Loading...
HomeMy WebLinkAboutContracts & Agreements_137-2004_CCv0001.pdf Recorded in Official Records.County at San Bernardino 12/13/2001 ms* _ LARRY WALKER 4:20 PM RECORDING REQUESTED BY SW AND WHEN RECORDED MAIL TO: har.sumsAtt** Auditor/Controller — Recorder ,v4,1 CITY CLERK R Regular Mail CITY OF REDLANDS 35 CAJON STREET Doc#: 2004-0918151 Titles: 1 Pages: 3 P.O. BOX 3005 Fees 0.00 REDLANDS CA 92373 II III 11 11 1111111 Taxes Other 0.00008 PAID $0.00 '• SPACE ABOVE THIS LINE FOR RECORDER'S USE FEES NOT REQUIRED NOTICE OF COMPLETION PER GOVERNMENT CODE 6103 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 0 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 6,2004. The work done was: Traffic Signal UPS System Installations, Contract No. 209300-7150/41015. 7 The name of the contractor for such work of improvement was:TDS Engineering 2899 Agoura Road,Suite 171,Westlake Village CA 91361-3200 September 7, 2004 (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:Various signalized intersections within city right-of-way, see Attachment A. 9. The street address of said property is:N/A Dated:December 8, 2004 4-' ;A- Senior Civil Engineer,Public I orks Department,City of Rediands 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 December 8, 2004,at Redlands,California. Public Works Director,Public Works Department,City of Redlands ;?; ATTACHMENT A CITY OF REDLANDS PUBLIC WORKS DEPARTMENT TRAFFIC SIGNAL LOCATIONS Traffic Signals Redlands Blvd. & California Street Redlands Blvd. & New Jersey Street Redlands Blvd. & Nevada Street Redlands Blvd. & Iowa Street Redlands Blvd. & Alabama Street Redlands Blvd. & Tennessee Street Redlands Blvd. & Texas Street/ Center Street Redlands Blvd. & Eureka Street Redlands Blvd. & Third Street Redlands Blvd. & Orange Street Redlands Blvd. & Sixth Street Redlands Blvd. & Citrus Avenue Redlands Blvd. & Fern Avenue / Church Street Redlands Blvd. &Cypress Avenue Redlands Blvd. & Shopping Center Redlands Blvd. & Palm Avenue Redlands Blvd. & Highland Avenue Barton Road &Terracina Blvd. Barton Road & Alabama Street Barton Road & Bellevue Avenue Brookside Avenue & San Mateo Street • Brookside Avenue & Center Street Brookside Avenue / Citrus Avenue & Eureka Street Citrus Avenue & Orange Street/Cajon Street Citrus Avenue & Church Street Citrus Avenue & Redlands High School Crosswalk Citrus Avenue & University Street Citrus Avenue &Judson Street / Ford Street Lugonia Avenue & California Street Lugonia Avenue & Alabama Street Lugonia Avenue & Citrus Plaza Drive Lugonia Avenue & Tennessee Street Lugonia Avenue & Home Depot Driveway 43.4 Lugonia Avenue &Texas Street San Bernardino Avenue &Texas Street San Bernardino Avenue & Orange Street Colton Avenue & Industrial Park Avenue Colton Avenue & Tennessee Street Colton Avenue & Texas Street Colton Avenue & Church Street Colton Avenue & University of Redlands Crosswalk (west) Colton Avenue & University of Redlands Crosswalk (center) Colton Avenue & University of Redlands Crosswalk (east) Cajon Street& Fern Avenue Cajon Street &Olive Avenue Orange Street& State Street Orange Street& Stuart Avenue Orange Street & Pennsylvania Avenue Orange Street & Gravel Haul Road Eureka Street & Oriental Avenue New York Street & ESRI Crosswalk Alabama Street & Industrial Park Avenue Alabama Street& Orange Tree Lane / Coulston Avenue California Street & Orange Tree Lane Eta OT-.5 Fee Waiver - The Legendary Ink Spots - Councilmember Harrison moved to approve the waiver of fees and charges for use of the Redlands Bowl by The Legendary Ink Spots on September 11, 2004, and to affirm this is a City- sponsored event which will be included under the City's insurance program. Motion seconded by Councilmember George and carried unanimously. Agreement - San Bernardino County Flood Control District - On motion of Councilmember George, seconded by Councilmember Gil, the City Council unanimously approved a letter of agreement with the San Bernardino County Flood Control District in conjunction with the Fire Department's submission of a pre-disaster mitigation grant application to the Department of Homeland Security/Federal Emergency Management Agency for a project entitled "Redlands U-WIN" (Redlands Urban Wildland Interface Network), and authorized the City Attorney to work with staff to prepare an agreement for execution by the Mayor and City Clerk. Contract Award - Traffic Signal UPS System - Bids were opened and publicly declared on September 26, 2004, by the City Clerk for the construction of the Traffic Signal UPS System UPS (Uninterrupted Power System) System Installations project; a bid opening report is on file in the Office of the City Clerk. It was the recommendation of the Public Works Department that the responsible bidder submitting the bid for said project which will result in the lowest cost for the City was TDS Engineering in the amount of$348,000.00, and it would be in the best interest of the City that this contract be awarded to said firm. On motion of Councilmember George, seconded by Councilmember Gil, the City Council unanimously approved this recommendation. Mutual Water Company Stock Leases - On motion of Councilmember George, seconded by Councilmember Gil, the City Council unanimously approved the lease of nine (9) shares of Crafton Water Company stock to John Mayles and five (5) shares of Crafton Water Company stock to Debbie Prutsman for the 2004-05 water delivery season. Water Resources Institute Perchlorate Documentary Program - On motion of Councilmember George, seconded by Councilmember Gil, the City Council unanimously approved funding in the amount of $1,000.00 of the City's participation in the Water Resources Institute Perchlorate Documentary Underwriter Program sponsored by the Water Resources Institute at California State University-San Bernardino. Agreement - Perchlorate Blending Systems - On motion of Councilmember George, seconded by Councilmember Gil, the City Council unanimously approved a license to install two (2) temporary perchlorate blending systems and demonstration blend agreement with Lockheed-Martin Corporation and authorized the Mayor and City Clerk to execute the agreement on behalf of the City. September 7, 2004 Page 3 avx AGREEMENT ,Aekt THIS AGREEMENT,made and entered into this Th day of September,2004,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 TDS Engineering,of the City of Westlake Village,County of Ventura,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 the Traffic Signal UPS System Installations project,complete,all as shown,specified,and made a part of Contract No. 209300-7150/41015. 2. For the Contract Sum of$348,000.00,in accordance with the tei urs 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 ninety (90) work days 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 1,1 Contract, theCity shall timely notify the Contractor. The City shall be entitled to recover reasonable costs incurred in providing the notification required by Public Contract Code section 9201(b). et-R —mw,a,-Y.N .osSr--jVV Mi tirl 10. Eligibility of Contractor/Subcontractor. Contractor and any subcontractor agree to abide by California Public -,*-t 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. iti 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 INI By: &,,-,A-4,- . , , - e '1(4ayo,,,City of Redlands a Co ty of San Bernardino,California ATTEST: / ) ,,' City.,Clerk,City of R ,"d :id:2 1 County of San Berna 4in'ot,' ,alifornia TDS Engineering Name of Contractor CONTRACTOR SEAL By: Signature of Authorized Agent David R.wuertz, President Signatory's Title ...— _ ...----- .o......•••*o"'Il"sastava -------Jm Signature of Authorized Agent (if necessary) David A.Wuertz, Secretary Signatory's Title (f necessary) 667073 Contractor's License No. .t, ,vim '' CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 4.--------------e.'---;,------...,r"y,rJ. ='+:/ i"t----r^-4,t, '-7-'`----1..!'✓-1---.:'.l .ri:.f-`r•::j..-�^,.rf, f'.... . `.:, .�" .,/./'f1..,.�, .%!1'./",.e" ;V ,N : s w f State of California a P ek. t., County of Ventura r' N IN�, ©n "� before me, Elisha A.Wuertz1 Notary Public h Y. Dere Name and Title of Ofrcet(e.g..'Jane Doe.Notary Public') �:�`' personally appeared David R.Wuertz , Name(s)of S.gner(s) ` X personally known to me–OR–U proved to me on the basis of satisfactory evidence to be the person(s) *, 1 whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by r. s >`"' ELISHA A.WUERTZ his/her/their signature(s)on the instrument the person(s), ` R • , ..� COMIN.11416869 R or the entity upon behalf of which the person(s) acted, fti u ;ic,'' NOTARY PUBLIC-CM..WORMIA u executed the instrument. ( i ,,.j ' VENTURA COUNTY Ri w cft .Exp May u,rn ` �""'r` WITN S my h nd and offici 4 seal. ff �? A f (A.& - Sgnatm*of .tary Public OPTIONAL t. Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent �TM fraudulent removal and reattachment of this form to another document. hN Description of Attached Document 4 A ) Title or Type of Document: n,(:),' ..." – 3A\A }k. Document Date: 9 , ` d Number of Pages: f( Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name:David R. Wuertz Signer's Name: ' i Individual ! Individual `f� Xi Corporate Officer :.:J Corporate Officer « Title(s)President,Secretary.Treasurer Title(s): ii Partner—0 Limited :.J General13 Partner—❑ Limited " i General G' Attorney-in-Fact i=; Attorney-in-Fact Trustee ❑ Trustee 3 Guardian or ConservatorRIGHTTHINS RIrJT RIGHTTHUMBPR(NT � OF-S GNER C7 Guardian or Conservator �F g; t;(R .; k L-_- Other: Top of thumb here ❑ Other: Top of thumb here A h 1ii Zi Signer Is Representing: Signer Is Representing: ' TDS Engineering, e cl A California Corporation 4 -.,r�r. "l/,=- "ld <•-.• .f�.�..�",.f. .I./".Yip.�,.!-!� —�'1./,f :.,r.s „✓-r,=,z ply"./.lr je- .;°'r.,.✓��.�...?-. ". "1 1.-"y-" .":":,ile'rj WORKERS' COMPENSATION INSURANCE CERTIFICATION TRAFFIC SIGNAL UPS SYSTEM INSTALLATIONS CONTRACT No. 209300-7150/41015 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) 7 -1 4) Date TDS Engineering Name of Contractor By: Signature of Authorized Agent David FL Wuertz,President Signatory's Title 667073 Contractor's License No, 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT AT .;^•"1.. �--`- --z- =.rte- r,'.!.-,,-.. '"r�..../.-1! -.T�z!rnf "l11"l,,.t:-.:,:l..t.-.�,"J✓"-., .,,! . --... r✓ill.lam".-r-fI`"' f 4 State of California ,10 County of Ventura sv t r ' r On r / 7"�`� before me, Elisha A.Wuertz, Notary Public Date Name and Title of Officer(e.g..-Jane Doe.Notary Public') }ttil personally appeared David R.Wuertz Name(s)01 signer($) personally known to me–OR–C proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by WUERTZ his/her/their signature(s)on the instrument the person(s), f7:77-771=c.°°°°°.n2e.".1A _ f COMM.91416669 s or the entityupon behalf of which the person(s) acted, , rt r��,, =� R P u '� ;t►'' NOTARY PUBLIC-CALIWORNN u executed the instrument. 1 ' ', j VElmJRA-couN'Y t WITNESS my hand and official seal. , K. xs 1 / (/(-/ ........di kat —s yitau.e a Lary Punic OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could preventTik fraudulent removal and reattachment of this form to another document. i.`T Description of Attached Document \\ Title or Type of Document: W``ort 1(.Q e----so W-A p J ' x,I ,,` Document Date: ' / )-. (DL1 Number of Pages ,,,. N ki Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) ; Signer's Name:David R. Wuertz Signer's Name: IN itt 1 Individual J Individual NI kl Corporate Officer '7 Corporate orporate Officer T(ae(s)President,Secretary,Treasurer Title(s): —❑ Limited J General _..:1 Partner—L Limited ii General Attorney-in- iN Fact ❑ Attorney-in-Fact IN Trustee LI Trustee RIGHT H(tt(3PR1�tF RIGHT THUMBPRINT or Conservator c) YiGNER [a Guardian or Conservator OF&IGri;ER Li Other: Top of thumb here El Other: Top of thumb here l Signer Is Representing: Signer Is Representing: kel Nt TDS Engineering, A California Corporation + �11./jr"l/1.!�!�^.�'i: 1� �'r�/.r+' 'f1l .c/r r!!�11�./. l �"�"/ ./"%i�.�J �rl�%i� 1'.11Y.� - tea Ills ENGINEERING 8054940757 p. 4 PREMIUM $4,698.00 EXECUTED IN TRIPLICATE PERFORMANCE BOND WFFREAS, the City Council of the City of Redlands,State of California(hereinafter designated as City), and TDS Engineering(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 September 7,2004,and identified as Contract No.209300-7150/41015,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*THREE HUNDRED FORTY-EIGHT THOUSAND AND 00/100* dollars(S 348,000.00 ) for the payment of which sum well and truly to be made,we bind ourselves,our heirs,successors,executors and administrators,jointly and severally,firmly by these presents. The condition of this 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. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and surety named, on SEPTEMBER 14 , 2004. Bond No. 08591295 FIDELITY 4.kis DEPOSIT TDS ENGINEERING (SEAL) COMP:: OF • 'Y ►+ (SEAL) Su ;y: Signature a 6d R.Wuertzt President sign_ MICHAEL A. <Z Address: ATTORNEY-IN ry•CT 801 N. BRAND : ' I. GLENDALE,CA 91203 (Notarial Acknowledgments of Principal and Surety) Telephone: (818 ) 409-2800 ,--,,,,--,-.,A-_ ,,,„ W(,. / -,--' Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a :.: ,., corporation of the State of Maryland,by PAUL C.ROGERS, Vice President.and T. E. SMITH,Assistant Secretary, in :.. pursuance of authority granted by Article VI, Section 2,of the By-Laws of said Company, w ' ,a• set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof.dt•S .4),- -113M:nate constitute and , appoint Michael A.QUIGLEY,of Aliso Viejo,California, its true an. . asiii 4`•n J.'. •tto.....•,&AZ-Fact,to make, execute,seal and deliver, for, and on its behalf as surety,and . „mit' aritlr. •TY:tr: a kti..air., .d undertakings and the execution of such bonds or undertakings in purs - - .Ver...7"'-vent ,,ijt:i.is .. 71 Irg—upon said Company, as fully OF 1* and amply,to all intents and purposes,a ' ar.b, 1::. . - -, :. ' •wledged by the regularly elected officers of the Company at its office in ; :411;11t3n1'... 'n e' .A. .. :- .t .ns. This power of attorney revokes that issued on behalf of Michael al, .vrto.-r 2:4A' 141 /1 - lir The said Assistant 1 - . . ;... rt 0. •4, , .t the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2,of the By- : 041.Q.4C.- I any,and is now in force. , IN WITNESS WHER OF, 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 26th day of June, A.D. 2003. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND (4, fealocae‘ s, '-7., •••••• ir wi NI , •,. Cfr"um, E ' By: ._ T. E. Smith Assistant Secretary Paul C. Rogers Vice President State of Maryland ss: City of Baltimore On this 26th day of June. A.D. 2003. before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came PAUL C. ROGERS. Vice President, and T. E. SMITH. Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to he 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 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. IN LESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. igleI Or, Vir 4b7Any pdt." Dennis R. Hayden Notary Public My Commission Expires: February I.2005 1 POA-F 012-0626 ___ ____--.60tuassuresoleaMISMOMM CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ---41 .,-,:,k, , =,-‹.,---,--,4--,,,,,-,,,,----- -.. -.4,4 :-.. .---.,-,•••.r.crx,......c.--nc,‹_-&-e,-- ---, -K-,-cK4x-cc----,4-<-:_- - 4.4 4,-, PAA State of California - :1 r. *1 1 1 ss. i County of ORANGE ••"fi ,,--- % 0, ::7-I, iy, ' •• On September 14,2004, before me, MEG QUIGLEY, NOTARY PUBLIC e.. - 1 Date Name and Tee of Officer(e.g.,-Jane Doe,Notary Public') 1 ., fi .. i personally appeared MICHAEL A. QUIGLEY ,...., , r* Name(s)of Signer(s) st, J personally known to me 0 proved to me on the basis of satisfactory >s evidence ,( ra""7,'".274141-2""""'""2"="2•"02 MEG QUIGLEY , Angwx to be the person(x) whose name ) is/ `. COMM.#1461771 > Notary Public Californta ?fit subscribed to the within instrument and '1 0 acknowledged to me that he/ ib ey executed , 7.4.** ' ORANGE COUNTY -- li, ' MY COITIMi&PIM*Wary 10,2008 the same in his/410604E11C authorized capacity(iX), and that by hisnoudibiatix ;:,• ii signature(s) on the instrument the person ), or .1 the entity upon behalf of which the person* 0 acted, executed the instrument. l' 01 f I ''‘ St , c • Ind off ial seal. _ cs, 0 et ,a.„IA.,. __ rr Place Notary Seas Above -.4g . a of Notary^ . le; OPTIONAL , 5'1 il ti Though the information below is not required by law, it may prove v.Liable top- 711MA.n th- document and could prevent fraudulent removal and reattachment of •' form 4 anot'. •ocumen, t, •P Description of Attached Document is i Title or Type of Document: ., Document Date: Number of Pages: 'I i l'' S gner(s) Other Than Named Above: fri r, Capacity(ies) Claimed by Signer ., .. Signer's Name: RIGHT THUMBPRINT OF SIGNER ., i 0 Individual Top of thumb here I' ;,t t '• 0 Corporate Officer—Tttle(s): .-.., 0 Partner—0 Limited 0 General v Ci Attorney in Fact 0 Trustee ss. t. i 0 Guardian or Conservator ;•• f t 0 Other: it $i • ,' Signer Is Representing: ‘.?' :!I ,_. -_--,c-4,, 4,';0" ;_ lt?' e?"'"_,'-e'-__"" 7.• _,--"e7'arCer AV" Cetx „_eX eX elx`i?'".t..?,''.ext".er v "Ano•ex .rex '- ....e,' ex'Is,*er," -,- ex '- ,,e, ,., Orear Nekormi Notary Assoczatiop•9250 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•wyeknationalnotaiy org Pcort No.5907 Recede*Cali Tot-Free 1-800476-6827 .......--- 0 ZURICH THIS IMPORTANT DISCLOSURE NOTICE IS PART OF YOUR BOND We 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 as 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 he 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 $5,000,000. These disclosures are informational only and do not modify your bond or affect your rights under the bond. Copyright Zurich American Insurance Company 2003 surety terrorism disclosure notice ----------.1.": CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 4--,-------------4z----;---------------z--.....----:,,--z-----------_,--..-."--,----1--.1.,....---,-- ,..-..-----,,--,--:,------c--..,-. -.:,-..,--.."----..---,--..--..---,,,-,-:..,-..--....,-_,-....-----...--...--- ---,---..--.....r. -.4 k.' State of California County of Ventura ):4 N:e On 9 --/ 7before me, .,: -c)-1 Elisha A.Wuertz, Notary Public * Date Name and Tree of Officer(e.g.-Jane Doe,Notary PuOlici N -v ' N personally appeared David R.Wuertz w i Name(s)of Signe(s) IC personally known to me-OR-LJ- proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument ?,1 ?,11 ti and acknowledged to me that he/she/they executed the tl.N same in his/her/their authorized capacity(ies),and that by re.°77:: =°;.7N7IRT71 his/her/their signature(s)on the instrument the person(s), COMM#1416669 - R or the entity upon behalf of which the person(s) acted, uk :)411471::: NOTARY PUOLIC-CAUFOPNIIA u executed the instrument.ik LVENTURA COUNTY 1 tke J., 1.....,..,.77:-„To lity.C..oma ..........olon .Exp•May IIT.3017 i$ 000 WITNESS my hand and official .eat. %,. . , r , i Nv A. N) / ..... ...... .A.4. ) Ns,gna....co •tary Pubis yr .k. 4 '''''''':.1;( OPTIONAL ;:: N Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of This form to another document. Description of Attached Document kN. ffi )1Y tle or Type of Document:Ti (-0-er-- ''...,--r er-N•-v-1,-. Va-,\- ,.. ........ s., ,r Document Date: 1 \ 4 ,o LI, Number of Pages: s\ None Signer(s) Other Than Named Above: ..,, Capacity(ies) Claimed by Signer(s) ,.- , N Signer's Name:David II. Wuertz Signer's Name: 1.1, ry _I Individual i Individual x Corporate Officer Li Corporate Officer Vi ri Title(s)President,Secretary.Treasurer Title(s): 41 .1: Partner—L] Limited :.:...1 General General Li Attorney-in-Fact .__J Partner—0 Limited =1 Cl] Attorney-in-Fact ,41 ti,?4 N # -L2 Trustee ilTi Guardian or Conservator RIGliTTI-litt.15PRIt/T OF SIGNER '.13 Trustee 0 GuardianRIGH or Conservator T THUMBPRIN7 OF S,GNR Etry W., 0 Other: Top of thumb here Li Other: Top of thumb here SN 1,i44 ‘,1 .1.1,.( Signer Is Representing: Signer Is Representing: kii *t..9 4• TDS Engineering, ,t) A California Corporation V, -,ru.t IU: lla TDS ENGINEERING 8054940757 p. 5 ?Tamiu.m..t.nT• 'Fr,t1dt.1(1 in EXECUTED IN TRIPLICATE 33 PAYMENT BOND WHEREAS, the City Council of the City ofRedlands,State of California(hereinafter designated as"City"), and IDS Engineering (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 September 7,2004,and identified as Contract No.209300-7150/41015,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 labor and materials payment bond with the City to secure the claims to which reference is made in Title 15 (corrunencing with Section 3082)of Part 4 of Division 3 of the Civil Code of the State of California. NOW,THEREFORE, said Principal and the undersigned as corporate surety, arc 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*THREE HUNDRED FORTY-EIGHT THOUSAND AND 00/100* dollars ($ 348,000.00 ) 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 of the 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 perfoinied, 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 tee ins of the agreement or to the work or to the specifications_ IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and surety named, on SEPTEMBER 14 ,2004. Bond No. 08591295 FIDELI .pitypsm TDS EN ERING (SEAL) COMP OF yet. 4 kill (SEAL) • 'ncipal Signature Signa re MICHAEL A. Q - David R.Wuertz,President Address: ATTORNEY-IN-F CT 801 N. B' .1 14 tLVD. GLENDALE,CA 91203 (Notarial Acknowledgments of Principal and Surety) Telephone: ( 818 ) 409-2800 r , 4 1 t.f Power of Attorney 1 x FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1 4 KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Maryland,by PAUL C. ROGERS,Vice President, and T.E. SMITH,Assistant Secretary, in pursuance of authority granted by Article V1, Section 2,of the By-Laws of said Company, w ' f .,or• set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof dt-sea131,1M. .' nate,constitute and appoint Michael A.QUIGLEY,of Aliso Viejo,California, its true an' ... di, tto .\we:-Fact,to make, execute, seal and deliver, for, and on its behalf as surety,and . 'r nottirs,--::-a ! li 1 Ift4. t'a d undertakings and the execution of such bonds or undertakings in purs ..„,i: -..-Jri .7went 1c. 7, ,..t g upon said Company, as fully and amply,to all intents and purposes,a ' al, irk, . &, ,,,,, :, iir !edged by the regularly elected officers 'n "Th''the Company at its office in 7..L24111.4.11411., 'n iit." , j, •: ovis •ns. This power of attorney revokes that issued on behalf of Michael utt OLYto•-r The said AssistantV - . . at the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2,of the By- : ,,,zeinCc6•. y,and is now in force. vof. IN WITNESS W '` ' OF, 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 26th day of June, A.D. 2003. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND 0 DEPot * ,,e.„ *..e.'No 73 . - s , ....... ... -‘, /-------) ir., ij„,..,,j5k.) By: ... T. E. Smith Assistant Secretary Paul C. Rogers Vice President State of Maryland 1 ss: City of Baltimore On this 26th day of June. A.D. 2003, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came PAUL C. ROGERS, Vice President. and T. E. SMITH, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. to me personally known to he 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 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. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. •em.itgli% ....... Dennis R. Hayden Notary Public My Commission Expires: February 1, 2005 POA-F 012-0626 ta . CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 4 -' ii,...7,;.-4<-•-;.. ---s- s',---c'e.-, --iii12-- i 4 Es , State of California '1;1 ii1 sS. t'34 ORANGE •k. it' County of • i' P.: ._ on September 14,2004,i $before mea MEG QUIGLEY, NOTARY PUBLIC Date Name and Title of Officer(e.g.,"Jane Doe,Notary Public') personally appeared MICHAEL A. QUIGLEY Name(s)of Signer(s) . ., It: ' n personally known to me ., , Li proved to me on the basis of satisfactory evidence 01 , i $ i4rd‘'.661arEn.,.,- 1 ,.:411110PV COMM. #1461771 > to be the person(x) whose name ) is/REK subscribed to the within instrument and .1 NotaryPi13 '1 .1 or IC CaliforniaI Cart orna a) acknowledged to me that he/steamy executed 1.,,, ,,,mx.,AANGE couLirmpl'ir jr the same in hisIttellOiRk authorized , I,' aara, My Comm.Expirai*wary 10,2008 k capacity(lEa), and that by his/kieftettK 15 signature(s) on the instrument the person ), or i the entity upon behalf of which the person(g) ''' acted, executed the instrument. (4 , • --,;, WT -SS ,- ft. d d pff.ial seal. .$1 ifk.a. I- 1 a ll!, Place Notary Seal Above Sig i ture(01 Notary P lik 4i OPTIONAL 1,4 \ Though the information below is not required by law, it may prove valuable to perst71 .1111,n the .ocument and could prevent fraudulent removal and reattachment of this •I to ,no ,er document it Description of Attached Document Title or Type of Document: . 0 1' . Document Date: Number of Pages: 11 A' :? Signer(s)gner(s)Other Than Named Above: 4 e... A Capacity(ies) Claimed by Signer 1$: Signer's Name: RIGHT THUMBPRINT : OF SIGNER 0 Individual I Top of thumb herb ti 0 Corporate Officer—Tttle(s): ii 0 Partner—0 Limited 0 General ,- f i Li Attorney in Fact •,- 0 Trustee 0 Guardian or Conservator i 0 Other: _4 r '$) Signer Is Representing: --- ------ 0: A1;if X-__ • .1_0-9 ,,9•7.- ,-.. 9 .,:.-';_e_?4,, .4,.....F.,-,-... .1. 94-9 9 79.110:'94-4..7'e 1.7 w-^"r.O=, .--0_.‹.• .,z---":ex 7:.,' :'-'67" -, _, --/.4 `a• 01999 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Ctlatsworth,CA 91313-2402•vowt.nationatnotruy.org Prat No 5907 Reotter Call Tot-Free 1-800-876-6827 ZURICH THIS IMPORTANT DISCLOSURE NOTICE IS PART OF YOUR BOND We 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 as 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 sui ety terrorism disclosure notice CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT .-- .� .r- . ^ter .r:.-..-. r r.^.: .,^. .lit.. .- .��,i ..ice.r ....-..'.�1 .....r" .-.�..r ./✓ 1 ..r-. .�, IS State of California Ventura ,i- County of F: i. Elisha A.Wuertz, Notary Public 1 - i')- before me, On HName d Tarte of Officer(e.g._'Jane Doe.Notary PubbC) .( Date an fir" personally appeared - David R.Wuertz Name(s)of Sweets) k? X3 personally known to me–OR–❑proved to me on the basis of satisfactory evidence to be the person(s) IR t'' whose name(s) is/are subscribed to the within instrumentwV ,t)tt, NAL and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by Ah ' .7 . ELISHA..WUERTZ his/her/their signature(s)on the instrument the person(s), s COMM 91416669 s or the entity upon behalf of which the person(s) acted, 11�`. U `l.S ,. `7` NOTARY PUBLIC-CAUFOi1MA u executed the instrument. 4 I �� VENTURA COUNTY , a k .r^ �'CO1"f"' 00."E x �T 2 SO t WITNESS my hand and official seal. , fg ,j 'N, _IL j/Nor c4 —Swale*. .lary Public :,,, � o-q OPTIONAL r, Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent l 1N fraudulent removal and reattachment of this form to another document. ,- . WY Description of Attached Document ,,,, Title or Type of DocumentP�i� S c..-\ 1 ' N cam, , 1 h,' Document Date: I `1 Number of Pages: Signer(s) Other Than Named Above: None — s`. Capacity(ies) Claimed by Signer(s) A Signer's Name:David R. Wuertz — Signer's Name: r _ Individual Individual 1 - kV, x Corporate Officer :.1 CorporateOfficer ritle(s)President,Secretary,Treasurer Title(s): iNI ,N Partner—❑ Limited LI General _1 Partner—LJ Limited 1 General fxv LI Attorney-in-Fact U Attorney-in-Fact L:. Trustee ❑ Trustee a P.IG?{T THUMBPRINTRIGHT THUMBPRINT .:- Guardian or Conservator OF SIGNER ❑ Guardian or Conservator OF SIGNER I Other: Top of thumb here 0 Other: Top of thumb here ; •YS: . Signer Is Representing: Signer Is Representing: yyt TDS Engineering, } ► A California Corporation �` , , ;.+�1 '.–�/----�r�"1-.�J..--.ar-1�..- !.1':r "1 l —?^�1. /r rr.�1 �"1"^,:r,. 'i-' l,.t•..,," .. :; Il_F,i��I'.: STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 09-14-2004 GROUP: 000044 POLICY NUMBER: 10435-2004 CERTIFICATE ID: 158 CERTIFICATE EXPIRES: 10-01-2005 10-01-2004/10-01-2005 CITY OF REDLANDS DEPARTMENT OF PUBLIC WORKS PO BOX 3005 REDLANDS CA 92373 JOB: JOB NO. 209300-7150-41015 This is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend,extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain,the insurance afforded by the policy described herein is subject to all the terms, exclusions,and conditions,of such policy. • Azein,,e.._ . AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - DAVID R WUERTZ„ P,S T, - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-1996 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 10-01-2004 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: CITY OF REDLANDS EMPLOYER T D S ENGINEERING (A CORP.) 2899 AGOURA RD STE 171 WESTLAKE VLG CA 91361 ITST,CN) PRINTED'09-14-2004 SCIF 10262E Accept this cdaddicate only if you see a faint watermark that reads"OFFICIAL STATE FUND DOCUMENT' PAGE 1 OF 1 DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCETM 09/14/2004 PRODUCER (805)579-1900 FAX (805)579-1916 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE • Insurance West Corporation HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2450 Tapo Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Simi Valley, CA 93063 ACJ INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: TDS Engineering, A California Corporation Transportation Ins. Co. 2899 Agoura Road Ste. 171 INSURER B: American Casualty Company Westlake Village, CA 91361 INSURER C: Fax#805-435-3745 INSURER 0: 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 AMYL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY 107982 5442 01/13/2004 01/13/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO REN rED 5 PREMISES(Ea occurence) 100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) 5 5,000 A X $2,000 Ded for PD PERSONAL&ADV INJURY $ 1,000,000 Per Occurrence. GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY — PRO- JECT AUTOMOBILE LIABILITY 1079825456 01/13/2004 01/13/2005 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) 5 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) B HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 1079825473 01/13/2004 01/13/2005 EACH OCCURRENCE 5 8,000,000 X - OCCUR I CLAIMS MADE AGGREGATE - $ 8,000,000 A DEDUCTIBLE S X RETENTION $ 10,000 S WORKERS COMPENSATION AND WSTAT T- O I H- EMPLOYERS'LIABILITY TORR Y LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City of Redlands, its elected officials, officers, agents and employees are named as additional additional insured per the terms of the blanket additional insured endorsement G-17957-G99 form attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL MIMXSICIM MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, The City of Redlands a` 1(x LWMXIX(XXX )ri4D4x9O,FXN ,XR9lWOMX4X-W ENXXXX P 0 Box 3005 , 0019 XX X99 IX.X I XXKX NXXIX IXXXXXXXXXX Redlands, CA 92373 AUTHORIZEDREPRESENTATIVF f k {{4 ACORD 25(2001/08) .y ©ACORD CORPORATION 1988 ( TDS Engineering 1079825442 G-17957-G99 SNA (Ed. 10/01) For All the Commilmenfs You Moho' IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAiM OR SUIT. SEE PARAGRAPH C.1. OF THIS ENDORSEMENT FOR THESE DUTIES. ALSO, THIS ENDORSEMENT CHANGES THE CONTRACTUAL LIABILITY COVERAGE WITH RESPECTS TO THE "BODILY INJURY" OR "PROPERTY DAMAGE" ARISING OUT OF THE "PRODUCTS-COMPLETED OPERATIONS HAZARD." SEE PARAGRAPH 8.3. OF THIS ENDORSEMENT FOR THIS COVERAGE CHANGE. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED ENDORSEMENT WITH LIMITED PRODUCTS - COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Designated Project: The City of Redlands, its elected officials, officers, agents and employees. (Coverage under this endorsement is not affected by an entry or lack of entry in the Schedule above.) A. WHO IS AN INSURED (Section H) is amended to Declarations of this policy, whichever is less. include as an insured any person or organization, These Limits of Insurance are inclusive of, and not including any person or organization shown in the In addition to, the Limits of Insurance shown in the schedule above, (called additional insured) whom you Declarations. are required to add as an additional insured on this 3. The coverage provided to the additional insured policy under a written contract or written agreement; by this endorsement and paragraph f. of the but the written contract or written agreement must be: definition of "insured contract' under 1. Currently in effect or becoming effective during the DEFINITIONS (Section V) do not apply to "bodily term of this policy; and injury" or "property damage" arising out of the "products-completed operations hazard unless 2. Executed prior to the "bodily injury," "property required by the written contract or written damage,"or"personal and advertising injury." agreement. When coverage does apply to "bodily B. The insurance provided to the additional insured is injury" or "property damage" arising out of the limited as follows: "products-completed operations hazard" such coverage will not apply beyond: 1. That person or organization is an additional insured solely for liability due to your negligence a. The period of time required by the written and specifically resulting from "your work" for the contract or written agreement; or additional insured which is the subject of the b. 5 years from the completion of"your work" on written contract or written agreement. No the project which is the subject of the written coverage applies to liability resulting from the sole contract or written agreement, negligence of the additional insured, whichever Is less. 2. The Limits of Insurance applicable to the additional insured are those specified in the 4. The insurance provided to the additional insured written contract or written agreement or In the does not apply to "bodily injury," "property Pond 1 of 'J , . G'/7957-099 (Ed, 10/01) damage," or "personal and advertising injury" 4. Other Insurance arising out of an o/chiteo|'s, engineer's, or surveyor's rendering of or failure to render any b. Excess Insurance professional services including: This insurance Is excess over any other a. The pmpu/�g. approving, or failing to prepare Insurance naming the additional insured or approve maps, shop drawings, opinions, as an insured whether prima . exnaoo, reports, surveys, field ondo»o, change orderscon0nQonio, onanyoLherboo� un|eos a ord,a��goendspoch5caUono� and written contract or written agreement specifically requires that this insurance be b. Supervisory, or inspection activities performed either primary or primary and as part of any related architectural or noncontributing to the additional insured's engineering activities. own coverage. This insurance Is excess over any other insurance to which the C. As respects the coverage provided under this endorsement, SECTION IV — CQK0y�ERCIAL additional [nourodhambeenodded �a an byaddhiono()nsunodondonsamani� GENERAL L|��B/L�YCO0[�I�QONSare amended as follows: When this insurance is excecu, we will 1. The following is added to the Duties In The Event have no duty under Coverages A or B to of Occurrence, Offense, Claim n/Suit Cond0nn. defend the additional insured against any � "suit" if any other insurer has a duty to a. An additional insured under this endorsement defend the additional Insured against that will as soon as practicable: "suit." If no other Insurer defendu, we will undertake todoso but wowill beentitled (1) Givewr�onnob000fanocnurronoaoron ' to the odd o#ensetouowhich may result in a claim all Insured's rights against insurers.aUthose other or"ou/�under this insurance; When this insurance isexcess over other (2) Tender the defense and indemnity of any Insurance, we will pay only our share of claim or "suit" to us for a loss we cover undorth��Coverogothe amount of the loss, if any, that Part; exceeds the sum of: (3) Tender the defense and indemnity of any (1) The total amount that all such other claim or "suit" to any other insurer which insurance would pay for the loss In also has Insurance for a loss we cover the absence o/this insurance;und under this Coverage Po�; and (2) The total of all deductible and self- (4) Agree to make available any other insured amounts under all that other insurance which the additional Insured insurance has for a loss we cover under this ' Coverage Part. We will share the remaining loss, if any, with any other insurance that is not 0 We have no duty to defend or indemnify an ' described in this Excess Insurance additional insured under this endorsement until we receive written noticeprovia(onandvvoo nc� boughfsoao�no/k, of a claim or specifically "suit" to apply in excess of the Limits of hn} additionalfrom the '/noumod Insurance shown in the Declarations of 2. Paragraph 4.b.of the Other Insurance Condition Is this Coverage Part. deleted and replaced with the following: Calk MOM Of Company Profile InsTeance FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1400 AMERICAN LANE, 19TH FLOOR TOWER 1 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 Agent for Service of Process? Reference Information NAIC #: 39306 NAIC Group #: 0212 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 Cmpany_Enfoigemot Action_aecuments 01014 Company P_erfermance !SL corriRan Data • — Composite Complaint Studies Want More? Help Me Find a Comp_any Representative in My Area Financial RatingOrg.anizations Last Revised-August 17,2004 07:34 AM Copyright©California Department of Insurance Disclaimer