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HomeMy WebLinkAboutContracts & Agreements_77-1995_CCv0001.pdf Recorded in official Recorcis, t_OUJILY UT San Bernardino, Errol i, Mackzum, Recorder RECORDING REQUESTED BY No Fee AND WHEN RECORDED MAIL TO Doc No . 1 6 995043328 --I 1 : 02pm 12/20/95 CITY CLERK CITY OF REDLANDS 005 2069573 02 03 35 CAJON STREET PG FEE APF GINIS PH CPY CRT CPY ADD NPA PEN PH PCOR P 0 BOX 3005 REDLANDS CA 92373 NON S LN SVY 1 1;11 4;u 1 1 HANO TAX I NO FEE CHRO EXAM 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: 1. 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 December 14, 1995. The work done was: emergency repairs to Smiley Storm Drain between Cypress and Olive, Contract No. 52-3172-2330. 7. The name of the contractor for such work of improvement was: Merlin Johnson Construction Nwerrber 7, 1995 P 0 Box 777, Mentone CA 92359 {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: Smiley Storm Drain between Cypress Av and Olive Av, 400' w/o San Mateo St. 9. The Street address of said property is: Not Applicable Dated: December 14, 1995 /J ot,City of Redlands ai n Engineer,Public � Contract Admineirratro Public I s Depart-4 aI VERIFICATION 1, 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, 1995, at Redlands, California. Executed off December 14, _ that the 04 th� rifice iwi (personal signature of the individual who m w.1i completion are true.) AGREEMENT THIS AGREEMENT, made and entered into this seventh day of November, 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 MERLIN JOHNSON CONSTRUCTION a partnership consisting of or an individual trading as Z� - of the City of Mentone County of San Bernardino 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: To perform emergency repair of the Smiley Storm Drain project, complete, all as shown, specified, and made a part of Contract No. 01-3172-4230. 2. THE CONTRACT SUM OF: **$145 , 125 . 00** 3. TIME FOR COMPLETION: The work shall be completed within the time as stipulated in the GENERAL PROVISIONS. 4. 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,Agreement, Plaits and Specifications, and all referenced specifications. Sloll,ff SD CD-7 IN WITNESS WHEREOF, the parties hereto have executed this Agreement in duplicate on the day and year first written above. CITY'S SE,4L By: Mayor, City of Redlands County of San Bernardino, California ATTEST: City Cl City of R l Cou of San Bernar o, California I e r 1w � �� €milli anti Name of Contractor C0Arl, Cr(? 'S SEAL By: Signature of Authorized Agent Signatory's Title Signature of Authorized Agent (if necessary) Signatory's Title (if necessary) Contractor's License No. sttt_ry sty CD-8 WORKERS' COMPENSATION INSURANCE STATEMENT 1, the undersigned and authorized agent for the Contractor, 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 under the City's Contract No. 01-3172-4230. Name of Contractor By: z. L�� -.- Signature of Authorized Agent Signatory's Title Contractor's License No. 4N111-FlY SD CD-9 ISSUE DATE (MMI)DMY) ACH)lot IDS CERTIFICATE INSURANCE 11,08195 PRODUCERTHIS 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 Davis dr Graeber Ins. Eves. Inc POLICIES BELOW-___.............._._............ ....... .._ .....- 470 E. Highland Ave. COMPANIES AFFORDING COVERAGE P.O. Box 40 Redlands CA 92373 _...._.. ...._. ._ . .. COMPANY A TRANSCONTINENTAL INS. CO. LETT� B TRANSPORTATION INS. CO. �yANY678S INSURED S _._.............��. .. ...... COMPANY C CONTINENTAL CASUALTY C I MERLIN JOHNSON CONSTRUCTION LETTER .........,f i.. P.O. BOX 777 ...... n ` �. .... COMPANY D C71 ETTER (� MENTONE CA 92359 _ ....� . COMPANY L� �� fh CikYlwl�A THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR CY PE INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 1� CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE _....... EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C :POLICY EFFECTNE '.POLICY EXPIRATIONLIMITS COTYPE OF NSURANCE POLICY NUMBER DATE (MMIDD" DATE(MM/DD/YY) TR _ .00 ........ AGGREGATE S 2000000 GENERAL L�anY 02!01!95 o2ro1ro ..500924980 A PRODUCTS-COMPICP AGG _$ 1000000 . COMMERCIAL GENERA-LIABILITY X PERSONAL a ADV.K URY a 1000000 _......, CLAIMS MADE ` X OCCUR. EACH OCCURRENCE _ 1000000 OWNERS a CONTRACTOR'S PROT. _........... ......,.............._. ........ ..... .............. FIRE DAMAGE(MY one tga) :$ 50000 MED.EXPENSE(My one person)5 5000 .. . _........_........_ .02101195 02101198 .COMBINED srNGiE = 1000000 B AMJroMOT31LE LV+BLTTY 300924961LIMIT -- X:ANY AUTO BODILY N ALL OWNED AUTOS son) > ',(Per per ) _.. SCHEDULED AUTOS BODILY INJURY S X S HIRED AUTOS (Per accdenj X i NON-OWNED AUTOS GARAGE LMLITV PROPERTY DAMAGE ........01!09/98 EACH OCCUFNCE 2000000 ..... 01109195 .. B ;EXCESS LIABILITY1034412274 _. AGGREGATE ;s 2000000 UMBRELLA FORM OTHER THAN UMBRELLA FORM _ - -- X STATUTORY LIMITS i WORKER'S COMPENSATION + 06!01!95 06/01/96 EACH ACCIDENT _ 1000000 WC10C4426725 D E.POLICY LIMIT 1000000 s C A _........................... EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE 4 1000000 OTHER DESCRIPTION OF OPERATK>NStOCATIONSNE)ilGLE&SPECIAL ITEMS ...... RE: SMILEY STORM DRAIN EMERGENCY REPAIRS - CONTRACT #01-3172-430 CERTIFICATE HOLDER IS ADDED AS AN ENDORSEMENT G17957BTIONAL ATTTACHEDSTOED PER TERMS OF BLANKET POLICY. :.... . _:. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE CITY OF REDLANDS LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ATTN. ALLEN GRIFFITH P.O. BOX 3005 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. REDLANDS CA 92373 REPRESENTATIVE PETER DAVIS >. � CNA NAMED INSURED: Merlin Johnson Construction "For all cumm/onanmYvv Make" POLICY NUMBER'. 500924960 POLICY PERIOD: 2-1-95 TO 2-1-96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART WHO IS AN INSURED (Section ||) in amended to include as an insured any person or organization (called additional insured) whom you are required toadd as an additional insured onthis policy under: 1. A written contract or agreement; or 2. An oral agreement or contract where a certificate of insurance showing that person or organization as an additional insured has been issued; but: the written ororal contract oragreement must be: (a) currently in effect or becoming ff otiveduringthetarmm of this policy; and (b) executed prior tothe "bodily injury," ~property damage," "personal injury'~ or "advertising injury." The insurance provided tothe additional insured islimited oufollows: 1. That person or organization is only an additional insured with respect to liability arising out of: a. Premises you own, rent, lease, oroccupy or b. "Your work" for that additional insured by orfor you. 2' The limits of insurance applicable to the additional insured are those specified in the written contract or agreement orinthe Declarations for this policy whichever are less. These limits ofinsurance are inclusive ofannot inaddition tothe limits ofinsurance shown inthe Declarations. The insurance provided tothe additional insured does not apply to "bodily injury", "property damage", "personal injury~ or "advertising injury" arising out of an architect's, engineer's, or surveyor's rendering oforfailure to render any professional services including: 1. The preparing, apprmvinQ, o/ failing to prepare or approve nnaAs' dravvinQa, opinions, reports, surveys, change orders, designs orspecifications; and 2. Supervisory, inspection, orengineering services. Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether primary, excess, contingent oron any other basis unless m contract specifically requires that this insurance be primary or you request that it apply on a primary basis. THIS ENDORSEMENT IS /\ PART OF YOUR POLICY AND TAKES EFFECT ON THE EFFECTIVE DATE OF YOUR POLICY, UNLESS ANOTHER EFFECTIVE [)ATE IS SHOWN BELOW. POLICY CHANGE NO. EFFECTIVE DATE OF THIS POLICY CHANGE 2-1-95 COUNTERSIGNED DATE AUTHORIZED REPRESENTAT�4 11-10-95 G-17957-B (ED. (]9/92)