HomeMy WebLinkAboutContracts & Agreements_144-2008_CCv0001.pdf of San Bernardino 7110!2009
Recorded In otlicial Records,County 2:36 PM
LARRY WALKER FV
RECORDING REQUESTED BY; AuditorlController — Recorder
AND WHEN RECORDED MAIL TO:
R Regular Mail
CITY CLERK `
Titles: 1 Pages: 1
CITY OF REDLANDS Doc#: 2009-0302657 Fees 0.00
35 CAJON STREET Taxes 0.00
Other 0.00 r
P.O. BOX 3005 PAID
REDLANDS, CA 92373
FEES NOT REQUIRED SPACE ABOVE THIS LINE FOR RECORDER'S USE
PER GOVERNMENT CODE
SECTION 6103 NOTICE OF COMPLETION
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 June 29, 2009.
The work done was to construct the Stuart Avenue Storm Drain Improvement Project,
Contract No. 488182-7240/11004.
7. The name of the contractor for such work of improvement was WECKA,Inc.,826 Brookside Avenue,Redlands,
California, 92373; Contractor's License No. 670100; and Date of Contract was September 3, 2008.
8. The street address of said property is (If applicable) NA
Dated: June 29, 2009
Job Title
Municipal Utilities and Engineering Department, f Redlands
VERIFICATION
I, the undersigned, say l am the Municipal Utilities and Engineering 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 corrZ��
Executed on June 29,2009, at Redlands, California.
Municipal Utilitie and Engineering Dir c r
Municipal Utilities and Engineering Department,City of edlands
AGREEMENT
THIS AGREEMENT,made and entered into this 3'day of September,2008,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 WEKA, Inc., of the City of Redlands, 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 to perform
construction of Stuart Avenue Storm Drain Project, complete, all as shown, specified, and made a part of
Contract No. 488182-7240/11004.
2. For the Contract Sum of $2,417,704.00, in accordance with the terms and conditions of the Contract
Documents.
Pursuant to Section 22300 of the California Public Contract Code,Contractor has the option to deposit securities
with an Escrow Agent as a substitute for retention of earnings requirement to be withheld by the City pursuant
to and Escrow Agreement.
3. Time for Completion. The work shall be completed within 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 and
Payment Bonds; Standard Specifications and Standard Plans for Public Works Construction; Contract
Documents and Supplemental Specifications; all referenced specifications; and any Addenda thereto.
6. Attorney Fees. In the event any legal action is commenced to enforce or interpret the terms or conditions of
this contract the prevailing party shall, in addition to any costs and other relief, be entitled to recovery of its
reasonable attorney's fees.
7. Defense Obligation. The Contractor shall defend the City,its elected officials,officers,agents,and employees
from and against any and all claims, losses, damages, and causes of action, including death, brought by any
person or persons for or on account of any wrongful or negligent act or omission of the Contractor,its employees
or agents in connection with the performance of the Contractor's obligation under this contract.
8. Insurance. All policies of general liability and business automobile insurance required by this contract shall
name the City,its elected officials,employees,and agents as additional insureds. Any insurance required under
this contract shall be primary with respect to the City and non-contributing to any insurance or self-insurance
maintained by the City.
9. Resolution of Construction Claims. Claims made by the Contractor in the amount of$375,000.00 or less shall
be processed by the City pursuant to the provisions of Part 3,Chapter 1,Article 1.5 of the Public Contracts code
(commencing with Section 20104). All claims shall be in writing and include the documents necessary, to
substantiate the claim. Nothing in subdivision (a)of the Public Contracts Code Section 20104.2 shall extend
the time limit or supersede the notice requirements provided in this case from filing claims by the Contractor.
Pursuant to Public Contract Code section 9201, if the City receives a third party claim in relation to this
Contract, the City shall timely notify the Contractor. The City shall be entitled to recover reasonable costs
incurred in providing the notification required by Public Contract Code section 9201(b).
10. Eligibility of Contractor/Subcontractor. Contractor and any subcontractor agree to abide by California Public
Contract Code Section 6109 and California Labor Code Sections 1777.1 and/or 1777.7 and certify that they are
not debarred and are eligible to work on this project.
It. Assignment of Agreement. No assignment by a party hereto of any rights or interests under this agreement will
be binding on another party without the written consent of the party sought to be bound.
12. Successors and Assigns. The City and Contractor each binds itself, its partners, successors,assigns and legal
representatives in respect to all covenants, agreements and obligations contained in the contract documents.
13. Severability. Any provision or part of the contract documents held to be void or unenforceable under any law
or regulation shall be deemed stricken,and all remaining provisions shall continue to be valid and binding upon
the City and Contractor.
IN WITNESS WHEREOF,the parties hereto have executed this Agreement in duplicate on the day and year first
written above.
CITY SEAL
By: Zi
ry
Ma edds
,y6r',City o
,Q6unty of San Bernardino,California
ATTEST:
City Cork,City-rrFA,1(d1rds
C;ounty of San Btrnard o,California
WEKA, Inc.
Name of Contractor
C01vTp.4CT0R SEAL By: S,* iture-ofAuthorized gent
bac'
Signatory's Title
Signature of Authorized Agent (if necessary)
Signatory's Title (if necessary)
670100
Contractor's License No.
Check a License or Home Improvement Salesperson(HIS) Registration- Contractors Stat... Page 1 of I
Department of Consumer Affairs
Contractors State Lice oard
-
Contractor's License Detail - License # 670100
ADISCLAIMER:A license status check provides information taken from the CSLB license database.Before
retying on this information,you should be aware of the following limitations.
CSLB complaint disclosure is restricted by law(R 71Z4A0,If this entity is subject to public complaint disclosure,a link
for complaint disclosure will appear below.Click on the link or button to obtain complaint and/or legal action information.
Per B&P,.70-71,JT,only construction related civil judgments reported to the CSLB are disclosed.
Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration.
Due to workload,there may be relevant information that has not yet been entered onto the Board's license database.
License Number: 670100 Extract Date: 09/16/2008
11,
WEKA INC
Business Information: 826 BROOKSIDE AVENUE SUITE G
REDLANDS,CA 92373
Business Phone Number:(909)798-3221
Entity: Corporation
Issue Date: 04/27/1993
Expire Date: 04/30/2009
License Status: This license is current and active.All information below should be reviewed.
CLASS DESCRIPTION
Classifications:
A GENERAL ENGINEERING CONTRACTOR
CONTRACTOR'S BOND
This license filed Contractor's Bond number 69634464 in the amount of$12,500 with the
bonding company
WESTERN SURETY_COMPANY.
Effective Date:01/01/2007
Bonding: Cgntractor's Bonding History
BOND OF QUALIFYING INDIVIDUAL
This license filed Bond of Qualifying individual number 58656720 for JARED
STEVEN HIMLE in the amount of$12,500 with the bonding company WESTERN.
1' SQRETY_COMPANY.
Effective Date:07/08/2008
This license has workers compensation insurance with the
MAJESTIC INSURANCE COMPANY
Policy Number.C20080612301
Workers'Compensation: Effective Date:05/01/2008
Expire Date:05/01/2009
Worker'CompQnsatjgn History.
Personnel listed on this license(current or disassociated)are listed on other licenses.
EMEEMEMEEM
Conditions of Use I Privacy Policy
Copyright 0 2008 State of California
http://www2.cslb.ca.gov/OnlineServices/CheckLicenseiLicenseDetail.asp 9/16/2008
WORKERS' COMPENSATION INSURANCE CERTIFICATION
STUART AVENUE STORM DRAIN PROJECT
CONTRACT No. 488182-7240/11004
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 186 1)
Date
VVEKA,jnc.
Name of Contractor
By:
Siogia-*ure of Authorized Agent
Signatory's Title
670100
Contractor's License No.
Bond issued in two (2) counterparts Premium: $23,476.00
PPMUM IS MJRCCT�ACT I EPU
AMD 13 SUMCT TO�j);t:S7Vfj
PERFORMANCE BO" Wia ON HIM CriNTR40 PRICE
WHEREAS, the City Council of the City of Redlands,State of California(hereinafter designated as"Cit,/'),and
VvrEKA, hie. (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 3,2008,and
identified as Contract No. 488182-7240/11004,is hereby referred to and made a part hereof-, and
`4HEREAS, 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 Two Million Four Hundred Seventeen Thousand '(1) dollars ($2,417,704.00-------- )
for
$2_417,704.00--------
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 ofthis obligation is such that ifthe 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 tendered.
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 any
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, '(2)
on September 11 ,2008. Bond No. 58656722
Principal
Inc. (SF,4L) Western Surety Company
(SF-4-L)
pal Surety
DYL By. Y
Signature tgenature Shannon M. Lopez, Attorey-i -Fact
Address: 2355 E. Camelback Rd, S e. 50
Phoenix, AZ 85016
Notarial Acknowledgments of Principal and Surety) Telephone: 521-2309
*(I) Seven Hundred Four and no/1 00-----------
*(2) Western Surety Company
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
State of California
County of San Bernardino
On September 11, 2008 before me Isabel M. Dominguez. Notary Public personally appeared
Shannon M. Lopez
who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the
within instrument and acknowledged to me that she executed the same in her authorized capacity, and
that by her signature(s) on the instrument the person, or the entity upon behalf of which the person acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
1SABEL M. OMINGUEZ
OM M, #1663038
WITNESS mytand and official ell
"ell
A NOW" PM IC-CALIPORNIA
SAN SEPNARbINO, COUNTY
Signate17n MyComm Exp MAY 2,2010
urj' eal)
OPTION L
Though the data below is not required by law, it may Drove valuable to persons relying on the document
and could prevent fraudulent reattachm(!nt of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
F-1 TXTTATA 71DUAL
L_;U"_1A.TE2 OFFIGER
Performance Bond
Title(s) Title or Type of Document
PARTNERS ED
G1MIT—EN R
ATTORNEY-IN-FACT Number of Pages
'rD I T Q'rj;jj(S4
GI;4R __GONSERVAT-OR
9/11/08
Date of Document
SIGNER IS REPRESENTING:
Western Surety Company— Weka. Inc.
Signer(s) other than Named Above
Bond issued in two (2) counterparts
PAYMENT BUND
WHEREAS, the City Council of the City of Redlands, State of California(hereinafter designated as"City"),and
ATKA,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 September 3,2008,and
identified as Contract No.489182-7240/11004, 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 IS(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 aforesaid agreement and'referred to in the aforesaid Civil Code of the State of California in the sum of
Two Million Four Hundred Seventeen Thousand T) dollars($2,417,704.00----- }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 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 there-under or the specifications accompanying the same shall in agnosia
affect its obligations on this bond,and it does hereby waive notice of any such change,extension of time,alteration
or addition to the terms of the agreement or to the work or to the specifications.
IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and surety named, �(2)
on September 11 2008. Bond No. 58656722
Weka, Inc. (SEAL) Western Surety Company (SEAL)
Principal Surety
By: By:
Signature
gigWature Shannon M. Lopez, At me in-Fact
Address: 2355 E. Camelback Rd., St . 500
Phoenix, AZ 85016
(Notarial Acknowledgments of Principal and surety) Telephone: ( 66 521-3300)
*(1) Seven Hundred Four and no/1 00------------
*(2) Western Surety Company
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
State of California
County of San Bernardino
On September 11, 2008 before me Isabel M. Dominguez, Notary Public , personally appeared
Shannon M. Lopez
who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the
within instrument and acknowledged to me that she executed the same in her authorized capacity, and
that by her signature(s) on the instrument the person, or the entity upon behalf of which the person acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS rr , and and fficial se 1. "' fSAB�IMOMINGUEZ
COMM. #1663038 rf
NOTARY PUBLIC-CALIFORNIA X
Signa re al) Pr&ERNARDINO, COUNTY
hAV0rnrt,.Exp.MAY 2.2010 j
OPTf0 AL
Though the data below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
F�:l INDIVIDUAL
rnvvnv ATE OFFICE
Payment Bond
Title(s) Title or Type of Document
LN �F'XPRAT
1
ATTORNEY-IN-FACT Number of Pages
9/11/08
Date of Document
SIGNER IS REPRESENTING:
Western Surety Company Weka Inc.
Signer(s) other than Named Above
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation
having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby
make,constitute and appoint
Peter M Davis, Kenzie K Thompson, Shannon M Lopez, Gale Delo, Martin M Davis,
Individually
of Redlands,CA,its true and lawful A ttorney(s)-i n-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds,
undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by
the shareholders of the corporation.
In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to
be hereto affixed on this 28th day of September,2007.
WESTERN SURETY COMPANY
�jE
0 "0
D Paul 40'Bruflat,Senior Vice President
State of South Dakota
ss
County of Minnehana
On this 28th day of September,2007,before me personally came Paul T.Bruflat.to me known,who,being by me duly sworn,did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota-, that he is the Senior Vice President of WESTERN SURETY COMPANY described in and
which executed the above instrument;that he knows the seal of said corporation,that the seal affixed to the said instrument is such corporate seal;that it was
so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires +
D. KRELL
November 30,2012NOTARY PUBLIC(al`
t EAL
$6�bSOUTH DAKOTA
+
D.Krell,NoTary Public
CERTIFICATE
1, L. Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force,and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this 11th day of SeTtembe r
aEt WESTERN SURETY COMPANY
0S
:WG
S"*
L.Nelson,Assistant Secretary
Company Profile Page 1 of 2
Company Profile
WESTERN SURETY COMPANY
NY
P.O. BOX 5077
SIOUX FALLS, SD 57117-5077
Agent for Service of Process
JERE KEPRIOS, CIO CT CORPORATION SYSTEM 818 WEST SEVENTH STREET, 2ND FLOOR
LOS ANGELES, CA 90017
Un4b1„e to Locate,the,Agent far„Service of Process?
Reference Information
NAIC #: 13188
NAIC Group #: 02_1_8
California Company ID #: 0761-7
Date authorized in California: July 29, 1930
License Status: UNLIMITED-NORMAL
Company Type: Property & Casualty
State of Domicile: SOUTH DAKOTA
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.
LIABILITY
SURETY
Company Complaint Information
Company Enforcement Action Doc.uments
Company Performance &,Comparison data
Composite Complaint Studies
htty:/tinteractive.web.insurnncee On -1-f` „+t
Company Profile Page 2 of 2
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Last Revised-June 27,2008 09:13 AM
Copyright 0 California Department of Insurance
http:Hinteractive.web.insurance.ca.Ljov/webi iser/i db c(-) nrof iifl aot on nrnf,)n FTT)=')477 011 AlInAv
ACA TM CERTIFICATE OF LIABILITY INSURANCE 09/04/D2008}
a9/a4j2aa8
PRODUCER (909)793-2373 FAX (909)798-69$3 THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION
Davis & Graeber Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
License No. 0186657 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
470 E. Highland Ave, PO Box 40 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Redlands, CA 92373 INSURERS AFFORDING COVERAGE MAIC#
INSURED Weka Inc. tNSURERA: LibertySurplus Insurance Corp
826 Brookside Suite g INSURERS: American States Ins. Co. 19704
Redlands, CA 92373 INSURER c: RSUI
INSURER D:
INSURER E:
ERAGES
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.
MSR D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATXSN
DATE
DATE
uMlrs
GENERAL LIABILITY DGLLA207355018 64/01/2008 04/01/2009 EACH OCCURRENCE $ 1,000,
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100.00
CLAIMS MADE Q OCCUR MED EXP(Any one person) $ Excl Ude
A
rGENEPALAGGEREEGAETE
RSONAL&ADV INJURY $ 11000,00
$ 2,000,00GENTL AGGREGATE LIMIT APPLIES PER: P AGG $ 2,000,0
ECT
POLICY X PRO - _D LOC
AUTOMOBILE LIABILITY 010E90664990 06/04/2008 66/04/2009
COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $ 1,000,00
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY $
B (Per person)
HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGO $
EXCESS/UMBRELLA LIABILITY NHA221071 04/01/200$ 04/01/2009 EACH OCCURRENCE $ 3,000,00()
C :X1 OCCUR CLAIMS MADE AGGREGATE $ 5,000,000
$
DEDUCTIBLE
RETENTION $
$
WORKERS COMPENSATION AND WC STATU- OTH-
EMPLOYERS"LIABILITY ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
II yes,describe under E.L.DISEASE-EA EMPLOYE $
SPECIAL PROVISIONS be E.L.DISEASE-POLICY LIMIT $
(Oeaased and Rented 010E90664990 06/04/2008 06/04/2009 $225 000
TH
B $22S, per item
quipment Deductible $500
DESCRIPTION OF OPERATIONS/LOCATIONS/VENICgS/EXCLUSIONS ADDED BY ENDORSEMENT/
CIAL PROVISIONS
e.Stuart Ave Storm Drain Project Contract 488182-7240171004
ertificate holder is Additional Insured as per Blanket AI CGL2010 1185 with Primary Wording per
GL1031 0403 & Waiver of Subrogation CGL1025 0103 where all three required by written contract & Per
roject General Aggregate Limits per CGL1011 0103 attached.
10 day notice of cancellation will apply in the event of a non payment of premium
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
"30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of Redlands* BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
P.O. Box 3005 OF ANY KIND UPON THE INSURER,.ITS AGENTS OR REPRESENTATIVES,
Redlands, CA 92373 AUTHORLZED REPRESENTATIVE
#toss 3onesjWLS
ACORD 25(2001/08) QACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement.A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it
affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001/08)
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