITY GENERAL AGGREGATE $ 2 ,000 ,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS- COMP /OP AGG. $ 1 ,000 ,000 CLAIMS MADE X OCCUR. CCP393141 -00 3/17/96 3/17/97 PERSONAL & ADV. INJURY $ 1,000,000 X OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED. EXPENSE (Any one person) $ 5,000 i A AUTOMOBILE LIABILITY COMBINED SINGLE X ANY AUTO CCP393141 -00 3/17/96 3/17/97 LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS ° A NWC301963 -01 4/10/96 4/10/97 EACH ACCIDENT $ 1,000,000 AND DISEASE— POLICY LIMIT $ 1,000,000 EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS THE CITY OF ARCADIA, MAINTENANCE SERVICES DEPARTMENT, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSUREDS AS RESPECTS 1996 -1999 MAINTENANCE SERVICES DEPARTMENT - WATER DTVTSTON__ STREET ..CUT_REPAVING.,_. WORK .._. ORDER -_- 554_________ .- CERTIFICATE HOLDER CANCELLATION 10 DAY NOTICE FOR NON PAYMENT OF PREMIUM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MICHAEL H. MILLER EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO CITY ATTORNEY MAIL -,30– DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE CITY OF ARCADIA LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 240 WEST HUNTINGTON DRIVE LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. P.O. BOX 60021 CAD ARIA, CA 91066 -6021 H 12ED�RE AUT PRESENTATIVE / lACORD 25 -S (7/90) ©ACORD CORPORATION 1990 r , Work Order 569 TI-I 181844629'31 P.03 RSEMEN'T TO INSURANCE POLICY Name of Ynsurance compin <� C P *� 4) '? /u I .- f7 Cy -3.11 -7 C� '31'(7 d��_�L�•re >aa.te j � � The following endo seme:its are hereby incorporateL by reference onto the attached Certificate cf Tnsurance as though fully set forth thereon: 1. The naminy of an additional insured . as 1 terein provided shall not affect any recovery to Which h uc additional insured w ,Id be entitled under this polipy if not named as such additional insured, and 21 The add t onal insured named herein sha�Z not be held liable fc any prerniurn or expense of any nature on this policy or any extensions thereof, and 3. The addiUonal insured named heroin shat not by reason of being so named be considered a membe, of any mutual insurance company for any purpose whatsoever, and 4. The prov i sions of the policy will nit be changed, suspended, can,,,elled or otherwise term, i aced as to the interest f the additional insured named, herein without first gi ing such additional insured t�enty (20) days written notice. i S. Any other insurance held by the addition '1 insured shall not be re fired to contribute anything tov'ard any loss or expense covered by the insurance which is referred to by this cert'ficate. It is agreed that she insured, are included as ,Additional AuLZOZ s Fnsuran7f Agent i r TCITHL P.0