HomeMy WebLinkAboutContracts & Agreements_33-1991_CCv0001.pdf DOCUMENT 00500
AGREEMENT
THIS AGREEMENT, made and entered into this TUENTIETH day of
AUGUST r 199 L by and between SCHUf-ER ENGINEERING
CQUORATION - hereinafter referred to as "Contractor, " and City
of Redlands, San Bernardino County, CALIFORNIA, hereinafter referred to as
"Owner."
WITNESSETH:
That for and in consideration of the promises and agreements hereinafter made
and exchanged, Owner and Contractor agree as follows:
1. That Contractor shall complete the Work generally described as follows :
Contract No. 27-8981-4735 in accordance with the Contract Documents therefor,
adopted by the City Council of Owner, as prepared by John Carollo Engineers.
2 . That Owner will pay Contractor progress payments and the final payment, in
accordance with the provisions of the Contract Documents, with warrants drawn
on the appropriate fund or funds as required, at the prices bid, accepted by
Owner, and set forth in this Agreement.
Lump Sum Bid $Qne-Million, Two-Hundred Eighty-Four
$1, 284, 538.00 Thousand, Five-Hundred Thirty-Eip-,ht
Dollars
and No Cents
Bid Alternate A, [Add/Deduct.] $
Price
$4, 000 . 00 $Four-Thousand Dollars
and - No Cents
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Contract Price in Figures $
Contract Price in Words
Dollars
and Cents
Add or Deduct Unit Prices
Item 1: $
add or deduct Dollars
and Cents
Item 2: $
Dollars
add or deduct and Cents
3 . Contractor agrees to complete said Work within the Contract Time of two
hundred forty (240) working days, from the date of the Notice to Proceed, to
the satisfaction of Owner before final payment is made.
4. Time is of the essence on this Contract.
5. Contractor agrees that in case the Work is not completed before or upon
the expiration of the Contract Time, damage will be sustained by Owner, and
that it is and will be impracticable to determine the actual damage which
Owner will sustain in the event and by reason of such delay, and it is
therefore agreed that Contractor shall pay to Owner the amount of One Thousand
($1, 000.00) dollars for each calendar day of delay, which shall be the period
between the expiration of the Contract Time and the date of final acceptance
by Owner, as liquidated damages and not as penalty. It is further agreed that
the amount stipulated for liquidated damages per day of delay is a reasonable
estimate of the damages that would be sustained by Owner, and Contractor
agrees to pay such liquidated damages as herein provided. In case the
liquidated damages are not paid, Contractor agrees that Owner may deduct the
amount thereof from any money due or that may become due to Contractor by
progress payments or otherwise under the Contract, or if said amount is not
sufficient, recover the total amount.
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6 . That Contractor will pay, and will require Subcontractors to pay,
employees on the Work a salary or wage at least equal to the prevailing salary
or wage established for such work as set forth in the wage determinations and
wage standards applicable to this work, contained in or referenced in the
Contract Documents.
7 . That, in accordance with Section 1775 of the California Labor Code,
Contractor shall forfeit to Owner, as a penalty, not more that Fifty (50)
Dollars for each day, or portion thereof, for each worker paid, either by
Contractor or any Subcontractor, less than the prevailing rates as determined
by the Director of the California Department of Industrial Relations for the
Work.
8 . That, except as provided in Section 1815 of the California Labor Code, in
the performance of the Work not more than eight (8) hours shall constitute a
day's work, and not more than -forty (40) hours shall constitute a week's work;
that Contractor shall not require more than eight (8) hours of labor in a day
nor more than forty hours of labor in a week from any person employed by
Contractor or any Subcontractor; that Contractor shall conform to Division 2,
Part 7, Chapter 1, Article 3 (Section 1810, et seq. ) of the California Labor
Code; and that Contractor shall forfeit to Owner, as a penalty, the sum of
Twenty-Five (255) Dollars for each worker employed in the execution of the Work
by Contractor or any Subcontractor for each day during which any worker is
required or permitted to labor more than eight (8) hours in violation of said
Article 3.
9 . That Contractor shall carry worker's compensation insurance and require
Subcontractors to carry workmen' s compensation insurance as required by the
California Labor Code.
10. That Contractor shall have furnished, prior to execution of the Contract,
two bonds approved by Owner, one in the amount of One Hundred (100) Percent of
the Contract Price, to guarantee the faithful performance of the Work, and one
in the amount of One Hundred (100) Percent of the Contract Price to guarantee
payment of all claims for labor and materials furnished. This Contract shall
not become effective until such bonds are supplied to and approved by Owner.
11 . That this Agreement, by reference, includes the Contract Documents
defined in Document 00700 General Conditions.
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IN WITNESS WHEREOF, said Contractor and the City of Redlands, by Resolution
No, of the City Council of Owner thereunto duly authorized, have
caused 'the names of said parties to be affixed hereto, each in duplicate, the
day and year first above written.
SCHULER ENCINEERINC CORPORATION City of Redlands
Contractor SAN BERNARDIN{3 COUNTY, CALIFORNIA
._
y
By B
y
.�
Bruce A. Schuler y= Mayes, Cit of R ,
President ATTEST: u
Title City JClerk, Ci ,oJ Redlands
Contractor City
Seal Seal
* * * END OF DOCUMENT 00500
t
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DOCUMENT 00610
PERFORMANCE BOND Bond No. 30236575
KNOW ALL MEN BY THESE PRESENTS, THAT, WHEREAS, the City of Redlands, San
Bernardino County, California, hereinafter designated the "Owner, " has, on
August28. 199_1, awarded to _ Schuler Engineering Corporation
r hereinafter
designated as the "Principal, " a contract for the construction of Contract
No. 27-8981-4735.
WHEREAS, said Principal is required under the terms of said contract to
furnish a bond for the faithful performance of said contract:
NOW, THEREFORE, WE, the Principal, and Fidelity and Deposit Company of Maryland
as Surety, are held and firmly
bound unto the Owner the penal sum of One Million. Two Hundred Eighty Four Thousand
E13Za Hundred ThJrJy_;Light ---------------------------------------------- dollars
($ 1,2aA,538.00 ) lawful money of the United States, for the payment of which
sum well and truly to be made, we bind ourselves, our heirs, executors,
administrators, and successors, jointly and severally, firmly by these
presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that if the above bounden Principal,
or its heirs, executors, administrators, successors, or assigns, shall in all
things stand to and abide by, and well and truly keep and faithfully perform
the covenants, conditions, and agreements in the said contract and any
altergtions made as therein provided, on its or their part, to be kept and
performed at the time and in the manner therein specified, and in all respects
according to their true intent and meaning, and shall indemnify and save
harmless, Owner and Engineer, their officers, agents, and employees as therein
stipulated, then this obligation shall become null and void; otherwise it
shall be and remain in full force and virtue and Principal and Surety, in the
event suit is brought on this bond, will pay to Owner such reasonable
attorney's fees as shall be fixed by the court.
As a condition precedent to the satisfactory completion of the said contract,
the above obligation in the said amount shall hold good for a period of
one (1) year after the completion and acceptance of said contract, during
which time if the above bounden Principal, its heirs, executors ,
administrators, successors, or assigns shall fail to make full, complete, and
satisfactory repair and replacements or totally protect said Owner from loss
of damage made evident during said period of one year from the date of
acceptance of, the work under said contract, and resulting from or caused by
defective materials or faulty workmanship in the prosecution of the work done,
the above obligation in the said amount shall remain in full force and effect.
However, anything in this paragraph to the contrary notwithstanding, the
obligation of the Surety hereunder shall continue so long as any obligation of
the Principal remains.
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Valatilvorq*nics
And the said Surety, for value received, hereby stipulates and agrees that no
change, extension of time, alteration, or, addition to the terms of the
contract or to the work to be performed thereunder or the specifications
accompanying the same shall, in any way, affect its obligations on this bond,
and it does hereby waive notice of any such change, extension of time,
alteration, or addition to the terms of the contract or to the work or to the
specifications. Said Surety hereby waives the provisions of Sections 2819 and
2845 of the Civil Code of the State of California.
As a part of the obligation secured hereby and in addition to the amount
specified therefor, there shall be included costs and reasonable expenses and
fees, including reasonable attorney's fees, incurred by Owner in successfully
enforcing such obligation, all to be taxed as costs and included in any
Judgment rendered.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument
under their seals this llth day of
September 199 1, the name and corporate seal of each corporate
party being hereto affixed and these presents duly signed by its undersigned
representative, pursuant to authority of its governing body.
SCHULER ENGINEERING CORPORkTICU
Principal
(Seal) ?01 President
Signature for Principal Title
Bruce A. Schuler
Surety lidelity and Deposis,,.,Ompany of Maryland
L
(Seal)
Signa re for Surety11,-,,
-i Title
Michael R. Langan, Attorney-in-Fact
Surety's address for service of
process:
225 S. Lake Ave. #700
Pasadena, CA. 91101
END OF DOCUMENT 00610
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Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE,BALTIMORE,MO.
KNOW ALL MEN By THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the
State of Maryland. by C. M. PECOT, JR.
Vice President, and C. W. ROBBINS
Assistant Secretary,in pursuance of authority granted by Article VI,Section 2,of the By-Laws of said Compariv,which
reads as follows:
..The
The Chairman of the Board,or the President, or any Executive Vice-President,or any of the 'Senior Vice-Presidents or Vice-president,
Specially authorized so to do by the Board of Directors or by the Executive Committee-,shall have power,by and with the concurrence of the Secretary
or anvone of the Assistant Secretaries,to appoint Resident Vice-Presidents,Assistant Vice-Presidents and Attarnevs-in-Fact as the business of the
Company may require.or to authorize any person or persons to execute on behalf of the Company any bonds', undertakings. rccognizanre,,
3tipuianons,policies,contracts,agreements,deeds,and releases and assignments of judgements,decree s,mortgages and instruments in the nature of
mortgages,.., and to affix the seal of the Company thereto."
does hereby Dominate constitute and appoint Mi c h ae I R. Langan cif Pasadena, Cal-;I o r n i a
d deliver,for,and on behalf
awful agent and Attorney-in Fact,to make,execute,seal arn.4 A-I.— 7_1
rue an la�wful..�entn attorney y�,n- as surety,and as
its act and deed: any and all bonds and undertakings. . . . . . . . . . . . . . . . . . . . . . . .
n t e execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the
regularly elected officers of the Company at its office in Baltimore, Md., in their,own proper persons.
The said Assistant Secretary does hereby certify that the aforegoing is a true copy of Article VI,Section 2,of the By-Laws of said Company,and is
now in force,
IN WITNESS WHEREOF,the said Vice-President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this ................day
of.,._.,_.._,,,,,.,Decenqber
....................... ............ . A.D. 19_85_.
%.J�A.
ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND
SEAL
NPe ................... ......... .... By ............... ...........
----------- ........
Assistant Secretary Vice-President
STATE OF MARYLAND
CITYov BALTIMORE
On this 13 t 11 day of December A.D.19 8 5 before the subscriber,a Notary Public of the State of Maryland,in
and for the City of Baltimore,duly commissioned and qualified,came the above-named Vice-President and Assistant Secretary of the FIDELITY AND
DEPOSIT COMPAN-Y OF MARYLAND,to me personally known to be the individuals and officers described in and who executed the preceding instrument,
a'rid they each acknowledged the execution of the same,and being by me duly sworn,severally and each for himself deposeth and saith,that they are
the said officers of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and that the
said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the
said Corporation.
INTEhTIMONY WHEREOF,I have hereunto set my hand and affixed by Official Seal,at the City of Baltimore,the day and gear first above written-
Notary PublicACommission x 5_j.Ul Y..--, 956
CERTIFICATE
1, the undersigned. Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the original Power of
Attorney of which the foregoing is full,true'and correct copy,is in full force and effect on the date of this certificate;and I do further-certify that the
Vice President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to
appoint any Attorney-in-Fact as provided in Article VI,Section 2 of the By-Laws of the FIDELITY AND DEPOSIT COMMA OF MARYLAND,
This(ettificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY ANo
DEPOSIT COMPANY OF MARYLAND at a meeting duly called and'held on the 16th day of July,1969.
RFSOLVED:"That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company.whether made heretofore or
hereafter,wherever appearing upon a certified co y of any power of attorney issued by the Company,shall be valid and binding upon the Company
with the same force and effect as though manually affixed,"
IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the said Company,this day
...9...11
12--74Jsstsrant Se tarn
L!4_1a.-Cff -054 ------
1,-()R YC)l R PP 11()N: I ()f)W 1,(It Q '111 1 F U, f I VV A'FFR%I A R k7
DOCUMENT 00620
PAYMENT BOND Bond No. 30236575
KNOW ALL MEN BY THESE PRESENTS, THAT, WHEREAS, the City of Redlands, San
Bernardino County, California, hereinafter designated the "Owner, " has, on
August 28, 19911 awarded to Schuler Engineering Corporation
1 hereinafter
designated as the "Principal, " a contract for the construction of Contract
No. 27-8981-4735.
WHEREAS, said Principal is required under the terms of said contract to
furnish a bond providing that if said Principal, or any of its Subcontractors,
shall fail to pay for any materials, provisions, or other supplies used in,
upon, for, or about the performance of the work under said contract, or for
any work or labor done thereon of any kind, the Surety of this bond will pay
the same to the extent hereinafter set forth:
I -
NOW, THEREFORE, WE, the Principal, and Fidelity and Deposit Company of
Maryland as Surety, are held and firmly
bound unto the Owner the penal sum of One Million Two Hundred Eighty Four
1housand ime Hundrpd-Thirty Right--- -------------------------------- dollars
($ 1,284,538.QQ ) lawful money of the United States, for the payment of which
sum well and truly to be made, we bind ourselves, our heirs, executors,
administrators, and successors, jointly and severally, firmly by these
presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that if the above bounden Principal,
or its heirs, executors, administrators, successors, or assigns, shall fail to
pay any person specified in California Civil Code Section 3181, or for any
materials, provisions, or other supplies used in, upon, for, or about the
performance of the work under said contract, or for any work or labor thereon
of any kind or for amount due under the Unemployment Insurance Code with
respect to work or labor performed under said contract, or for any amounts
due, or to be withheld pursuant to Sections 18806 of the Revenue and Taxation
Code of the State of California, or with respect to any work or labor for
which a bond is required by the provisions of Sections 3247 through 3252 of
the California Civil Code, and provided that the persons, companies, or
corporations so furnishing said materials, provisions, or other supplies,
appliances, or power use, in, upon, for, or about the performance of the work
under said contract, or any person who performs work or labor upon same, or
any person who supplies both work and materials, thereto, shall have complied
with the provisions of said Civil Code, then said surety will pay the same in
or to an amount- not exceeding the amount hereinbefore set forth, and also will
Pay in case suit is brought upon this bond, such reasonable attorney's fees to
owner as shall be fixed by the court.
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This bond shall inure to the benefit of Owner and any and all persons,
companies, and corporations and their respective assigns entitled to file
claims under applicable State law, including but not limited to, California
Civil Code Section 3181, so as to give a right of action to them or their
assigns in any suit brought upon this bond.
And the said Surety, for value received, hereby stipulates and agrees that no
change, extension of time, alteration, or addition to the terms of said
contract or to the work to be performed thereunder or the specifications
accompanying the same shall, in any way, affect its obligations on this bond,
and it does hereby waive notice of any such change, extension of time,
alteration, or addition to the terms of the contract or to the work or to the
specifications. Said Surety hereby waives the provisions of Sections 2819 and
2845 of the Civil Code of the State of California.
As a part of the obligation secured hereby and in addition to the amount
specified therefor, there shall be included costs and reasonable expenses and
fees, including reasonable attorney's fees, incurred by Owner in successfully
enforcing such obligation, all to be taxed as costs and included in any
judgment rendered.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument
under their seals this llth day of
Se2tember —P 199 1 the name and corporate seal of each corporate
party being hereto affixed and these presents duly signed by its undersigned
representative, pursuant to authority of its governing body.
SCHULER ENGINEERING CORPORATION
Principal
(Seal) President
Signature for Principal Title
Bruce A. Schuler
Fidelity and Deposit Company of Maryland
Surety
(Seal)
Signat4ie for S rety Title
Michael R. Lan an, Attorney-in-Fact
Surety's address for service of
process:
225 S. Lake Ave. #700
Pasadena, CA. 91101
END OF DOCUMENT 00620
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F2847B13
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Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE,BALTIMORE,MD
KNOW ALL-MEN By THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the
State of Maryland. by C. M. PECOT, JR. Vice-President, and C. W. ROBBINS
Assistant Secretary,in pursuance of authority granted by Article V1,Section 2,of the Bv-Laws of said Company.which
reads as follows-
'The Chairman of the Board,or the President, or anv Executive Vice-president, or any of the Senior Vice-Presidents or Vice-Presidents
,peciad,authorized so to do by the Board of Directors or by the Executive Committee,shall have power,by and with the concurrence of the Socretary
,ran 1v one A the Assistant Secretaries,to appoint Resident Vice-Presidents.Assistant Vice-Presidents and Attorirevs-in-Fact as the business of the
Company may require, or to authorize any person or persons to execute on behalf of the Cornpariv any bonds'-undertakings, r-,rognizance ,
snpulatifjr,_,,pokcies,contracts,agreements,deeds,and releases and assignments of judgements,de,roes,mortgages and mstruments in the nature of
Inortgagef. ._ and It,affix the seat of the Company thereto."
does hereby nominate constitute and appoint M i cith ae I R. Langan of P a s ade na, Cal i f o rr,i a.
rue an aw ul agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as
its act and deed: anv and all bonds and undertakings. . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . .
n t e execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the
regularly elected officers of the Companv at its office in Baltimore, Md., in their own proper persons.
The said Assistant Secretary does hereby certify that the aforegoing is a true copy of Article VI,Section 2,of the By-Laws of said Company,and is
now in force.
IN, WITNESS WHEREOF,the said Vice-President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND. this -------- .......day
of ..._December
..................... A.D. 19_§.5...
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
ar ATTEST:
E
. ...... ............ ............ ..........____--- By ...........
1* ee Assistant Secretary
Vice-President
STATE OF MARYLAND ?
CITY OF BALTIMORE Ss:
On this 13 th day of December A.D. 19 85 before the subscriber,a Notary Public of the State ofMarvIand,in
and for the City of Baltimore,duly commissioned and qualified,came the above-named Vice-President and Assistant ssistant Secretary of the FLDFLITY AND
DEPO-;IT COMPANY OF MARYLAND,to me personally known to be the individuals and officers described in and who executed the preceding instrument,
and they each acknowledged the execution of the-same,and being by me duly sworn,severally and each for himself deposeth and with,that they are
the said officers of the Company aforesaid,and that the seat affixed to the preceding instrument is the Corporate Seal of said Company,and that the
said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the
said Corporation,
I-,TESTIMONY WHEREOF.I have hereunto set my hand and affixed by Official Seal,at the City of Baltimore,the dayand year first above Written.
T
'rotary Public tCommission x s_J.0
CERTIFICATE
L the undersigned, Assistant Secretary,of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the original Power of
Attorney of which the foregoing is a full,true and correct copy,is in full force and effect on the date of this certificate;and I do further certify that the
lice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors
to
iso
appoint any Attorney-in-Fact as provided in Article VI:Section 2 of the By-Laws of the FiDFLiTy ADEPOSIT COMPANY OF MARYLAND.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY ,ND
DE,fo)SIT COMPANY OF MaRYLAND at a meeting duly called and held on the 16th day of July=. 1969,
RESOLVED:"That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company,whether made heretofore or
hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company
with the-same force and effect as though manually affixed."
IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the said(_,ompany,this__11th_---.. da.v
ot
...Sep.t_embLer... ----------- -
__44
A ssistizat Se n,
——--------------- ---------
L'-Q�—ro, —012-7454
F(_)R N_011`12 I3R0 'lT`(l1()N: 11)()K F()R 'HIF FkDWATERNIARK
DOCUMENT 00680
WARRANTY FORM
CONTRACT NO. 27-8981-4735
We guarantee the Volatile Organics Removal Facilities - Texas Street Well Site
that we have constructed for the City of Redlands, San Bernardino County,
California, for a period of one year, except as otherwise stipulated in
Article 6.07 of Document 00700, General Conditions.
We agree to correct defective work as stipulated in said Article 6.07, and in
the event of our failure to comply with the provisions of said Article 6.07
within a reasonable time after being notified, or should the exigencies of the
case require repairs or replacements to be made before we can be notified or
respond to notification, we do hereby authorize the City of Redlands to
proceed to have the defective work corrected and made good at our expense, and
we will pay, upon demand, the cost therefor including such applicable costs
and expenses stipulated in Article 6.07, upon demand.
This warranty shall not be in lieu of, but shall be in addition to other
warranties or other obligations otherwise imposed by the Contract Documents
and by law.
e�
Contractor: f
Signed:
{Authorized Representative)
Title:
(Authorized Representative)
Date: 9- a
END OF DOCUMENT 00680
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Vc-'atileOrganics Div-OC680
ISSUE DATE(MM/DD/YY)
CERTIFICATE OF INSURANCE V
PRODUCER
CERTIFICATE 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 THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
COMPANY
canE sue-coDE LETTER A (f*-'l234S�r�'
COMPANY B .. .. .._.
,INSURED LETTER
COMPAETTERNY C. MTis7
.t
- COMPAN
LEY D Mk� �1
LET-TER �
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,
t
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
f
iC0 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
-LTR DATE(MM/DD/YY) DATE(MMIDD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $ -
COMMERCIAL GENERAL LIABILITY PRODUCT&COMPIOPS AGGREGATE $ -
CLAIMS MADE OCCUR PERSONAL&ADVERTISING INJURY $ - -
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ "
FIRE DAMAGE(Any one fire) $
MEDICAL EXPENSE(Any one person) S
AUTOMOBILE LIABILITY COMBINED
ANY AUTO - - _ _. :. _ _ _ _ - SINGLE $ _
LIMIT
ALL OWNED AUTOS BODILY
INJURY 3
SCHEDULED AUTOS (Per person)
HIRED AUTOS BOMLY
NJURY S
NON-OWNED AUTOS (Pet accident)
GARAGE LIABILITY
PROPERTY �
DAMAGE
i
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
r WORKER'S COMPENSATION STATUTORY
I
AND - -" - $ (EACH ACCIDENT)
$ (DISEASE—POLICY LIMIT)
EMPLOYERS'LIABILITY
$ - - (DISEASE—EACH EMPLOYEE)'
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELtATtON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
f MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
i
LIABILITY OF ANY a D UPON THE COMPANY, ITS TS OR REPRESENTATIVES,
AUTHORIZED REP ESel ATtVE S -
ACORD 25-S(3/88) 'ACORD CORPORATION 1988