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HomeMy WebLinkAboutC-1568eLao �� ORIGINAL CITY OF ARCADIA CALIFORNIA BID DOCUMENTS FOR 1996197 SLURRY SEAL AND GUARD TOP PROJECTS CONTRACT AMOUNT $156,908.40 CITY COUNCIL ROBERT C. HARBICHT, MAYOR DR. SHENG CHANG BARBARA D. KUHN GARY A. KOVACIC MARY B. YOUNG WILLIAM R. KELLY CITY MANAGER PAT MALLOY MAINTENANCE SERVICES DIRECTOR AGREEMENT CONTRACT DOCUMENTS AGREEMENT THIS AGREEMENT, made and executed this la 7* day of 19 91 , between the City of Arcadia, whose address is 240 W. Huntington D ive, Arcadia, California 91007, (Ilereinafter eferred to as "CITY ") and #+• /!�('� i� la P U 66'1 J"n, Mlle � • MC"' whose address is gioc iez- /fie hereinafter referred to as "CONTRACTOR ". RECITALS A. City has invited bids relative to the 1996 -1997 Slurry Seal and Guard Top Projects. B. Contractor has submitted a bid for the performance of the work above described and warranted to the City that it is possessed of the skills requisite in order to complete the said project. C. City has accepted the bid submitted by the Contractor and authorized the award of the contract to the Contractor. NOW, THEREFORE, in consideration of performance by the parties of the covenants and conditions herein provided, City and Contractor agrees 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 -1997 SLURRY SEAL AND GUARD TOP PROJECTS 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 I 23 Contractor shall receive in full compensation therefor 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. 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. S. The Notice Inviting Bids, Information Required of Bidders, Contractor's Bid, Special Provisions, Technical Specifications, 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. IN WITNESS WHEREOF, the parties hereto have caused this contract to be executed the day and year first above written. CITY OF ARCADIA .. By Mayor (SEAL) b. ATTEST: Ci Clerk APPROVED AS TO FORM: City Attorney 24 AW CONT R By SIEPMEN E. MEN VICE PRES., OPERATIONS Title ., BOND NUMBER: B2752230 FAITHFUL PERFORMANCE BOND PREMIUM: $706.00 l00% of Contract Price KNOW ALL PERSONS BY THESE PRESENTS: That CALIFORNIA PAVEMENT MAINTENANCE COMPANY INC. hereinafter referred to as "CONTRACTOR" as PRINCIPAL, and RELIANCE INSURANCE COMPANY A corporation duly organized and doing business under and by virtue of the laws of the State of California and duly licensed for the purpose of making, guaranteeing, or becoming sole surety upon bonds or undertakings as Surety, are held and firmly bound unto the CITY OF ARCADIA, CALIFORNIA, hereinafter referred to as the "CITY" in the sum of ONE HUNDRED FIFTY SIX THOUSAND NINE HUNDRED EIGHT AND .40/100 ---- ------- Dollars ($ 15 ,908.40- - - - - -) 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: 1996 -1997 SLURRY SEAL AND GUARD TOP PROJECTS �. 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. 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 21st day of May 19 97 alifornia avement Maintenance Company Reliance Insurance Company Principal Surety B l v By: y� (SEAL) JoseSEAL) STEPHEN E.OLSEN ph H. Weber, Attorney -In -Fact VICE PRES., OPERATIONS 25 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA ss County of sarramentn On May 21, 1997 date before me, Mary E. A. McLaughlin - Notary Public here insert name and title of the officer personally appeared Inspph H Weber name(s) of signer(s) ' personally known to me to be the personiM whose name(#) is/gRft subscribed to the within instrument and acknowledged to me that he66 mfidmy executed the same in his, kqk*kkauthorized capacity(iw4 and that by his&npr&bxincsignatureW on the instrument the person, or the entity upon behalf of which the person(iLk acted, executed the instrument. •� MARY E. A. McLAUGHLIN WITNES hand and official seal. n COMM. #1078927 a) M = s •; Notary Public - California v Signature m �' SACRAMENTO COUNTY (Seal) .o.• . My Comm. Exp. Nov. 29, 1999 (The balance of this page is intentionally left blank.) C:3 me L-1 'a1 K_ 1 s l® W__1 W. 7 .1• RELIANCE SURETY COMPANY RELIANCE INSURANCE COMPANY UNITED PACIFIC INSURANCE COMPANY RELIANCE NATIONAL INDEMNITY COMPANY ADMINISTRATIVE OFFICE, PHILADELPHIA, PENNSYLVANIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that RELIANCE SURETY COMPANY is a corporation duly organized under the laws of the State of Del- aware, and that RELIANCE INSURANCE COMPANY and UNITED PACIFIC INSURANCE COMPANY, are corporations duly organized under the laws of the Commonwealth of Pennsylvania and that RELIANCE NATIONAL INDEMNITY COMPANY is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called "the Companies ") and that the Companies by virtue of signature and seals do hereby make, constitute and appoint Joseph H. Weber, of Sacramento, California their true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver for and on their behalf, and as their act and deed any and all bonds and undertakings of suretyship and to bind the Companies thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the Companies and sealed and attested by one other of such officers, and hereby ratifies and confirms all that their said Attorney(s) -in -Fact may do in pursuance hereof. This Power of Attorney is granted under and by the authority of Article VII of the By -Laws of RELIANCE SURETY COMPANY, RELIANCE INSURANCE COMPANY, UNITED PACIFIC INSURANCE COMPANY, and RELIANCE NATIONAL INDEMNITY COMPANY which provisions are now in full force and effect, reading as follows: ARTICLE VII - EXECUTION OF BONDS AND UNDERTAKINGS 1. The Board of Directors, the President, the Chairman of the Board, any Senior Vice President, any Vice President or Assistant Vice President or other officer designated by the Board of Directors shall have power and authority to (a) appoint Attorneys) -in -Fact and to authorize them to execute on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and (b) to remove any such Attorneys) -in -Fact at any time and revoke the power and authority given to them. 2. Attorney(s)-in -Fact shall have power and authority, subject to the terms and limitations of the Power of Attorney issued to them, to execute deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The corporate seal is not necessary for the validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. 3. Attorney(s)-in -Fact shall have power and authority to execute affidavits required to be attached to bonds, recognizances, contracts of indemnity or other conditional or obligatory undertakings and they shall also have power and authority to certify the financial statement of the Company and to copies of the By -Laws of the Company or any article or section thereof. This Power of Attorney is signed and sealed by facsimile under and by authority of the following resolution adopted by the Executive and Finance Committees of the Boards of Directors of Reliance Insurance Company, United Pacific Insurance Company and Reliance National Indemnity Company by Unanimous Consent dated as of February 28, 1994 and by the Executive and Financial Committee of the Board of Directors of Reliance Surety Company by Unanimous Consent dated as of March 31, 1994. "Resolved that the signatures of such directors and officers and the seal of the Company may be affixed to any such Power of Attorney or any certificates relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such Power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company, in the future with respect to any bond or undertaking to which it is attached." IN WITNESS WHEREOF, the Companies have caused these presents to be signed and their corporate seals to be hereto affixed, this July 19, 1996. �SEAL1 STATE OF Washington } COUNTY OF King } ss. RELIANCE SURETY COMPANY RELIANCE INSURANCE COMPANY UNITED PACIFIC INSURANCE COMPANY RELIANCE NATIONAL INDEMNITY COMPANY On this, July 19, 1996, before me, Janet Blankley, personally appeared Mark W. Alsup, who acknowledged himself to be the Vice President of the Reliance Surety Company, and the Vice President of Reliance Insurance Company, United Pacific Insurance Company, and Reliance National Indemnity Company and that as such, being authorized to do so, executed the foregoing instrument for the purpose therein contained by signing the name of the corporation by himself as its duly authorized officer. In witness whereof, I hereunto set my hand and official seal. �'\ v V`9ti • � Ju5�eM4 -f" r10TARy �^ <tr< Wli E U, Pucc , vl tz PAZ ♦� Notary P blic in and for the State of Washingt �OFWAS Residingrat Puyallup I, Robyn Layng, Assistant Secretary of RELIANCE SURETY COMPANY, RELIANCE INSURANCE COMPANY, UNITED PACIFIC INSURANCE OMP- ANY, and RELIANCE NATIONAL INDEMNITY COMPANY do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 21 St day of May 19 97 �ut`? - lro,, \ °off° ret �� �Ql�•` n,&,,, 7.1 5[AL i SAL ; Aiis ,a v,­/ 0 Assistant Secretary .e BOND NUMBER: B2752230 LABOR AND MATERIAL BOND PREMIUM INCLUDED IN (100% of Contract Price) PERFORMANCE BOND; .a KNOW ALL PERSONS BY THESE PRESENTS: �. That CALIFORNIA PAVEMENT MAINTENANCE COMPANY, INC. hereinafter referred to as "CONTRACTOR" as PRINCIPAL, and RELIANCE 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 AND 0 DRED FIFTY SIX THOUSAND NINE HUNDRED EIGH'Dollars ($ 156,908.40---- - - - -), w ul 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: 1996 -1997 SLURRY SEAL AND GUARD TOP PROJECTS ,. 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 40 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; PROVIDED, that any alterations in the work to be done, or the STA'L'E OF CALIFORNIA COUNTYOF ............ Sacramento ........................... ............................... -Q7 - before me, Cindy Sapi ao .. ............................... .. ,,�........ ...... T ............... On ................... personally personally app ........................... . eared ......... St ephen..E.....IJ].sen .......... .... . known to me (or proved on the basis of satisfactory evidence) to be the per- son(s) whose name(s) is /are subscribed in the within instrument and am 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 upon behalf of which the person(s) AN roe cam Od. 1!M acted, executed the instrument. WITNESS i and and official seal. No Lary public�inandState. s The document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to ad, as a suwkLA* for the advice of an attorney. The printer does not nrka any warranty, either express or implied, a to the legal vaidrty of any proveion or the suitability d Ness tams (Revised 1/'93) transaction' Cowdery's Form No. IDG — ACKNOWLEDGMENT— General (Civil Code llfi9(a)) CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA ss County of 4arramentn On May 21, 1997 before me, Mary E. A. McLaughlin - Notary Plih1 is date here insert name and title of the officer personally appeared Tnspph H Weber name(s) of signer(s) ' personally known to me to be the person whose name(p) is,/R4M subscribed to the within instrument and acknowledged to me that helklmidmy executed the same in hisakeX&ckc authorized capacity(jmiL and that by his&w ridmimsignature(z) on the instrument the person, or the entity upon behalf of which the person(jLc acted, executed the instrument. .••w °• •� MARY E. A. McLAUGHLIN WITNESS my hand and 4ITicial seal. a =' COMM. #1078927 W M. d ,; Notary Public- Califomia Signature m f SACRAMENTO COUNTY (Seal) • . °.� My Comm. Exp. Nov. 29, 1999 (The balance of this page is intentionally left blank.) in IO ■1111 K 0 RELIANCE SURETY COMPANY RELIANCE INSURANCE COMPANY UNITED PACIFIC INSURANCE COMPANY RELIANCE NATIONAL INDEMNITY COMPANY ADMINISTRATIVE OFFICE, PHILADELPHIA, PENNSYLVANIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that RELIANCE SURETY COMPANY is a corporation duly organized under the laws of the State of Del- aware, and that RELIANCE INSURANCE COMPANY and UNITED PACIFIC INSURANCE COMPANY, are corporations duly organized under the laws of the Commonwealth of Pennsylvania and that RELIANCE NATIONAL INDEMNITY COMPANY is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called "the Companies ") and that the Companies by virtue of signature and seals do hereby make, constitute and appoint Joseph H. Weber, of Sacramento, California their true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver for and on their behalf, and as their act and deed any and all bonds and undertakings of suretyship and to bind the Companies thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the Companies and sealed and attested by one other of such officers, and hereby ratifies and confirms all that their said Attorney(s)-in -Fact may do in pursuance hereof. This Power of Attorney is granted under and by the authority of Article VII of the By -Laws of RELIANCE SURETY COMPANY, RELIANCE INSURANCE COMPANY, UNITED PACIFIC INSURANCE COMPANY, and RELIANCE NATIONAL INDEMNITY COMPANY which provisions are now in full force and effect, reading as follows: ARTICLE VII - EXECUTION OF BONDS AND UNDERTAKINGS 1 . The Board of Directors, the President, the Chairman of the Board, any Senior Vice President, any Vice President or Assistant Vice President or other officer designated by the Board of Directors shall have power and authority to (a) appoint Attorney(s)-In -Fact and to authorize them to execute on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and (b) to remove any such Attorney(s)-in -Fact at any time and revoke the power and authority given to them. 2. Attorney(s)-in -Fact shall have power and authority, subject to the terms and limitations of the Power of Attorney issued to them, to execute deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The corporate seal is not necessary for the validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. 3. Attorney(s)-in -Fact shall have power and authority to execute affidavits required to be attached to bonds, recognizances, contracts of indemnity or other conditional or obligatory undertakings and they shall also have power and authority to certify the financial statement of the Company and to copies of the By -Laws of the Company or any article or section thereof. This Power of Attorney is signed and sealed by facsimile under and by authority of the following resolution adopted by the Executive and Finance Committees of the Boards of Directors of Reliance Insurance Company, United Pacific Insurance Company and Reliance National Indemnity Company by Unanimous Consent dated as of February 28, 1994 and by the Executive and Financial Committee of the Board of Directors of Reliance Surety Company by Unanimous Consent dated as of March 31, 1994. "Resolved that the signatures of such directors and officers and the seal of the Company may be affixed to any such Power of Attorney or any certificates relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such Power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company, in the future with respect to any bond or undertaking to which it is attached." IN WITNESS WHEREOF, the Companies have caused these presents to be signed and their corporate seals to be hereto affixed, this July 19, 1996. •i�" rM ,1�M V SEA ;. 62,41, #• uees G�, n.AW �,' litµ i • 1 STATE OF Washington } COUNTY OF King } Ss. RELIANCE SURETY COMPANY RELIANCE INSURANCE COMPANY UNITED PACIFIC INSURANCE COMPANY RELIANCE NATIONAL INDEMNITY COMPANY On this, July 19, 1996, before me, Janet Blankley, personally appeared Mark W. Alsup, who acknowledged himself to be the Vice President of the Reliance Surety Company, and the Vice President of Reliance Insurance Company, United Pacific Insurance Company, and Reliance National Indemnity Company and that as such, being authorized to do so, executed the foregoing instrument for the purpose therein contained by signing the name of the corporation by himself as its duly authorized officer. In witness whereof, I hereunto set my hand and official seal. 0,B�ti • + E s PUBLIC , 7 ��' Notary Plfblic in and for the State of Washingt FCFWA Residingrat Puyallup I, Robyn Layng, Assistant Secretary of RELIANCE SURETY COMPANY, RELIANCE INSURANCE COMPANY, UNITED PACIFIC INSURANCE OMP- ANY, and RELIANCE NATIONAL INDEMNITY COMPANY do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 21 St day of May 19 97. � •0. CO •� 1��1 t n�b�•r (I SEAL S SLAL �i te3e Z F OrI AII t`~ Y Assistant Secretary MAY — 2 S— 9 7 WE: D 1 0: 52 C P M co SPIN D I E G O a T H E PAVEMENT MAINTENANCE COMPANY QUALITY CONTROL PROGRAM FOR CITY OF ARCADIA CPM CONTROLS THE QUALITY OF A PRODUCT BY HAVING COMPLETE CONTROL OF THE MATERIALS SUPPLIED TO THE PROJECT AND THE EQUIPMENT USED ON THE PROJECT. THE EQUIPMENT IS OF THE HIGHEST STANDARD AND IS MANUFACTURED BY CPM. OUR SLURRY MACHINES HAVE THE REPUTATION OF BEING THE MOST RELIABLE AVAILABLE ANYWHERE AND ARE SOLD WORLDWIDE BY CPM. MATERIAL SUPPLIERS ARE REQUIRED BY CPM TO SUPPLY THE MOST COMPATIBLE AGGREGATE AND EMULSION AVAILABLE IN THE AREA. P _ 0:2 CPM HAS A FULL TIME SUPERVISOR ON THE JOB AT ALL TIMES WHO IS IN BOTH RADIO AND TELEPHONE CONTACT WITH OUR OFFICES. OUR WORKERS ARE EXPERIENCED AND WORK TOGETHER AS A CREW. NOTICES ARE PASSED OUT TO LOCAL CITIZENS EXPLAINING THE WORK WITH A TELEPHONE NUMBER TO CALL SHOULD THERE BE ANY QUESTIONS OR COMPLAINTS. TELEPHONE NUMBERS HAVE BEEN PROVIDED TO THE CITY OF ARCADIA FOR THE LOCAL OFFICE IN FONTANA, THE REGIONAL OFFICE IN SAN DIEGO AND THE CORPORATE OFFICE IN SACRAMENTO. IF A CALL COMES IN TO ANY OF THESE OFFICES, WE CAN RtSPOND BOTH BY RADIO AND TELEPHONE TO THE CREWS WORKING IN THE FIELD California Pavement Maintenance Company, Inc. • 4891 Ronson Court, Ste. J • San Diego, CA 92111 (619) 268 -9884 • Fax (619) 268.1529 • California License # 374514 This form should be sent to the Joint Apprenticeship Committee of the craft or trade in the area of the site of the public work. If you have any questions as to the address of the appropriate Joint Apprenticeship Committee, contact the nearest office of the Division of Apprenticeship Standards (DAS). Consult your ,-� telephone directory under California, State of, Industrial Relations, for the DAS office In your area. PUBLIC WORKS CONTRACT AWARD INFORMATION NAME OF CONTRACTOR CONTRACTORS STATE LICENSE NO. California Pavement Maintenance Co., Inc. I 374514 CONTRACTORS MAILING ADDRESS — NUMBER & STREET, CrM ZIP CODE AREA CODE & TELEPHONE NO. 9390 Elder Creek Road Sacramento, CA 95829 (916) 381 -8033 NAME & LOCATION OF PUBLIC WORKS PROJECT DATE OF CONTRACT AWARD 1996/97 Slurry Seal & Guard Top Projects May 6, 1997 DATE OF EXPECTED OR ACTUAL START OF PROJECT May 26 thru 30, 1997 NAME & ADDRESS OF PUBUC AGENCY AWARDING CONTRACT ( City of Arcadia ESTIMATED NUMBER OF JOURNEYMEN HOURS 240 W Huntington Drive Arcadia, CA 91007 APPRENTICES OCCUPATION OF APPRENTICE I NUMBER TO BE EMPLOYED APPROXIMATE DATES TO BE EMPLOYED Check One Of The Boxes Below: 7. Box 1 0 We request dispatch of apprentice(s) for this job. We voluntarily choose to comply with the applicable Joint Apprenticeship Committee Standards for the duration of this job only, in training the apprentice(s). We' assume no other obligations to the committee or unions under State or Federal laws. Box 2 0 We request dispatch of apprentice(s) for this job. We do not wish to follow the applicable Joint Apprenticeship Committee Standards in training the apprentices; instead, we agree to employ and train apprentice(s) in accordance with the California Apprenticeship Council regulations governing employment of apprentices on public work projects. We assume no other obligations to the committee or unions under State or Federal laws. Box 3 0 We are already approved to train apprentices by the applicable Joint Apprenticeship Committee and we will employ and train under the Standards. Box 4 FX7X We do not request the dispatch of apprentice(s) since apprentices are not required on this job under the provisions of California Labor Code Section 1777.5, because: Non- Apprenticeable Craft Signature Typed Name Carol Ann McCune Contracts Administrator Title Date State of California — Department of Industrial Relations DAS 140 (New I /W) DIVISION OF APPRENTICESHIP STANDARDS 05/23/97 CO Ln N N co ru Al _ m 'e4 m � A � o � CL Co 0 CD U O C fn U �a.ru N 7 a.. U c c Z 0 9661 I!JdV 'QO$E O Lrl Ln f� CO ru '.I c U d C 0O 00 LO N M C C Q M c U m C U O O y U W .ru C O m V c m u M m 41 cn N C m 2 '. H W } Z v Z .. - wZa 2aa wz2 > W p CC ~ V a Z Wa U Q ti U] M 4-3 o N N N •rl -F� to co Q W � U to CO O O N co Z Ca fy LCN � M � 0. rn CO O M v] Il in C7 C '"M _M CERTIFICATE OF INSURANCE ISSUE DATE: 5/23/97 PRODUCER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER OTHER COVERAGE AFFORDED BY THE POLICIES BELOW. ACORDIA LLOYD INSURANCE SERVICES COMPANIES AFFORDING COVERAGE 525 MARKET STREET, SUITE 2200 COMPANY LETTER Clarendon American Insurance Co SAN FRANCISCO, CALIFORNIA 94105 415 - 541 -7900 COMPANY LETTER B American Manufacturers Mutual Ins Co INSURED: COMPANY LETTER C California Pavement Maintenance Co., Inc. COMPANY LETTER D 9390 Elder Creek Rd COMPANY LETTER E Sacramento, CA 95829 y s ' z< is 1 '::• >::;'': < >:;: >:'.'<:.'.:<:<;; >::. ...... ............. E.. �O::LiT'S ...................... z<? >[ " < ' > [ >.... # 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'I'HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDn IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO. TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. DESCRIPTION LIMITS LTR DATE DATE A GENERAL LIABILITY TNC0698/97/0090 3 -31 -97 3 -31 -98 GENERAL AGGREGATE 2,000,000 1 COMM. GENERAL LLAB. PROD - COMP /OP AGG. 1,000,000 CLAIMS MADE PERS & ADV. INJURY 1,000,000 OCCURRENCE EACH OCCURRENCE 1,000,000 ❑ OWNER'S & CONTRACTS PROT FIRE DAMAGE (One Fire) 50,000 ❑ MEDICAL EXPENSE (One Person) 5,000 B AUTOMOBILE LIABILITY F34016533 -00 3 -31 -97 3 -31 -98 F-1 ANY AUTO COMBINED SINGLE LIMIT 1,000,000 O ALL OWNED AUTOS BODILY INJURY (Per Person) SCHEDULED AUTOS BODILY INJURY (Per Accident) HIRED AUTOS PROPERTY DAMAGE NON -OWNED AUTOS ❑ GARAGE LIABILITY EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS'COMPENSATION F-1 STATUTORY LIMITS AND EACH ACCIDENT EMPLOYER'S LIABILITY DISEASE - POLICY LIMIT DISEASE -EACH EMPLOYEE OTHER INSURANCE DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS: Certificateholder is named as Additional Insured per CG2010 attached. Re: 1996/97 Slurry Seal and Guard Top Projects. Special City Endorsement attached.. Subject to ten (10) days notice of cancellation for non - payment of premium. CPM Job #: NAME AND ADDRESS OF CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL E *Tr�QJt TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Bk" r7t!E R LIA THE COMPANY, ITS AGE FS. City of Arcadia Maintenance Services Department AU THO ED R P ENTATIVE: 240 W Huntington Drive P.O. Box 60021 Arcadia, CA 91066 -6021 r CPM Job #: COMMERCIAL LIABILITY POLICY NUMBER: TNC0698/97/0090 NAMED INSURED: California Pavement Maintenance Co., Inc. THE ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE NAME OF PERSON OR ORGANIZATION: City of Arcadia, its officers and employees Maintenance Services Department 240 W Huntington Drive P.O. Box 60021 Arcadia, CA 91066 -6021 JOB DESCRIPTION: 1996/97 Slurry Seal and Guard Top Projects. Special City Endorsement attached. CPM Job: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. THE INSURANCE PROVIDED BY THIS ENDORSEMENT WITH THE ADDITIONAL INSURED NAMED IN THE SCHEDULE IS PRIMARY. OTHER INSURANCE AFFORDED TO THE ADDITIONAL INSURED SHALL APPLY AS EXCESS OF AND NOT CONTRIBUTE WITH THE INSURANCE AFFORDED BY THIS ENDORSEMENT. CPM Job #: ENDORSEMENTS TO INSURANCE POLICY C'r ARRNfXW AMERT A TNSIJRAN['F CYYyfPANV Name of Znauranc• Company TNC 0698/97/0090 Policy Number 3/31/97 Effective Date 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. The additional insured named herein shall not be held liable for any premium or expense of any nature on rhis 'policy or any extensions thereof, and 3. The additional insured named herein shall not by reason of being so named be considered a member of any mutual insurance company for any purpose whatsoever, and 4. The provisions of the policy will not be changed, suspended, canceled or otherwise terminated as to the interest of the additional insured named herein without first giving such additional insured twenty (2o) days written notice. S. Any other insurance held by the additional insured shall not be required to contribute anything toward any loss or expense covered by the insurance which is referred to by this certificate. It is agreed that the City of Arcadia, i6s Officers and em loveas, are included as Additional Insured. G— i IA –MDYD INSURANCE SERVICES Aut rized Insurance Agent Date- 5/23/97 28