HomeMy WebLinkAboutContracts & Agreements_19-2002_CCv0001.pdf RECORDING REQUESTED BY Recorded in Official Records, County of San Bernardino 8/29/2002
AND WHEN RECORDED MAIL TO: LARRY WALKER F57 PM
carr""
a� *ice Auditor/Controller — Recorder
CITY CLERK ,
R Regular Mail
CITY OF REDLANDS
35 CAJON STREET Titles: 1 Pages: 1
P.O. BOX 3005 Doc#: 2002—0454262
REDLANDS CA 92373 Pees 0.00
Taxes 6.90
Other 0.60
PAID-$O-00
SPACE ABOVE THIS—_ Rct..vnutrcs UJt
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-
hat: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 August 16,2002. The work done was:
Sun Avenue Improvements, Contract No. 243300-7230/43011
7. The name of the contractor for such work of improvement was:Tiger Equipment Company, Inc.
35701 Avenida La Cresta,Murrieta CA 92562 January 15, 2002
{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:Sun Avenue between Orange Street and Post Street.
9. The street address of said property is: N/A
r i
Dated:August 19, 2002
Senior Engineer,Public Works epartment,City of Redlands
VERIFICATION
I,the undersigned,say I am the Assistant 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 August 19, 2002,at Redlands,California.
1 r ? fes'
Assistant Public Works Direct biic Works Department,City of Redlands
r
t
AGREEMENT
THIS AGREEMENT, made and entered into this 15"' day of January, 2002, 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 Tiger Equipment Company, Inc., located in the City of Murrieta,
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:
I SCOPE OF WORK: The Contractor will furnish all materials and will perform all of the work for the
following:
To perform construction of the Sun Avenue Improvements project, complete, all as shown, specified, and
made a part of Contract No. 243300-7230/43011.
2. THE CONTRACT SUM OF: $ 161,602.50
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. 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.
5. 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.
6. 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.
7. INSURANCE: All policies of insurance required by this Contract shall name the City,its elected officials.,
employees, and agents as additional insured, and such insurance shall be primary with respect to such
additional insured and non-contributing to any insurance or self-insurance maintained by the additional
insured.
IN WITNESS VMEREOF, the parties hereto have executed this Agreement in duplicate on the day
and year first written above.
CITY'S SEAT,
By:
Mayor, City of REDLANDS
County of San Bernardino, California
ATTEST.
ity C erk, City LANDS
Co ty of San B -_ no, California
Tiger Equipment Company Inc.
Name of Contractor
1241/71
CONTRACTOR'S SEAL By: "Ile It
Sign Lure of Authoriz, t gent
Signatory's Title
Signature of Authorized Agent ([f necessary)
Signatory's Title (if necessary)
594189
Contractor's License No.
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
Contract No. 243300-7230/43011.
Tiger Equipment Company, Inc.
Name of Contractor
By:
Signreof Authorize
Agent
Signatory's Title
594189 A
Contractor's License NO.
EXECUTED IN DUPLICATE
BOND NO. 5-900 0455
PREMIUM: $3,424.00
f3rcmit,m Is For('ontmct Term
And Is C:,* —A To /V !-"I--nt
PERFORMANCE BOND Ori I" `
Filial CC11
- *i1---ct Flica
WHEREAS, the City Council of the City of Redlands, State of California (hereinafter designated as
"City"), and Tiger Equipment Company, Inc., (hereinafter designated as "Principal")have entered into an
agreement whereby by Principal agrees to install and complete certain designated public improvements,which
by said agreement dated January 15, 2002, and identified as Contract No. 243300-7230/43011, 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 I and sufficient faithful performance bond with the City.
NOW,THEREFORE, said Pririci al and the undersi ned sure bound
ONE � NDRED SIXTY E
unto the City in the sum of A NOCUOYAkHtesix `WdXeAeV,`RO9&4,
(s 161,602.50_ Inn I ------------- ------ - --- dollars
) 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_
Thecondition 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
u
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 ANWEREOF, this instrument has been duly executed by the Principal and surety named,
on FEBRUARY 11 2002 Bond No. S-900 0455
WASHINGTON INTERNATIONAL
TIGER EQUIPMENT COMPANY, INC. (SEAL) IN SURANCE COMPANY (SEAL)
_
Principal s Surety
BY,
BY
Signature
Signature
MARK LACY, PRESI ENT MARK D. IATAROLA, ATTORNEY—IN—FACT
address: 701 SOUTH PARKER STREET, SUITE 3800
ORANGE, CA 92868
(Notarial Acknowledgments of Contractor and SureN,) Telephone: ( 714 550-7799
NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under
the laws of the State of New Hampshire,and having its principal office in the C,4 of Manchester,New Hampshire,and Washington International
Insurance Company,a corporation organized and existing under the laws of the State of Arizona and having its principal office in the City of Itasca,
Illinois,each does hereby make,constitute and appoint:
John Maloney,Helen Maloney,Mark D.latarola
and Karen Jean flail jointly or severally
its true and lawful Attomey(s)-in-Fact,to make,execute,seat and deliver,for and on its behalf and as its act and deed,bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by
law,regulation,contract or otherwise,provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the
amount of: TEN MILLION(10,000,000.00)DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 24th of March,2000:
"RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President,the Secretary or any
Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power
of Attornev to execute on behalf of the Company,bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney,and to attach therein the seal of the Company; and it is
FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached.
N
"0011111114/1"', 4, �0 / 111111ft"',
"AX ONMAT Y 11V 1///, 010NA1
0,
C�
By
I Insurance Company& CORPORATE
:0= Paul D.Amstutz.President&Chief Executive Officer of Washington Intertationa
LLLSSSSEAL "'I Vice President of North American Specialty Insurance Company
M= SEAL
g�,,jt 1973 ty:0 g ys
0
�,ARIZONA
&ON BV
11111lulikO, Steven P.Anderson.Sr.Vice President of Washington International Insurance Company&
Vice President of North American Specialty Insurance Company
IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 14 day of January -)o 02
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois
County of DuPage ss:
January 02 Paul D.Amstutz President and CEO of
14 day of Jnar .20 before me,a Notary Public,personally appeared
Washington International Insurance Company and Vice President of North American Specialty Insurance Company and Steven P.Anderson
Sr.Vice President of Washington International Insurance Company&Vice President of North American Specialty Insurance Company,personally known
to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of,and acknowledged said instrument to be
the voluntary act and deed of,their respective companies, ------------ - -
kL SEAL �i
LIYASOMN A PATEL V
Yasmin A.Patel,Notary Public
J
1, James A.Carpenter Vice President&Assistant Secretary of Washington International Insurance Company and the Assistant Secretary of
North American Speciality Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given
by the companies,which is still in full force and effect,
IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies thisl I TH day of FEBRUARY 12002
James A.Carpvotcr,vice president&Assisto.tSecretory of Washington hatertutivn01!-so,%flec C`oP--Y&
,assistant secretary of North American Speciality Ifixt"reve',,-TrAAY
EXECUTED IN DUPLICATE
BOND NO. S-900 0455
PREMIUM INCLUDED IN PERFORMANCE BOND
TD
PAIrNMNT BON
"ATHEREAS, the City Council of the City of Redlands, State of California (hereinafter designated as
"City"),and Tiger Equipment Company, 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 January 15, 2002, and identified as Contract No. 243300-7230/43011, 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 (commencing 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,are held and firmly bound
unto the City and all contractors,subcontractors, laborers, materialmen, and any other persons employed
in the performance of the f gIS8��rjWf,6rTh6%* a�jTsVg&y
I&Wflni Slate of
California in the sum of NO dollars
50, 1 on
($ 161,602.50 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 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 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 duty executed by the Principal and surety
FEBRUARY 11 S-900 0455
named, on 2001 Bond No.
WASHINGTON INTERNATIONAL
TIGER EQUIPMENT COMPANY, INC. (SEAL) INSURANCE COMPANY (SEAL)
Principal Suety
By; Bv:
Signattfre Sig-IuTeRARK D. IATAROLA, ATTORNEY—IIS—FACT
N
MARK LACY, P U
701 SOUTH PARKER STREET, SUITE 3800
Address:
ORANGE, CA 92868
Notarial Acknowledgments of Contractor and SL T6:p.1qo=
_L4__) 550-7799
NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under
the laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International
Insurance Company,a corporation organized and existing under the laws of the State of Arizona and having its principal office in the City of Itasca,
Illinois,each does hereby make,constitute and appoint-,
John Maloney,Helen Maloney,Mark D.latarola
and Karen Jean Hall jointly or severally
its true and lawful Attorneys)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by
law,regulation,contract or otherwise,provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the
amount of: TEN MILLION(10,000,000.00)DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 24'h of March,2000:
"RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President,the Secretary or any
Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power
of Attorney to execute on behalf of the Company,bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney,and to attach therein the seal of the Company; and it is
FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached.
:s s,
N �lw
p40ggTlr
By
Paul D.Amstutz,President&Chief Executive Officer of Washington international Insurance Company& fg-'WRPORATEVOI
SEALVice President of North American Specialty Insurance COMPa"Y
1973 :mom SEAL
0S s t; ARIZONA
AMt'0 N-F 0N By
'kiiiiII11401, Steven P.Anderson,Sr.Vice President of Washington International Insurance Company&
Vice President of North American Specialty Insurance Company
IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seats to be hereunto affixed,and these presents to be signed by their authorized officers this 14 day of January "o 02
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois
County of DuPage ss:
14 January 02 Amstutz President and CEO of
day of before me,a Notary Public,personally appeared Paul D.
Washington International Insurance Company and Vice President of North American Specialty Insurance Company and Steven P.Anderson
Sr.Vice President of Washington International Insurance Company&Vice President of North American Specialty Insurance Company,personally known
to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of,and acknowledged said instrument to be
the Voluntary-,let and deed of,their respective companies. - --- A6- AL S-�---------
V
eo-
YA�Niiry A ATEL
Yasmin A.Patel,Notary Public
1, James A.Carpenter Vice President&Assistant Secretary of Washington International Insurance Company and the Assistant Secretary of
North American Speciality Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given
by the companies,which is still in full force and effect.
IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this I ITHday of FEBRUARY 42002
James A.Carpenter,vice President&Assistant secretary or Washington International Insurance C-olva-y&
Assistant Secretary of;forth American Speciality Insurance Corata.y
AC-08-A CERTIFICATE OF LIABILITY INSURANCE T=GER'z � ° 02/14/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Strachota Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
California License ;0249673 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
43500 Ridge Park. Drive #203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Temecula CA 92590 INSURERS AFFORDING COVERAGE
Phone. 909-676-2229 Fax: 909-6'76-7391
INSURED ;MOREPA. Insurance Corp of New York
j SN5UREP a Greenwich. Insurance Company
Tigger Equiprsent Co. Inc. vsvRERc
35701 Aven1da La Cresta nSJRER D
Murrieta CA 92562-9464
:'SURER It
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REOUIREMENT,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.
POLICY EFFECTIVE
LTR I ,PDUCY EItPiRATIOM j LYMTS
IHSH TYPE OF INSURANCE POLICY NUMBER DATE MS DOTY DATE MtDWY
RALLABRJTY ! i EACHC7Gs 1000000
CRREE
A i g}coh+r EPCALGENEPA� pry CAIC10021553 01/11/02 Olj11J03 ;F-E ter", s 50000
C:AVS MADE Z vC cP � MED owt°�'a�cam.-c,•i 3 s 5000
j ;aEPSDNALaAovlNt F s 1000000
3 GENERAL A::G1ZEfi�ATE !S 21 000�6
s
j>>
y GES'AGGREGATFUMTAPPUEsPF;a- PSTODucTs-cv��A:,G I s 1000000
T '
POLICY 3 PRm I LOC :
I t i
AUTOMOBILE LIARIUTY 1 ` 1 COM8ftNEO SWGLE UNIT I S
{Ea acr
AW AIS.'G I j incntl
�–
�€AUL OWNED Auras � (BOaLv InLxarY i s
SCHEOULEC)AUTOS
t
Ii HI4EIJAros � { (eoDLvINAazr �s
'cP�aerlo�j
�I Mon-OWNEO AO OS i
j I {PP0PERTYt7,AALAGE 5
i
i OARKTE LIABILITY j AUTOONLY-EA ACCIDENT 13
AW AUTO { I oTNFr THAN EAACC S
i AUTO Of%.Y- All �S
f {
ii7CCGCC LACI.tTY i EACHOCCLPPFNCE t S
i 1 OCCUP CLAIMS MADE � i � AGGf3EGA7E 4 3
t I I I S
Fli DEDUCTIBLE I j
a�t .un s
- I G tib STA`i} DTH- '
WOR@CERS COMPENSATION AND _ G TORI UNITS 69
EMPLOYERS-LIAMUITY i ' E.L.EACH ACIDEN'T S
I i E .DISEASE-EA EWLOYEE s S
j
3 I E L.DISEASE-POLICY tisAT 's
OTHER 5
IS itiched Equip 2460024 07/27/01 07/27/02 Ded $1000 190000
Rented/Leased I INCL THEFT Ded $1000 30000
DESCRN'TiON OP OFERATK>NWOCX CLL# ADDED BY ENDOR"SEMEN AL M4OVISIONS
Certificate holder and Owner- The City Of Redlands, San Bernardino County,
California. , are named as additional insured regarding general 1±abi11ty
policy per attached endorsement.
*Except for non-Pay then 10 days
CERTIFICATE HOLDER I y ;ADOMONAL PHSORED:WWRFRLETTER a CANCELLATION
REDLA02 SHOULD ANY OF THE ABOVE DeSCHWED pOLICUS BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF.THE fSSU04G 94SLWJM YPLL ENDEAVOR TO MAI_ -30—*.DAYS IVASTTEN
NOTTCE TC THE CERTWICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO OO SO SKALL
IMPOSEHO OBLIGATION OR L#ABH..ITY OF ANT UPON THE ITS AGENTS OR
City Of Redlands
P.O. Box 3005 ATrrEs.
TAT
Redlands CA 92373
ACORD 25-S(1197) ACORD CORPORATION 1988
PC'rt',YNUMBER:CA 'C100 21553 COMMERCiAL GENERAL LIARILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ !"Ir' CAREFULLY.
AUTOMATIC ADDITIONAL INSUREDS - CONSTRUCTION CONTRACTS
"his endorsement modifies insurance provided under!he following:
COMMERCIAL GFINFRAI I 1ARiUTYCOV2RAG2 PART
This endorsement changes the policy effective on the inception date or the policy unless another date is indicated below.
Endorsement effective
TO CONTINUOUS UNTIL CANCELLED THE INSURANCE CORPORATION OF NEW YORK
Named Insured ountersigned by
Tiger Equipment Inc.
(Authorized Representative)
The following provisions are added:
SECTION I-COVERAGES
Subpart(1)(a)of Exclusion f of Coverage A-is replaced by the following:
At or from any premises,she,or location which is or was at any time owned or occupied by,or rented or loaned to the
-insured-,
SECTION 11 -WHO IS AN INSURED
5.Any person(s)or organization(s)(hereinafter called 'Additional Insured")with whom you agree in a written construction
contract to name as an insured is an insured with respect to liability arising out or"your work'for the Additional insullea
or. the project specified in the construction contract,including acts or omissions of the Additional insured in connection
will;the general supervision of"your work,'
However,the insurance provided to tate Addi!icna!Insured(leas not apply to:
a.'-9cdily injury,""property damage,'or"personal injury,"occurring after:
(1) Al! work on*the project (other than service, maintenance or repairs) to be perforinpe by or on behalf of the
Addiborial"nsurad atthe site cf the covered operations has been completed:or
That port
ion of'your wark"out of which the iniwy or damage arises has been put to its intended use by any
person or organization other than another contractor or subcontractor engaged in performing operabors for a
principal as 2 part of the same project,
POLCYN"JMSER. CAit"10n 21553
L,1
GENERAL A81L!TY
L
AUTOMATIC ADDITIONAL INSUREDS - CONSTRUCTION CONTRACTS
(cont.)
b. "Property Barrage"to:
(1)Property owned,used,or occupied by or rented to the Additional losured,
(2) Property;in the care, custody, or control of the Additional Insured or over which the Additional insured is for any
purpose exercising physical control;or
(31)"Your work"for the Additional Insured.
c,"Bodily injury,""property damage,"or"personal injury,*arising out of an architect's, engineer's. or surveyor's rendering
of or failure to render any professional services for you, for the Additional insured,or for others.including:
(1) The preparing, approving, or failing to approve maps, drawings, opinions, reports, surveys, change orders,
designs,or specificabons;and
(2)Supervisory,inspection,or engineering services.
These exclusions applyin addition to those contained in the Coverage Part.
SECTION IH-LIMITS OF INSURANCE
The following provision is added:
The naming of one or more Additional Irsurpd's does not increase the limits of insurance,
SECTION IV-COMMERCIAL GENEPAL LIABILITY CONDITIONS
For the coverage provided by this endorsement.
a. Subpart(4)(a)of the Other Insurance provision is replaced by the following:
(a)This insurance is primary,and our obligations are not affected by any other insurance carried by such Adalitionai
Insured whether primary,excess,contingent,or on any other basis,
b- Subpart,(8)(Transfer of Righ's of Recovery Against Others To Gs.)isrepiaced by the following:
We waive any right a- recovery we may have against the person or organization shown in the Schedule above
because of payments we make for injury or damage arising out of your ongoing oseratcns or'your work"done under
a contract with that person or organization and inciuded in t1he "products-completed operations hazard.- This Waiver
applies only 60 the person or organization shown in the Schedule above,
ALLSTATE INSURANCE COMPANY 0 HOMEOFFICE CERTIFICATE OF INSURANCE
ALLSTATE INDEMNITY COMPANY 0 NORTHBROOK,ILLINOIS DATE OF
hereby certifies that the following automobile Insurance is in force: CERTIFICATE 02/120
Policy Number 04M61139
Namoirinsured mw L4Cy mh ITm annirM()D. pC. POLICY PERIOD:Thispolicy Is effective
Address 35701 AVFArZA 1A CFEM
MUMMA, CA 92562 JOW 3D, 2001_70 jW 30, M
Description of 1. 19991-FM%W M-M4
the Automobile 2. 199D AM MOE VIM C5902
3. 200D FOM IM VTN 44316
For Office 4. 1992 PETEMT VIN 10187
useonly 12:01 A.M,Standard Time
The person or organization designated below Is described In the policy as,
LIENHOLDER
13 (Loss Payable ClauselOF WOLAM AGENT S"HEleMM0F2
ADDITIONALP.O. WX M PRODUCER OF RECORD
INTERESTED PARTY NAME OF BROKER 1131 E. MAW ME 101
Cl OTHER REDWW, Ok 923n 7TMYN, CA 92780
COVERAGES AND LIMITS INDICATED BELOW BY AN"X"IN THE INCLUDED COLUMN IS AFFORDED FOR ABOVE DESCRIBEDVEHICLE:
COVERAGES LIMITS OF INCLUDED COVERAGES LIMITS OF INCLUDED
LIABILITY LIABILITY
A/AA BODILY INJURY LIABILITY
Each Person $1,0W 1000PERSONAL INJURY
VA— PROTECTION 1000 El
44 Each Occurrence $1,000 'Wo
8/86 PROPERTY DAMAGE LIABILITY SUPPLEMENTAL
Each Occurrence $1,0W
1000 STATUTORY COVERAGE 1000
D/00 AUTOMOBILE COLLISION A,C.V.less—= Uninsured Ell ,000
1000
Q Dim.Ded. SS Underinsured Motorists
RR AUTOMOBILE COMPREHENSIVE 0 A.C.V.
M A.C.V.We I PD 1000
W J 0
I- Tlw Lon Payable Cisuse of such pofty W*vWgw
The Additional InIter"I Endorsement of such policy,in part,prowdpa:
N :b:y, c0,mp,�,y,(,0,$enr he rl�hl I such policy at any 0 as provided "—such insurance as Is afforded by the policy"for automobile flobill insurance
rlder�
she notify t not listed...hereof applies WSO to the person or organization named as A tional
tj "tolh Interested Party. As respects such...Interest no cancellation...and no andor-
0
It
It such cancellation zlwrft
h el any e"the right, sament—adversely affecting such additional Interest,spall be effective until
reserves
the to St such
C er
interest of to and the Malin Ilk*
notice
Ice'to cancel this agreement, ten(t
days following in*mailing of written notice(to the person or organize.
tion)of such cancellation or endorsement....,
This Certificate of Insurance su ance,neither affirmatively nor negatively arnends,extends or alters the coverage afforded by the policy referred to above.
W U1877-7 PRINTED IN U.S.A.
ls.i
AIX,ore ROC BOX 420807,SAN FRANCISCO,CA 94142-0807
COMPENZATto"
114 su 1114 A to CIE
FUND CER nFICATE OF WORKERS'COMPENSATION INSURANCE
FEBRUARY 14, 2002 POLICYUM6ER: 1581926 - 01
CERTIFICATE EXPIRES: 4-1-02
CITY OF REDLANDS
P 0 BOX 3005
REDLANrS CA 923731
L_
Thisis to certify that we have issued a valid Workers'Componsaton insurance policy in a form approvedby the California
Period indicated.
insurance ComMissioner to the employer named below for"policy In
This policy is not subject to cancellation by the Funo except upon30 gRn days'advance written notice to the employer.
30
We will also give you)MN days'aavance 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
Policies 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 may pertain, the insurance afforded by the policies
described herein is subject to all the terms,exclusions and conditions of Such policies.
;7-10—� 17
AUTH0ftJZC-0 REPfIES NTATtVE
PRr6#DCN'r
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS! $1,000,000 PER OCCURRENCE.
ENDORSEMENT #200 ENTITLED CERTIFICATE HOLDERS* NOTICE EFFECTIVE
04/01/01 IS ATTACHED TO AND FORMS A PART OF THIS POLICY,
EMPLOYER
TIGER EQUIPMENT CO INC
35701 AVENIDA LA CRESTA
MURRIETA CA 92562
--DIM"NI dAO� liVIS