HomeMy WebLinkAboutContracts & Agreements_209-2005_CCv0001.pdf T RECORDING REQUESTED BY Recorded in official Records, County of San Bernardino
AND WHEN RECORDED MAIL TO: 1012312006
-Y LARRY WALKER 10:11 AM
Auditor/Controller – Recorder SH
CITY CLERK
CITY OF REDLANDS R Regular Mail
35 CAJON STREET = �
P.O. BOX 3005 Doc##: 2006—0721 077 Titres: t Pages: i
REDLANDS CA 92373
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fi�' °'.e NOT UIRED � �i � i Taxes 0.00
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! Other 0.00
S �.ii(JPf 6I03 SPACE ABOVE THIS LINE FOR RLcUxu"s vac PR DD
/CPN ao0knvI NOTICE OF COMPLETION
Notice pursuant to Civil Code Section 3093,this notice must be filed within 10 days after completion of work. Notice is hereby
given that:
I. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described:
2. The full name of the owner is: CITY OF REDLANDS
3. The full address of the owner is: 35 CAJON STREET, P O BOX 3005
REDLANDS CA 92373
4. The nature of the interest or estate of the owner is; in fee.
5. The full names and full addresses of all persons, if any,who hold title with the undersigned as joint tenants or as tenants in common are:
NOT APPLICABLE
6. A work of improvement on the property hereinafter described was completed on October 12,2406. The work done was:
New York Street Improvements, Phase I, Contract No. 208300-7230141003,
T The name of the contractor for such work of improvement was: Hillcrest Contracting, Inc.
1467 Circle City Drive,Corona CA 92879 November 1, 2005
(Date of Contract)
8. The property on which said work of improvement was completed is in the City of Redlands,County of San Bernardino,State of California,
and is described as follows: New York Street from Colton Avenue to Lugonia Avenue
9. The street address of said property is: NIA
Dated:October 16, 2006
Senior Civil Engineer, Publ' Works Department,City of Redlands
VERIFICATION
I, the undersigned, say I am the Public Works Director of the declarant of the foregoing Notice of Completion, and have read said Notice of
Completion and know the contents thereof;the same is true of my own knowledge.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on October 16, 2006,at Redlands, California.
Public Works Director, Public Works De0artment,City of Redlands
AGREEMENT
THIS AGREEMENT,made and entered into this I"day of November,2005,by and between the City of Redlands,
a N4unicipal Corporation,organized and existing under the laws of the State of California,hereinafter referred to as
the"City",and Hillcrest Contracting,Inc.,of the City of Corona,County of Riverside,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 to perform
construction of New York Street Improvements, Phase I project, complete, all as shown, specified, and made
a part of Contract No. 208300-7230/41003.
2. For the Contract Sum of $1,481,643.00, in accordance with the terms and conditions of the Contract
Documents. Pursuant to Section 22300 of the California Public Contract Code,, Contractor has the option to
deposit securities with an Escrow Agent as a substitute for retention of earnings requirement to be withheld by
the City pursuant to and Escrow Agreement.
3. Time for Completion. The work shall be completed within one-hundred and twenty(120)workdays from and
after the date of the Notice to Proceed.
4. Liquidated Damages. Failure of the Contractor to complete the work within the time allowed will result in
damages being sustained by the City. Such damages are,and will continue to be. impracticable and extremely
difficult to determine. The Contractor shall pay to the City,or have withheld from monies due it,the sum as set
forth in the General Provisions for each consecutive calendar day in excess of the specified time for completion
of the work. Execution of the contract shall constitute agreement by the City and Contractor that the liquidated
damages amount per day is the minimum and actual damage caused by the failure of the Contractor to complete
the work within the allowed time. Such sum is liquidated damages and shall not be construed as a penalty,and
may be deducted from payments due the Contractor if such delay Occurs.
5. Contract Documents. The complete contract includes all of the contract documents set forth herein, to wit;
Notice Inviting Bids, Instructions to Bidders, Proposal and Bid Forms, Bid Bond, Agreement, Performance
Bond, Payment Bond, Plans and Specifications, all referenced specifications, and any Addenda thereto.
6. Attorney Fees. In the event any legal action is commenced to enforce or interpret the terms or conditions of
this contract the prevailing party shall, in addition to any costs and other relief be entitled to recovery of its
reasonable attorney's fees.
7. Defense Obligation. The Contractor shall defend the City,its elected officials,officers,agents,and employees
from and against any and all claims, losses, damages, and causes of action, including death, brought by any
person or persons for or on account of any wrongful or negligent act or omission of the Contractor,its employees
or agents in connection with the performance of the Contractor's obligation under this contract.
8. Insurance. All policies of general liability and business automobile insurance required by this contract shall
name the City,its elected officials,employees,and agents as additional insureds. Any insurance required under
this contract shall be primary with respect to the City and non-contributing to any insurance or self-insurance
maintained by the City.
9. Resolution of Construction Claims. Claims made by the Contractor in the amount of$375,000.00 or less shall
be processed by the City pursuant to the provisions of Part 3,Chapter 1,Article 1.5 of the Public Contracts code
(commencing with Section 20104), All claims shall be in writing and include the documents necessary to
Substantiate the claim. Nothing in subdivision (a)of the Public Contracts Code Section 20104.2 shall extend
the time limit or supersede the notice requirements provided in this case from filing claims by the Contractor,
Pursuant to Public Contract Code section 9201, if the City receives a third party claim in relation to this
Contract, the City shall timely notify the Contractor. The City shall be entitled to recover reasonable costs
the notification'
incurred in providing required by Public Contract Code section 9201(b).
Z1_ I
10. Eligibility of Contractor/Subcontractor. Contractor and any subcontractor agree to abide by California Public
Contract Code Section 6109 and California Labor Code Sections 1777.1 and/or 1777.7 and certify that they are
not debarred and are eligible to work on this project.
11. Assignment of Agreement. No assignment by a party hereto of any rights or interests under this agreement will
be binding on another party without the written consent of the party sought to be bound.
12. Successors and Assigns. The City and Contractor each binds itself, its partners, successors,assigns and legal
representatives in respect to all covenants, agreements and obligations contained in the contract documents,
13. Severability. Any provision or part of the contract documents held to be void or unenforceable under any law
or regulation shall be deemed stricken,and all remaining provisions shall continue to be valid and binding upon
the City and Contractor.
IN WITNESS WHEREOF,the parties hereto have executed this Agreement in duplicate on the day and year first
written above.
CITY SEAL
By:
/mer,City of Redlands—Councilmernber
County of San Bernardino.California
ATTEST:
City Clerk, City ofd
Fed/ nds)
int
Cy of San H I t116,1C a I i to m i a Hillcrest Contracting, Inc.
Name of Contractor
By:
Signature of Authorized Agent
Glenn J. Salsbury-Praideat
Signatory's Title
CTOR SEAL
Signature of Authorized Agent (if necessary)
Signatory's Title (fnecessary)
471664
Contractor's License No.
WORKERS' COMPENSATION INSURANCE CERTIFICATION
NEW YORK STREET IMPROVEMENTS, PHASE I
CONTRACT No. 208300-7230/41003
Every employer except the State, shall secure the payment of compensation in one or more of the following ways:
(a) By being insured against liability to pay compensation in one or more insurer duly authorized to write
compensation insurance in this State.
(b) By securing from the Director of Industrial Relations, a certificate of consent to self-insure, either as an
individual employer or as one employer in a group of employers,which may be given upon furnishing proof
satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that
may become due to his or her employees.
I am aware of the provisions of Section 3700 of the Labor Code which requires every employer to be insured against
liability for Workers'Compensation or to undertake self-insurance in accordance with the provisions of that Code,
and I will comply with such provisions before commencing the performance of the work of this contract. (Labor
Code Section 1861)
Date
Hillcrest Contracting, Inc.
Name of Contractor
By:
Signature of Authorized Agent
-�
n js
-Cle
Signatory's Title
Z� -
471664
Contractor's License No.
EXECUTED IN TWO COUNTERPARTS BOND # 7576557
PERFORMANCE BOND PREMIUM: $9,825
VMMAS, the City Council of the City of Redlands, State of California (hereinafter designated as City), and
Hillcrest Contracting,Inc. (hereinafter designated as Principal)have entered into an agreement whereby Principal
agrees to install and complete certain designated public improvements, which by said agreement dated November
1, 2005, and Identified as Contract No.208300-7230/41003, is hereby referred to and made a part hereof, and
WHEREAS, under the terms of said agreement,Principal is required before entering upon the performance of the
work,to furnish a good and sufficient faithful performance bond with the City.
NOW,THEREFORE, said Principal and the undersigned as corporate surety,are held and firmly bound unto the
City in the sum of ONE MILLION FOUR HUNDRED EIGHTY—ONE THOUSAND SIX HUNDRED FORTY—= dollars
($ 1,481 ,643.00 —)for the payment of which sum well and Truly to be made,we bind ourselves,
our heirs, successors, executors and administrators,jointly and severally, f=ly by These presents,
The condition ofthis obligation is such that if the above bounded Principal,his or her heirs,executors,administrators,
successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants,
conditions,and provisions in the said agreement and any alteration thereof made as therein provided, or his or her
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 defend,indemnify and save harmless the City,its elected officials,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 effect.
As a part of the obligation secured hereby and in addition the face amount specified therefor,there shall be included
costs and reasonable expenses and fees,including attorney's fees incurred by The City in successfully enforcing such
obligation,all to be taxed as costs and included in any judgement rendered.
The surety hereby stipulates and agrees that no change,extension of time,alteration or addition to the terms of the
agreement or to the work to be performed thereunder or the specifications accompanying the same shall in anywise
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 agreement or to the work or to the specifications.
LN WITNESS VQU RE OF, this instrument has been duly executed by the Principal and surety named,
on NOVEMBER 8 2005. Bond No. 7576557
HILLCREST CONTRACTING, INC. (SEAL) FIDELITY AND DEPOSIT COMPANY OF MAPYLAI L)
Principal Surery
By;v By:
Signature 'Signature MATTHEW T. FLAKE/ATTORNEY—IN—FACT
Address:.801 N. BRAND BLVD. , SUITE PENTHOUSE
GLENDALE, CA 91203
1 (Ne-mrial Acimowledgmcnts dPrincipal and Sumty) Telephone: (..818 409-2800
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF C;ALI.FORNIA
COUNTY OF ORANGE
On 11-8-05 before me, LEXIE SHERWOOD - N,OTARY PUBLIC
personally appeared MATTHEW P. FLAKE personally
known to me to be the person whose name is subscribed to the
within instrument and acknowledged to me that he executed the
same in his authorized capacity, and that by his signature on the
instrument the person or the entity upon behalf of which the
person acted, executed the instrument .
WITNESS my hand and official seal .
r ��...,;",,�LEXIESRWOOD
COMM. 159395, ic
TARP PUBLIC#CALIFORNIA
Si u of Notary Public C} GEC" LINTY
Comm,Exp.JULY 27,2009
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons
relying on the document and could prevent fraudulent reattachment of this form.
DESCRIPTION OF ATTACHED DOCUMENT
PERFORMANCE BOND
TITLE OR TYPE C1£ DOCUMENT
NT1M� OF PAGES DATE OF DOCUMENT 1I-8-05
CAPACITY CLAIMED BY SIG TER
❑ INDIVIDUAL ❑ CORPORATE OF'F'ICER
TITLE(S)
❑
PARTNER (S) ATTORNEY-IN-FACT [ TRUSTEE (S)
OTHER;
SIGNER. IS REPRESENTING: FIDELITY AND DEPOSIT COMPANY OF MARYLAND
NAME OF PERSON(S) OR ENTITY(S)
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
State of California
County of Riverside
On November 10, 2005 before me, Michelle Santiago Notary Public , personally appeared
Glenn J. Salsbury, personally known to me, to be the person whose name is subscribed to
the within instrument and acknowledged to me that he executed the same in his authorized
capacity, and that by his signature on the instrument the person or entity upon behalf of
which the person acted, executed the instrument.
MICHELLE 1 IRr0 Witnes my hand a d official seal
I-om,#,373486
NOTARY PUBLIC-CAWFORNIA
RVERSIDE COUNTY
Michelle S ti go, to Public
OPTIONAL
Though law does not require the information below, if may prove valuable to persons
relying on the document and could prevent fraudulent removal of this form to another
document.
Description of Attached Document
Title or type of Document: Performance Bond
Document Date: November 8.2005 Number of Pages: One
Signer(s) Other Than Named Above FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Capacity{ies} Claimed by Signer
Signer's Name: Glenn Salsbury
❑ Individual
U Corporate Officer—Title(s): President
❑ Partner - 0 Limited 0 General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing: HILLCREST CONTRACTING, INC.
EXECUTED IN TWO COUNTERPARTS BOND # 7576557
PAYMUff BO" PREMIUM: INCLUDED IN
PERFORMANCE BOND
WHEREAS, the City Council of the City of Redlands, State of California(hereinafter designated as "City"),and
Hillerest Contracting,Inc.(hereinafter designated as"Principal")have entered into an agreement whereby Principal
agrees to install and Complete certain designated public Improvements,which by said agreement dated November
1, 2005, and identified as Contract No. 208300-7230/41003, is hereby referred to and made a part hereof, and
WHERE,AS, under the terms of said agreement,Principal is required before entering upon the performance of the
work,to famish a good and sufficient labor and materials payment bond with the City to secure the claims to which
reference Is made in Title 15(commencing with Section 3 082)of Part 4 of Division 3 of the Civil Code of the State
of California.
NOW,TIM,REFORE, said Principal and the undersigned as corporate surety,are held and firmly bound unto the
City and all contractors, subcontractors,laborers,materialmen,and any other persons employed in the performance
of the aforesaid agreement and referred to in the aforesaid Civil Code of the State of California in the sum of
ONE MILLION FOUR HUNDRED EIGHTY—ONE THOUSAND SIX HUNDRED FORTY—THREE & N01100 dollars
($ 1,481,643.00 —)for materials furnished or labor Thereon of any kind,or for amounts due
under the Unemployment Insurance Act with respect to such work or labor,that said surety will pay the same in an
amount not exceeding the amount herein above set forth, and also in case suit is brought upon this bond, will pay,
in addition to the face amount thereof,costs and reasonable expenses and fees,including reasonable attorney's fees,
incurred by the City in successfully enforcing such obligation,to be awarded and fixed by the court,and to be taxed
as costs and to be included in the judgement therein rendered.
It is hereby expressly stipulated and agreed that this bond shall inure to the benefit of any and all persons,companies
and corporations entitled to file claims under Title 15(commencing with Section 3082)of Part 4 of Division 3 OfThe
Civil Code,so as to give a right of action to them or their assigns in any suit brought upon this bond.
Should the condition of this bond be fully performed,then this obligation shall become null and void; otherwise it
shall be and remain in full force and effect,
The surety hereby stipulates and agrees That no change,extension of time,alteration or addition to the terms of the
agreement or to The work to be performed thereunder or the specifications accompanying the same shall in agnosia
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 agreement or to the work or to the specifications.
IN WITNESS WMREOF, this instrument has been duly executed by the Principal and surety named,
on NOVEMBER 8 2005. Bond No. 7576557
HILLCREST CONTRACTING, INC. _(YEAL) FIDELITY AND DEPOSIT COMPANY OFWz,AL)
Principal Surety
By. Jay
Signature Signature MATTHEW P. FLAKE/ATTORNEY—IN—FACT
Address: 801 N. BRAND BLVD. , SUITE PENTHOUSE
GLENDALE, CA 91203
(Notarial Acknowledgments of Principal and surcry) Telephone: �8 409-2800
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
COUNTY OF ORANGE
On 11-8-05 —before me , LEXIE SHERWOOD - NOTARY PUBLIC
personally appeared MATTHEW P. FLAKE
personally
known to me to be the person whose name is subscribed to the
within instrument and acknowledged to me that he executed the
same in his authorized capacity, and that by his signature on the
instrument the person or the entity upon behalf of which the
person acted, executed the instrument.
WITUESSjny hand and official seal . �LEXIE LEXIE S6 R {OOD
? AKA.#?59395
T �u . . ALJFO q
Sign of otary Public- RANGE COUNTY
Comm' x JC9LY27,
2009
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons
relying on the document and could prevent fraudulent reattachment of this form.
DESCRIPTION OF ATTACHED DOCUMENT
PAYMENT BOND
TITLE OR TYPE CSE' I?Ch.:C7MWT
NUMBER OF PAGES 1 aA= OF DOCU2,MM 11-8-05
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL ❑ CORPORATE OFFICER
TITLE(S)
❑ PARTNER (S) ATTORNEY-IN-FACT ❑ TRUSTEE (S)
❑ OTHER:
SIGNER IS REPRESENTING: FIDELITY AND DEPOSIT COMPANY OF MARYLAND
NAME OF PERSON(S) oR ENTITY(S)
CALIFORNIA ALL PU"OSE ACKNOWLEDGMENT
State of California
County of Riverside
On November 10, 2005 before me, Michelle Santiago, Notary Public , personally appeared
Glenn J. Salsbury, personally known to me, to be the person whose name is subscribed to
the within instrument and acknowledged to me that he executed the same in his authorized
capacity, and that by his signature on the instrument the person or entity upon behalf of
which the person acted, executed the instrument.
r
MICHELLE SAR Witnes my hand a official seal
CoMM. 197
N{57AgYPUdL4C-GAS t
�v�RsILSECO',11N'f! t
- Michelle San g , Nota ublic
OPTIONAL
Though law does not require the information below, it may e valuable to persons
relying on the document and could prevent fraudulent removal of this form to another
document.
Description of Attached Document
Title or type of Document: Payment Bond
Document Date: November 8,2005 Number of Pages: One
Signer(s) Other Than Named Above FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Capacity(ies) Claimed by Signer
Signer's Name: Glenn Salsbury
❑ Individual
U Corporate Officer— Title(s): President
❑ Partner - ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing: HILLCREST CONTRACTING, INC.
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COXIPANY OF MARYLAND. a
corporation ol'the State of'Maryland, by,WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary,
in Pursuance of authority granted by Article VI. Section 1. of the By-Laws ol'said Conipany,,)v. are set forth oil the
reverse side hereol'and are hereby certified to be in full force and effect oil (Ile(late 1101 K�Jjc b
andappoint Richard A. COON,Karen WINLANDF
,Charles L. LAK "41 r, , , 1 , , ; y nominate.Constitute
J,.&T,-tBVkT
S0,N,.Na1atthew P.
FLAKE and Lexie SHERWOOD,all of Anaheim,Califort'a N
f,� Attorney-in-Fact, to
and all bonds and
make,execute, seal and deliver, for. and oil its behall t-s'
undertakings,and the execution of*sucin'.i;, .
sm pwk4 'k'60 'S�,-presents, shall be as binding upon said
and amply, t("I�j u'ir� n duly execute(] and acknowledged by the
Company.as l'ully
-c(,ularlv elect it�1�ilre, Md., in their own proper persons. This power ol'attorricy
i cd of, nv,
revokes that issued CHANDLER.Charles L. FLAKE. David L.CULBfiRTSON,
FLAK'� 'H
Matthew P. FLAKL,',_,Lqx� dated April 2 1-004.
\ £ ' 'k, �', �'
Tile said Assistant , ;-" ', -)_jocs hereby certify that the extract set forth oil the reverse side hercol'is a true copy ol'Articic V1.
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 14th day of Januarv.
A.D. 2005,
ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND
DUO,
By:
Eric D. Burnes Assistant Se(,rettjj-_j� k1 illiunt J. Mills 1"ice President
State ol'Marviand
City of ss:
f'
On this 14th day of January, A.D. 2005, belOFe the subscriber. a Notary Public of' the State of Maryland. duly
commissioned and qualified, came WILLIAM J. MILLS, Vice President. and ERIC D. BARNES. Assistant Secretary ol'the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND. to nic personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution ol'the same, and beint,T
by ale duly sworn severally and cacti for furnscli'deposeth and saith. that they' are the said officers ol'the Company aforesaid.
and that the sea] 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 instrurnei"it by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set illy hand and affixed lily Official Seal the day and year first above
written.
Constance A. Dunn Notary Public
MY Con"llission Expires: July 14, 21007
POA-F 012-4150H
ZURICH
THIS IMPORTANT DISCLOSURE NOTICE IS PART OF YOUR BOND
Fidelity and Deposit Company of Maryland,Colonial American Casualty and Surety Company,Zurich American
Insurance Company, and American Guarantee and Liability Insurance Company are making the following
informational disclosures in compliance with The Terrorism Risk Insurance Act of 2002. No action is required on your
part.
Disclosure of Terrorism Premium
The premium charge for risk of loss resulting from acts of terrorism(as defined in the Act)under this bond is
$—waived—. This amount is reflected in the total premium for this bond.
Disclosure of Availability of Coverage for Terrorism Losses
As required by the Terrorism Risk Insurance Act of 2002,we have made available to you coverage for losses resulting
from acts of terrorism(as defined in the Act)with terms, amounts,and limitations that do not differ materially'a I s those
for losses arising from events other than acts of terrorism.
Disclosure of Federal Share of Insurance Company's Terrorism Losses
The Terrorism Risk Insurance Act of 2002 establishes a mechanism by which the United States government will share
in insurance company losses resulting from acts of terrorism(as defined in the Act)after a insurance company has paid
losses in excess of an annual aggregate deductible. For 2002, the insurance company deductible is 1%of direct earned
premium in the prior year; for 2003, 7%of direct earned premium in the prior year; for 2004, 10% of direct earned
premium in the prior year; and for 2005, 15%of direct earned premium in the prior year. The federal share of an
insurance company's losses above its deductible is 90%. In the event the United States government participates in
losses, the United States government may direct insurance companies to collect a terrorism surcharge from
policyholders. The Act does not currently provide for insurance industry or United States government participation in
terrorism losses that exceed$100 billion in any one calendar year.
Definition of Act of Terrorism
The Terrorism Risk Insurance Act defines "act of terrorism" as any act that is certified by the Secretary of the Treasury,
in concurrence with the Secretary of State and the Attorney General of the United States:
1. to be an act of terrorism;
2. to be a violent act or an act that is dangerous to human life,property or infrastructure;
3. to have resulted in damage within the United States,or outside of the United States in the case of an air carrier
(as defined in section 40102 of title 49,United 17 States Code)or a United States flag vessel (or a vessel based
principally in the United States,on which United States income tax is paid and whose insurance coverage is
subject to regulation in the United States), or the premises of a United States mission;and
4. to have been committed by an individual or individuals acting on behalf of any foreign person or foreign
interest as part of an effort to coerce the civilian population of the United States or to influence the policy or
affect the conduct of the United States Government by coercion.
But,no act shall be certified by the Secretary as an act of terrorism if the act is committed as part of the course of a war
declared by Congress(except for workers' compensation)or property and casualty insurance losses resulting from the
act, in the aggregate,do not exceed$5,000,000.
These disclosures are informational only and do not modify your bond or affect your rights under the bond.
Copyright Zurich American Insurance Company 2003
Company Profile
FIDELITY AND DEPOSIT COMPANY OF
MARYLAND
1400 AMERICAN LANE, 19TH FLOOR TOWER I
SCHUAMBURG, IL 60196-1056
800-382-2150
Agent for Service of Process
ANDREW K. PLATT, C/O ZURICH NORTH AMERICA 801 N. BRAND BLVD., 13TH FLOOR
GLENDALE, CA 91203
Unable to Locate the Auent for Service-of Process?
Reference Information
NAIL
.39306
MAIC Group #: 021112
California Company ID 2479-4
Date authorized in California: January 01, 1982
License Status: UNLIMITED-NORMAL
Company Type: Property & Casualty
State of Domicile: MARYLAND
Lines of Insurance Authorized to Transact
The company is authorized to transact business within these lines of insurance. For an explanation of
any of these terms, please refer to the glossary.
AIRCRAFT
AUTOMOBILE
BOILER AND MACHINERY
BURGLARY
CREDIT
FIRE
LIABILITY
MARINE
MISCELLANEOUS
PLATE GLASS
SPRINKLER
SURETY
TEAM AND VEHICLE
WORKERS' COMPENSATION
Company Complaint Information
Company F,n..fc r.gement ticti.ot> Docum_ernts
Company Performance &Comparison Data
Composite Contplai t. Studies
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Last Revised-November 08,2005 01:05 PM
Copyright O California Department of Insurance
Disclaimer
Client#: 17237 HIL425Z
ACORD- CERTIFICATE OF LIABILITY INSURANCED oar ONYYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arrays Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Carter Salisbury Ins Brokers HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
50 E.Foothill Blvd.,#201 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Arcadia,CA 91006 INSURERS AFFORDING COVERAGE NAIC III
INSURED INSURER A: Interstate Fire&Casualty Company
HILLCREST CONTRACTING,INC. INsuRER B: Safeco Ins.Co.
ROS-MAR EQUIPMENT COMPANY
P.O.BOX 1898-1467 CIRCLE CITY DR. INSURER G: State Compensation Fund
CORONA,CA.92878-1898 INSURER D: ins Ca.of the State of PA
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DO
LTR N TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A X GENERAL LIABILITY GLI 1112258 01131/05 01/31/06 EACH OCCURRENCE $1 0081100
}( COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50,000
ISESE.
CLAIMS MADE D OCCUR MED EXP(Any one person) $-0-
X $25,00O.DED EA. OCCURRENCE PERSONAL&ADV INJURY $110-0-0-1-00-0-
X
1 QQ0-000
X XCU/CONTRACTUAL /BROAD FORM GENERAL AGGREGATE s2.000.000
X GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $1,000,000
POLICY XJECT
O- LOC
B AUTOMOBILE LIABILITY 25CCO0262310 12/19/04 12/19105 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $1,000,000
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $_
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
D EXCESSIUMBRELLA LIABILITY 4203-2129 01/31/05 01/31/06 EACH OCCURRENCE $9,000,000
X OCCUR FICLAIMS MADE AGGREGATE $9,000,Q00
Is
DEDUCTIBLE
$
RETENTION $ $
C WORKERS COMPENSATION AND 713000669104 10/01/04 10/01/05 X WC STATU- OTH-
EMPLOYERS LIABILITY
ANY PROPRkETORlPARTNERtEXECUTIVE THIS CERTIFICATE IS E.L.EACH ACCIDENT $1,00 000
OFFICER/MEMBER EXCLUDED? TO FOLLOW FROM E.L.DISEASE-EA EMPLOYEE $1,000,000
K yes,describe under
SPECIAL PROVISIONS below STATE COMPENSATION INSURANCE FUND E.L.DISEASE-POLICY LIMIT S1.000.000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ALL OPERATIONS USUAL TO THE NAMED INSURED.
THE CITY OF REDLANDS ITS OFFICERS,EMPLOYEES AND VOLUNTEERS ARE NAMED AS
ADDITIONAL INSUREDS AS RESPECTS TO THE GENERAL LIABILITY SECTION,OUR
POLICY IS PRIMARY NON-CONTRIBUTORY,WAIVER OF SUBROGATION,TRANSFER OF
(See Attached Descriptions)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF REDLANDS DATE THEREOF,THE ISSUING INSURER WILL $[)$[MAIL _.-111 DAYS WRITTEN
P.O.BOX 3005 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Redlands,CA 92373 I XOtN
MAUREPRESENTATIVE
ATTN:A 1 IT
ACORD 25{2t?O11OB}1 of 3 #5361741M34727 LOC 0 ACORD COR ORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it
affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon.
ACORD 25-S(2001/08) 2 of 3 #S36174/M34727
DESCFi1PT ONS (Continued from.Rade 1}
FDnHALL
HTS OFF FORM ALSO ATTACHED.
THE EVENT OF CANCELLATION THE CITY OF REDLANDS AND ADDITIONAL INSUREDS
BE GIVEN 30 DAYS WRITTEN NOTICE,AND 10 DAYS FOR NON-PAYMENT.
AMS 25.3(2001108) 3 of 3 #S36174/M34727
INSURED: HILLCREST CONTRACTING, INC.
POLICY NUMBER: GL 1112258 COMMERCIAL GENERAL LIABILITY
THIS 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: Any person or organization that the insured is required
THE CITY OF REDLANDS ITS OFFICER, EMPLOYEES & by c*nh-,-vA to name as an additional insured.
VOLUNTEERS
It is further agreed that such insurance as is afforded by this policy for the benefit of the above Additional In-
sured(s) shall be primary insurance as respects any claim, loss or liability arising out of the Named Insured(s)
opera ii6ns, and any other insurance maintained by the Additional Insured(s)shall be excess and non-contributory
with the insurance provided hereunder.
(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 11) is amended to include as an'insured the person or organizations in the
Schedule, but only with respect to liability arising out of"your work"for that insured by or for you.
CL 246(11/85)
CG 2010 1185 elec.aps Copyright, insurance Services Office, Inc., 1964 Page 1 of 1 0
NAMED INSURED: HILLCREST CONTRACTING, INC. POLICY# GLI 1112258
WAIVER OF SUBROGATION
'Blanket-- Contractual)
k
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
This endorsement modifies-insurance provided under
COMMERCIAL GENERAL LlAdll-rTy COVERAGE PART
In consideration of the premium charged and notwithstanding anything
contained therein to the contrary, SECTION IV-COMMERCIAL GENERAL
UABILITY CONDITIONS, Condition 8, Transfer of Rights of Recovery
Against Others; To Us, is deleted in its entirety and replaced by the
following:
If the insured has rights to recover all or part of any payment we have made
under this Coverage Part those rights are transferred to us. The insured
must do nothing after loss to impair them. At our request, the insured will
bring"suit'or transfer those rights to us and help us enforce them.
In the event of any payment under this policy. the Company waives its right
of recovery against any principal for whom you are operating under a
"written contract" when such contract requires such a waiver of right of
recovery or of subrogation.
This waiver of our right of recovery shall apply solely to payments made for
losses resulting from operations performed on your behalf under such
"written contract".
ADDITIONAL DEFINITION:
"Written contract," as used in this-endorsement shall mean a contract In
writing, that requires a waiver of subrogation: and shall also mean letters of
intent or work orders, subject to subsequent reduction to writing, with
customers whose customary contracts would require a waiver.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.
GLE-8029(W92) (Ed '04/97)efec,aps
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CARF;ULLY.
INSURED: HILLCREST CONTRACTING, INC
r SAFECO* CA 7134 12 93
WAIVER OF TRANSFER RIGHTS
OF RECOVERY AGAINST OTHERS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MUD TtOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the
endorsement
Endorsement effective
12/19/04
Named Insured Countersig4A by
HILLCREST CONTRACTING INC.
(Authorized Representative)
�gCHEDULE
Name of Person or Organization:
PER SCHEDULE ON FILE WITH COMPANY.
(if no entry appears above, information required to complete this egatirsenforit will be shown-in the Declarations as applicable
to this endorsement).
We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments
we make to them or on their behalf for injury or damages arising out of your contract with that person or organization. The
waiver applies only to the-person or organization shown in the Schedule.
Premium: $ INCL
CA 7134 12 93
AfP-META2.23-PRIKTODI-!&T5Z04&U
ARROYC)
INSURANCE SERVICES
Date: 21/8/05
The City of Redlands
P.O. Bax 3005
Redlands Ca. 92372
Re: Insured: Hillcrest Contracting, Inc.
Company: Interstate Fire and Casualty Company
Policy No: GLI 1112258
Term: 01/31/05 to 01/31/06
Gentlemen,
THE CITY OF REDLANDS, ETAL. for certain work performed by the above
captioned insured requires the cancellation wording for their certificate of Insurance be
amended to exclude the "Endeavor to..........But failure to........."wording contained
in the cancellation clause.
It ins agreed and understood that, in the event of cancellation or tion-renewal,
Carter Salisbury Insurance Brokers will advisfHE CITY OF REDLANDS, etal .
And will not be the responsibility of Interstate Fire and Casualty Company
Very truly yours,
George B. isbury, MBA, CPCLT, CL ,
LOC 239184 Carter Salisbury Insurance Brokers
50 E. Foothill Blvd., Suite 201, Arcadia, CA 91006
(626) 294-1720 • Fax: (626) 294-9245
E-mail: georges@arroyoins.com • julieo@arroyoins.com • Licenses #0735912 & 0556538
ARRC)YC:)
I NSU RAN C E SE RVI C ES
Date: 11/8/05
City of Redlands
P.O. Bax 3005
Redlands, Ca. 92372
Re: Insured: Hillcrest Contracting, Inc.
Company: Insurance Company of the State of Pa.
Policy No: 42052129
Term: 01/31/05 to 01/31/06
Gentlemen,
CITY OF REDLANDS, ETAL. for certain work performed by the above
captioned insured requires the cancellation wording for their certificate of Insurance be
amended to exclude the "Endeavor to..........But failure to........." wording contained
in the cancellation clause.
It is agreed and understood that, in the event of cancellation or non-renewal,
Carter Salisbury Insurance Brokers will advise CITY OF REDLANDS, ETAL
And will not be the responsibility of Interstate Fire and Casualty Company
Very truly yours,
George B. alisbury, MBA, CPCU,CL,LT ARM,
LOC 239184 Carter Salisbury Insurance Brokers
50 E. Foothill Blvd., Suite 201, Arcadia, CA 91006
(626) 294-1720 • Fax: (626) 2949245
E-mail: georges@arroyoins.com • julieo@arroyoins.com • Licenses #0735912 & 0556538
ARR(:)YCI
I N U RANCE SERVICES
Date: 11/8/05
City of Redlands
P.O. Box 3005
Redlands, Ca. 92373
Re: Insured: Hillcrest Contracting, Inc.
Company: Brown and Riding
Term: 01/31/05 to 01/31/06
Gentlemen,
CITY OF REDLANDS, etal . for certain work performed by the above
captioned insured requires the cancellation wording for their certificate of Insurance be
amended to exclude the "Endeavor to..........But failure to........." wording contained
in the cancellation clause.
It is agreed and understood that, in the event of cancellation or non-renewal,
Carter Salisbury Insurance Brokers will advise CITY OF REDLANDS, ETAL
And will not be the responsibility of Interstate Fire and Casualty Company
Very truly yours,
t*mbury, MBA, CPCU, CLU,
LOC 239184 Carter Salisbury Insurance Brokers
50 E. Foothill Blvd., Suite 201, Arcadia, CA 91006
(626) 294-1720 • Fax. (626) 294-9245
E-mail: georges@arroyoins.com • julieo@arroyoins.com • Licenses #0735912 & 0556538