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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.)
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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
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■1111
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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
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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
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' 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
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