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HomeMy WebLinkAboutContracts & Agreements_38-1995_CCv0001.pdf Recorded in Official Records, County of RECORDINa REQUESTEDSan Bernardino, Errol J. Mackzum, Recorder O WHEN RECMED ML TO No Fee Doc No . 18850308805 CITY CLERK 0 . 1 0 am 09/07/95 CITY OF RED NDS 36 CAJON STREET BOX 3005 005 1@351 01 05 ED 92373 - — s— 6 ON ST CIT-CO I TRANS TAX MO FEE CBRG EXAM NOTICE OF COMPLETION NOtice Pure-Want to C10 Code Section 3M, must be ftled within 10 days after completion, Notice is hereby given that go. 1. The undersigned is Owner or coWate dicer of the owner of the interest or estate stated below In the property twehatter described: 2The full is: CITY OF RED NDS , The full address of Vie owner is: 35 CAJON STREET, P.O. BOX 3005 REQ NDS CA 92373 The nature oftha interest or estate ot the ter i g Infee. 5, The full names and full addresses of all pemons,if any,who hold tie with the undersigned ` t teriants or as tenants in common are,- NOT re:NOT APPLICABLE Of,ImPrmwwt PrOMV horeirtafter dwribed was compleWAugust 28, 199& The work d was- the resurfacing and re-striping of Redlands Municipal Airport, Contract N . 64-71 -4150„ T, The naMe Of the,COnUWW for SUCh Work of improvement : California Pavement Maintenance merry Inc 1 Holism t,Ste J,San Diego CA 92111 May 16, 1995 l tr The properti on which said of improvement was completedis in the cid of Redlands,county of nmarlin ,state ot call , and I : Redlands Municipal Airport. 9Th-Street addr-s of said prorraft is. 1633 Sessums Driwe, Redlands CA 92374 r Dated: August 29, 199-5 � .. --A- so or 0 c VERIFICATION I, the undersigned, say: 1 am the Public Warks Director of the dedarmt of tho r ; I ham read said n& e of cornplebw and know#-e contents#mroot tie sarne ts true of my mn knowledge, I dedwear true and_ rNeaiurd on August 29, 1995,at Redlands,cwifornia, compwkm am uw,) J. AGREEMENT THIS AGREEMENT,made and entered into this 16th day of TAAY 1995, by and between the City of Redlands, a Municipal Corporation, organized and existing under the laws of the State of California , hereinafter referred to as the " City " and CALIFORNIA PAVEMENT MAIN:EENANCE COMPANY, a partnership consisting of or an individual trading as of the City of SAN DIEGO County of SAN DIEGO State of California, hereinafter referred to as the "contractor". WITNESSETH: That the City and the contractor, for the consideration hereinafter named, agree as follows: 1. SCOPE OF WORK: The contractor-will furnish all materials and will perform all of the work for the following: Construction of the Airport Improvements project, complete, all as shown on drawing nos. F-1496-1 and -2, inclusive, as specified, and made a part of Contract No. 64-7155-4150. 2. THE CONTRACT SUM: $71 ,400 . 00 3. TIME FOR COMPLETION: The work to be completed within thirty (30) work days from and after the date of the Notice to Proceed. 4. CONTRACT DOCUMENTS: The complete contract includes all of the contract documents set forth herein, to wit; Notice Inviting Bids, Instructions to Bidders, Proposals and Bid Form, Bid Bond, Agreement,Faithful Performance Bond,Labor and Material Bond,Plans and Specifications and any addenda thereto. 7- CD-46 IN WI'T'NESS WIIEREOF, the parties hereto have executed this Agreement the day and year first written above. (SEAL) City of Redlands (Owner) ayor, Cityof Redlands, County of San Bernardino, California ATTEST: City ter' City of Coun f San Be r `di c, Califoi'ria (SEAL) California Pavement Maintenance Co., Inc. Name of Contractor By Signature o Authorized Agent Elizabeth Airoso, Corporate Secretary "Title Signature of Authorized Agent (if necessary) Title 374514 Contractor's License No. CD-47 Bond No. B2443673 Premium Included in Performance Bond L. LABOR AND MATERIAL BOND KNOW ALL PERSONS BY THESE PRESENTS That California Pavement Maintenance Company, Inc. as contractor, and Reliance Insurance Company - as Surety, are held and firmly bound unto the City of Redlands, hereinafter called City, in the sum of Seventy One Thousand Four Hundred and no/100 --------- dollars for payment of which sum well and truly to be made,we bind ourselves,our heirs,executors, administrators,successors,and assigns,jointly and severally, firmly by these presents. WHEREAS,said contractor has been awarded and is about to enter into the annexed contract with said City, to perform all work required under the City's Contract No. 64-7155-4150 . NOW,THEREFORE,if said contractor,or sub-contractor, fails to pay for any materials,equipment, or other supplies,or for rental of same,used in connection with the performance of work contracted to be done,or for amounts due under applicable State law for any work or labor thereon,said Surety will pay for the same in an amount not exceeding the sum specified above, and, in the event 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 persons, companies, or corporations entitled to file claims under applicable State law and will remain in force until 90 days after completion. PROVIDED,that any alterations in the work to be done or the materials to be furnished,which may be made pursuant to the terms of said contract, shall not in any way release either said contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said contract release either said contractor or said Surety, and notice of such alterations or extensions of the contract is hereby waived by said Surety. SIGNED AND SEALED, this 24thday of May 1995. California Pavement Maintenance Reliance Insuranc _9�Uyny Company, Inc. (SEAL) (Contractor) (Surety) By: By: (Signature (Signature) -------- os(Signature) H. Weber, Attorney-in-Fact ) Elizabeth Airoso Corporate Secretary Address: Pldkeft-Roth*and Mufft M am 13190 Telephone fffigm a"rft cav".Isom 3 T_ LWR3834M (Seal and Notarial Acknowledgment of Surety) CD-49 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA SS County of SaCraA_enl:U On May 24, 1995 before me, Wen date here insert name an title of the officer personally appearedJoseph kl name name{s}of signer(s) personally known to me to be the person(.�O whose name(g� is1aM subscribed to the within instrument and acknowledged to me that hel tW executed the same in his1Y %bAX authorized capacity , and that by hisltalMDtr signatures) on the instrument the person(s), or the entity upon behalf of which the person(iij acted, executed the instrument �.° ENDS GAGE '0011 WITNESS my hand and official seal. ! SSION 0 , SACRAMENTO v (Seal) Signature �. MY Comm t , (The balance of this page is intentionally left blank.) RELIANCE INSURANCE COMPANY HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, That the RELIANCE INSURANCE COMPANY, a corporation duty organized under the laws of the State of Pennsylvania, does hereby make, constitute and appoint Joseph H. Weber, individually, of Sacramento. California, its true and lawful Attorneyts)-in-Fact, to make, execute, seal and deliver for and on its behalf, and as its act and deed any and all bonds and undertakings of suretyship and to bind the RELIANCE INSURANCE COMPANY 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 RELIANCE INSURANCE COMPANY and sealed and attested by one other of such officers,and hereby ratifies and confirms all that its said Attorney(s)-in-Fact may do in pursuance hereof, This Power of Attorney is granted under and by authority of Article VII of the By-Laws of RELIANCE INSURANCE COMPANY which became effective September 7, 1978, which provisions are now in full force and effect, reading as follows: ARTICLE Vil- EXECUTION OF BONDS AND UNDERTAKING 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 Attorneyis)-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 and 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 Board of Directors of RELIANCE INSURANCE COMPANY at a meeting held on the 5th day of June, 1979, at which a quorum was present, and said Resolution has not been amended or repealed: "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 seat 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 RELIANCE INSURANCE COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed, this 6 day of October, 1993 RELIANCE INSURANCE COMPANY ice President STATE OF Washington COUNTY OF King Iss. On this 6 day of October, 1993 personally appe re Lawrence W. Carlstrorn to me known to be the Vice President of the RELI NC ACE PANY, and acknowledged that he executed and attested the foregoing instrument and affixed the seal of said ejgrt nd that Article VII, Section 1, 2, and 3 of the By-Laws of said Company,and the Resolution,set forth therein,are PLj670 �A I Notary Public in and for State of Washington Residing at Sumner 1, Robyn Layng, Assistant Secretary of the RELIANCE MPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by said RELIAN INSURANCE COMPANY, which is still in full force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seat of said Company this 24thdayof May 1995 "ASU"t"c" A Assistant Secretary _*1014ttom*90�0 BOR-1431 Ed.3/93 Bond No. B2443673 Premium: $321.00 K. FAITHFUL PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS That California Pavement Maintenance Company, Inc. as contractor, and Reliance Insurance Company ... as Surety,are held and firmly bound unto the City of Redlands, hereinafter called City, in the sum of Seventy One Thousand Four Hundred and noZ100 ------- dollars, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrator, successors, and assigns,jointly and severally, firmly by these presents. WHEREAS,said contractor has been awarded and is about to enter into the annexed contract with said City to perform all work required under the City's Contract No. 64-7155-4150. NOW, THEREFORE, if said contractor shall perform all of the requirements of said contract required to be performed on their part, at the times and in the manner specified therein, then this obligation shall be null and void, otherwise it shall remain in full force and in effect until 90 days after completion. PROVIDED,that any alterations in the work to be done or the materials to be furnished,which may be made pursuant to the terms of said contract, shall not in any way release said contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said contract release either said contractor or said Surety, and notice of such alteration or extensions of the contract is hereby waived by said Surety. SIGNED AND SEALED, this 24th day of May 1995. California Pavement Maintenance Company, Inc. (SEAL) Reliance Insurance NSA ) (Contractor) (Surety) By: By: Jos l . (Signature) iure Elizabet t h Airoso virw Wner, Attorney-in-Fact Corporate Secretary Address: kft4W*4k WW Mwphy Telephone No. PA"Ism wewmetft GoTwnb ON 13 3S (Sea] and Notarial Acknowledgment of Surety) CD-48 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT NATE OF CALIFORNIA SS County of Sacramento On May 24, 1995 before me, Wen - T date here insert name an title of the officer personally appeared Joseph H. Teber names)of signer(s) personally known to mei ? }} to be the person(;} whose name(&E is/" subscribed to the within instrument and acknowledged to me that he/ tW executed the same in hisfhKtMW& authorized capacity(", and that by hist1xXb*tr signature(G) on the instrument the person%), or the entity upon behalf of which the person(.A acted, executed the instrument. WENDY GAGE WITNESS m hand and official seal. ,' CQMMIMON #1040= NOT Comm SignaturecoMt 21. (Seal) (Che balance of this page is intentionally left blank.) RELIANCE INSURANCE COMPANY HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, That the RELIANCE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Pennsylvania, does hereby make, constitute and appoint Joseph H. Weber, individually, of Sacramento, California, its true and lawful Attorneys)-in-Fact, to make, execute, seat and deliver for and on its behalf, and as its act and deed any and all bonds and undertakings of suretyship and to bind the RELIANCE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and under-takings and other writings obligatory in the nature thereof were signed by an Executive Officer of the RELIANCE INSURANCE COMPANY and sealed and attested by one other of such officers, and hereby ratifies and confirms all that its said Attorneys)-in-Fact may do in pursuance hereof. This Power of Attorney is granted under and by authority of Article VII of the By-Laws of RELIANCE INSURANCE COMPANY which became effective September 7, 1978,which provisions are now in full force and effect, reading as follows: ARTICLE VII -EXECUTION OF BONDS AND UNDERTAKING 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 Attorney(s)-in-Fact at any time and revoke the power and authority given to them. 2. Attorneys)-in-Fact shall have power and authority, subject to the terms and limitations of the Power of Attorney issued to them, to execute and deliver on behalf of the Company, bonds and under-takings, 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. Attorneys)-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 Board of Directors of RELIANCE INSURANCE COMPANY at a meeting held on the 5th day of June, 1979, at which a quorum was present, and said Resolution has not been amended or repealed: "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 under-taking to which it is attached." IN WITNESS WHEREOF,the RELIANCE INSURANCE COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed, this 6 day of October, 1993 RELIANCE INSURANCE COMPANY STATE OF Washington ice President COUNTY OF King lss. � .D-040 On this 6 day of October, 1993 personally appe:are,'-W- 7-�_ Lawrence W. Carlstrom to me known to be the Vice President of the RELIAN4 f AN`CE­C,WPANY, and acknowledged that he executed and attested the arar foregoing instrument arid affixed the seal of rd that Article VII, Section 1, 2, arid 3 of the By-Laws of said Company,and the Resolution,set forth therein, eici N:0 PUB, '! ri C� - =C--f dtf Notary Public in and for State of Washington Residing at Sumner 1, Robyn Layng, Assistant Secretary of the RELIANCE MPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by said RELIAN INSURANCE COMPANY, which is still in full force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Company this 24th day of May 1995 '11 ,Q!A_7� ' Z Assistant Secretary BOR-1431 Ed,3/93 CERTIFICATE OF INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COFFERS NO RIGHTS UPON THE CERTIFICATE r=s Ct e t t..,-Roth o Lz & Murphy HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE C e t I�d 'I. OVERAGE AFFORDED B THE POLICIES _ _..._ .`?. Box 13190 COMPANIESAFFORDING COVERAGE 3a c iCOMPANY -amentot CA 95813 INSUREDCOMFAs.Y 9390 ELder Creek Road COMPANY Sacramento, CA 95229 COMPANY 1 lCOVERAGES NIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TCT E 1N8E JP ED NANffilDlABb4E FOR THE CSL€C Y F CF€C INDICATED, NGTA/ff-ISTANDING ANY REQUIREMENT,TERM OR CONDI T IO OF ANY CONTRACT OR OT �F �C3t?��$� I T� SPLCT T 'JHIu T 'S CERTIFICATE MAY BE ISSUED OR MAY PERTA=.N. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE ,' 7cC T T C ALL`',HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'AIC,CLAIMS. NO "Y a OF INSURANCE POLICY NUMBER POLICY EFFECTIVE RLp CY EX€.RA � - LTR BATE(M€AiDDYYj [IATA(.$FA'D YY),'' _ LdA4dT EFA LIABILITY "' R AGGRO AX -,OfIMF.,C,A3ENPRALa ABILITY Z10002390 -3-'-31 9'; 3/371/96 A 1() _0`_ I PERSONAL kr;NJ i € { v r, r v • . 'OCCUR X rCWNER S&CC ,P CTORs PRO' EACH OFOU RENO $ 10 t 00 10�t;. FIRE DAMAGE Any one x?e• � AUTOMOBILE LIABILITY _ € ..._... .. .�.._.��.__ IZ 01.°'8 ': t nJMI NEosI cIL,I,:IT y t €s �. AAJ`C Au-`v s � € 3 95 s ��s � A,-,OWNED AUTOS BODILYN.URY L >CF ;tJLC, ED hC=rc iP--F''snn :, BODILY 'JURY NON-O:-,NEDAUTCS Wer ncc.aen') -_..."_ PROPERTY DAMAGE GARAGELIABILITY :AUTO ONLY EA A,CCd FN-T t`=..;,i'r'AU TC OTHEIT THAN AUT C ON:y EACH AC IDEN- :. AGGREGATE $ -------------- E;^ESS=IABILITY EACH,u RAE dGE UF,R .LLA F0R,M AGGREGATE WORKERS COMPENSATION AND S,ATUT DRY LIMiIS EMPLOYERS'LIAMLI T Y R EACH ACCIDENT w Pc C 7 E- F':, ,-., O.SEASE POLICY-!W1 e -tr.NEI4 F!£ F. q Ri -XCL -ASEASE-EACH ENIP'OY L -------------- ,._...,_ ._..__ ._ ..m...._.._ ... �._.......�.._._.. ._„_ _.__.._ . .,____... _ _ .. ..C....,..a �.v ., __..___............... DESCRIPTION OF OPERATIONS Sr VEHICLES SPECIAL ITEMS� _" Pro Contract o. 64--7155--4450 CERTIFICATE H L E A E LATI N 10 DAYS NOME FOR NON PAYMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE '. EXPfRATION ELATE THEREOF, THE ISSUING COMPANY VBLL ? IuSA€I I ty {' RedLands 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT„ P.O. Box 3005 R(,�?( I d s,, C 9237 At 'n A La n K. �`'ar i f f I ' h s FAuTH ZED aEPRI=SEriTATIEE 030002000 ACORD 25-S t 0 ACORD CORPORATION 1993 ^ ^ ~ ` ~ SPB[IAL BROAD FURH COMMERCIAL GENERAL LIABILITY ENDOQSENEH7 This endorsement modifies insurance provided under the ho} {o*ing: COMMERCIAL GENERAL LlA8ILITY COVERAGE PART l - ADDITIONAL INSUREDS — BY CONTRACT. 8GRCEHEKT OR PERMIT a' AHO IS AN INSURED (Section II) is amended to Include as an insured any person or organization with whom you agreed, because of a written contract or agreement or permit, to provide =insurance such as is afforded under this policy, but only with 're1pe[t to your Operations , "Your work" ur facilities owned or used by you. b' This prnv'isY0n l ' does not apply UOl2sS the written contract, agreement has been executed or permit has been issued prior to the "bodily injury," 'property damage." "personal 1DiOrv" or "advertising injury-" ADDITIONAL INSUREDS - BYr CONTRACT, AGREEMENT OR PERMIT This endorsement modifies insurance provided under the following: COMA ERCTAL GE!dERAL LIABILITY COVERAGE PART The following paraara--.f'l is added to SCO2-1091, Special Broad Form I I - Commercial General Liability Endorsement, 1. Additional Insureds By Contract, Agreement or Permit: C. Cove-rage provided by this Policy to Additional insured(s) shall be primary insurance and any other insurance maintained by the Additional Insureds) shall be excess and non-contributory, but only as respects any claim or liability determined to be the result of the sole negligence or responsibility of the Named Insured(s) . SC05-0893 CAIjt_V)l�r�IA PAl/DMEai MAIt3MNANCE 210002380 Other insurance. It other valid and collectible insurance is available to the insured for a loss we cover under Coverage A or B of this:Coverage-Dart,our obligations are limited as fol lows_ a_ Primary insurance This insurance is primary except when b. belovt, applies. If this insurance is,primary,our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in c. be1ov.,. b. Excess insurance This insurance is excess over any of the other in- surance, whether primary, excess, contingent or on any other basis: (1) That is Fire, Extended Coverage, Builder's Risk, installation Risk or similar coverage for "your work"; (2) That is Fire insurance for premises rented to you; or (3) if the loss arises out of the maintenance or use of aircraft, autos"or watercraft to the ex- tent not subject to Exclusion g. of Coverage A (Section 1). Separation Of insureds. Except with respect to the Limits of insurance,and any rights or duties specifically assigned in this Coverage fart to the first Named insured,this insurance applies: a. As if each named Insured were the only named insured; and b. Separately to each insured against whore claim is made or "suit" is brought. Fund POLICY NUMBER S 08 DZA 80143O34 Named Insured Sequential Endorsement Number CALIFORNIA PAVEMENT MAINTENANCE BUSINESS AUTO POLICY CHANGE ENDORSEMENT Effective 12.01 A.M. , Standard Time at the address of the insured This is an Endorsement only. Other than changes shown, all other pre-existing coverage remains in full force and effect. Premium adjustments are shown. PREMIUM SUMMARY: ADDITIONAL PREMIUM The Premium shown includes Adjustable Premium(s) . Refer to Premium Adjustment Information attached. ENDORSEMENTS - OTHER AUTOMOBILE COVERAGE 001 ADDITIONAL INSURED IN CONSIDERATION OF THE PREMIUM CHARGED IT IS HEREBY UNDERSTOOD AND AGREED THAT THE FOLLOWING ARE ADDITIONAL INSUREDS UNDER THIS POLICY BUT ONLY IN CONNECTION WITH WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. City of Redlands PREMIUM CHARGE: Forms Added at the Inception of this Change Endorsement AUTOMOBILE SIFOO1 Counter `gnature of Authorized Agent Date Producer PICKETT-RIOTHHOLZ & MURP NS. AGENTS & BROKERS P. 0. BOX 13190 SACRAMENTO CA 95813 END OF CHANGE ENDORSEMENT Page r77Divwm USl1B DATE OdMAYHYY}TUIS CERTIFICATE Y IMUM AS A MAITRE OF UNPQRMATION ONLY ANDNQACK AND DEAN AGENTSISRDKERS CONF[Ra NO mcuTa tq%m TIE[.'ERTIFICATR HOLDER.T N CE MnCAT SDOES NOT AMEND.EXTEND OR ALTER nE CaOVERAGE M'POSDED BY THE of 1sllerWelE COMPANIES AFFORDING COVERAGE P.Q.BOX 253188 COMPANY SACRAMENTO.CA 93865 LJrITER A COWANY b LETTER LMUEIOI COMPANY California PaVem id LETTER C winlan ince Calmmy COMPANY 9390©der Creek" LETTER D Republic lad Co of Affwma Suramcom CA 93929 CMP' NV LETTERMVMAGFA: E x;:.. nIONi UKiCu TO CERTIFY THAT THE POLICIES OF 3WV1L%W1 L ISTS0 ULOW HAVE BENIN MOVED TO TUR WSUEED NAMED ABOVE FOR TUE POLICY PE.RIOiO I:. nTTii7.NO1i TKiAriAlwiN.G A1iY WLULfRIWi[hT.TIIWON.T+II k OR� O!A1�Y C+Y:.iLAL"rCr'i3i:iXY GOCt: .Ilid IEAT LLTJd TTJ F.iG._:inlUB C'MIFICATE MAY BB MUM OR MAY PERTAIN[,THR lWtWANC1 4FFORDXD BY THE POLi[1EE DEWWREA HRREIN 1E LSURFELT To ALL TIER TERMS. EXCLL81ON2 AND CONDTTJONB OF IUCH FOL IC1RE.LIMrrS SHOWN MAY HAVE BEEN RDriC1m BY PAID CLAlME. Ln TYPE Of VASURANCE pLK,y NUMBER POLICY EFT. POI.IC.Y EXT. LIMITS TR DATE(MMDDlYYI DATE PAMMDAY) GENERAL LIABILITY C LNERAL AGGREGATE MM.GENERAL LIAEH.rTY PROD-ODMrOOP AGG. CLAIMS MADE OOCC. PERS,A ADV.INJURY OWNERS' A COKTRA17M PROT EACH OCCURRENCE FIRE DAMAGE(Owe r" MED.EXT.RMFW AUTOMOBILE LLABII.JTY COFIBINLED SINGLE ANY AUTO LIMIT ALL OWNW ALTOS BODFLY 1FUUEY SCHEDULED ALTOS PE-1 HIRED AUTOS BODILY Di1L1RY NONI.OWNEO AUTOS (Pit au6/rr1 GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABRLJTY RACK 0CCURRENJG7 UMBRELLAFORM AGGREGATE OTHER THAN VUSAXL a PORN D 03302902 8101194 "1195 X STAT►fTWIY LLMTTf WORKERS•COMPENSATION KAcM ACCIDENT 1000000 AM D1S8AEE-POL.JCY LIMIT too= EMPR.QYERI<LIAEIL.ITY D1aEAEEatwcll RMP. 1000006 Onin ORK'R KWN OPQPIdRATWM4.00ATIONS1VEI&K-LEUEPMAL ITEMS CMIF1 ATE 1101,DVR ... •.. CANCELLATION .•.. SHOLI D ANY OF THE ASO"OKNIUM q POLJCLRE OR CANCELLED NEWER TIIR OVULATION DATE THRRSOF.THR WING(COMPANY WILL RNDEAVORTO MALL 10_ DAVE WRITTEN NOTWE TO THE CIUMFWATR HOLDER NAMED TO TILE CITY OF REDLANDS LEFT,BLT FAILURE TO MAIL SU CW NOTICE SMALL IMPOSE NO OSLUGATION OR ATTW ALAN K-GR1FFMIS L1ASILr1Y OF ANY KJND LTON THE COMPANY,ITS AGENTS OIL REPRESKN'TATLYEs. P.Q.BOX 3003 AITLWRl7ED REPRliB.YTATIYE REDLANDS.CA r-373 �_Y ACO"TWS 19D ...::..:..:.... :.:.:.......f1 }