HomeMy WebLinkAboutContracts & Agreements_33-2005_CCv0001.pdf AGREEMENT FOR ROOFING WORK
This agreement for roofing work ("Agreement") is made and entered into this,Q st a r cffm arc of
2005, by and between the City of Redlands, a municipal corporation ("City"), andy��
Company ("Contractor"). City and Contractor are individually sometimes referred to herein as a
"Party," and together as the "Parties."
In consideration of the mutual promises contained herein, City and Contractor agree as follows:
ARTICLE 1 - ENGAGEMENT OF CONTRACTOR
1.1 City hereby retains Contractor to remove and replace the roof on the house owned by City and
located at 525 University, Redlands, California (the "Project").
1.2 Contractor and its subcontractors shall possess all appropriate State contractors' licenses required
for the work to be performed on the Project, and shall not be debarred pursuant to Labor Code
sections 1777.1 and 1777.7.
ARTICLE 2 - RESPONSIBILITIES OF CONTRACTOR
2.1 The Project which Contractor shall perform is particularly described in Exhibit "A," which is
attached hereto and incorporated herein by this reference.
22 Contractor shall comply with all applicable Federal. State and local laws and regulations in the
performance of the Project including, but not limited, to all applicable Labor Code and prevailing
wage laws commencing at Labor Code section 1770 et seq. and non-discrimination laws,
including the Americans' with Disabilities Act. Pursuant to Labor Code section 1773.2, copies
of the prevailing rates of per diem wages as determined by the Director of the California
Department of Industrial Relations for each craft, classification or type of worker needed to
undertake the Project are on file at City's Administrative Services Department, located at the
Civic Center, 35 Cajon Street, Suite 10 (P.O. Box. 3005 mailing), Redlands, California 92373.
2.3 Contractor acknowledges that if it violates the Labor Code provisions relating to prevailing
wage, that City may enforce such provisions by withholding contract payments to Contractor or
its subcontractors pursuant to Labor Code section 1771.6.
2.4 Contractor agrees that if it executes an agreement with a subcontractor to perform work on the
Project that Contractor shall comply with Labor Code section 1775 and 1777.7, including
providing the subcontractor with copies of the provisions of Sections 1771, 1775, 1776, 1777.5,
1813 and 1815 of the Labor Code. Contractor acknowledges that the statutory provisions
establishing penalties for failure to comply with state wage and hour laws and to pay prevailing
wages may be enforced by City pursuant to Labor Code sections 1775 and 1813.
2.5 Contractor and its subcontractors shall comply with the provisions of Labor Code section 1776
regarding payroll records maintenance, certifications, retention and inspection.
NSep,1525 University
2.6 Contractor acknowledges that eight (8) hours constitutes a legal day's work pursuant to Labor
Code section 1810.
2.7 Contractor shall comply with the provisions of Labor Code section 1777.5 as to apprenticeships,
and Sections 1771, 1775, 1776, 1777.5 1813 and IS 15 of the Labor Code.
2.8 Contractor shall obtain, execute and deliver to City a Labor and Materials Payment Bond,
pursuant to Civil Code section 3247, in the form attached hereto as Exhibit "B."
ARTICLE 3 - PERIOD OF SERVICE
3.1 Contractor shall commence the Project upon City's delivery to Contractor of a written "Notice to
Proceed," and Contractor shall complete the Project in a prompt and diligent manner.
ARTICLE 4 - PAYMENT AND NOTICE
4.1 City shall pay Contractor the sum of Twelve Thousand Ninety Dollars (S 12,090.00) as complete
compensation for the work Contractor performs on the Project.
4.2 Payments by City to Contractor shall be made within thirty days after City's receipt and approval
of Contractor's invoice, by warrant payable to Contractor.
4.3 All notices, bills and payments shall be made in writing and shall be given by personal delivery
or by mail. Notices, bills and payments sent by mail shall be addressed as follows:
City:
MarI ic Pettus
Administrative Services Department
City of Redlands
PO Box 3005
Redlands, CA 92373
Contractor:
,141 Roy 0 Huffman Roof Company
4225 Garner Road
Riverside, CA 92501
When so addressed, such notices, bills and payment shall be deemed given upon deposit in the
United States mail; in all other instances, notices, bills and payments shall be deemed given. at
the time of actual delivery. Changes may be made in the names and addresses of the person to
who notices, bills and payments are to be given by giving notice pursuant to this section 4.3,
ARTICLE 5 - INSURANCE AND INDEMNIFICATION
5.1 Contractor's Insurance to be—Primarv. All insurance required by this Agreement shall be
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maintained by Contractor for the duration of the Project, and shall be primary with respect to
City and non-contributing to any insurance or self-insurance maintained by City.
5.2 Workers' Compensation and Employer's Liability
A. Contractor shall secure and maintain Workers' Compensation and Employer's Liability
insurance for its employees throughout the duration of the Project pursuant to Labor
Code sections 3700 and 1860, and in an amount which meets statutory requirements, with
an insurance carrier acceptable to City. The insurance policy shall include a provision
prohibiting the policy's modification or cancellation except upon thirty (30) days prior
written notice to City. Contractor shall execute and deliver to City a Worker's
Compensation Insurance Certification in the form attached hereto as Exhibit "C" prior to
commencement of the Project.
B. Contractor expressly waives all rights to subrogation against City and its elected officials,
officers and employees, for losses arising from work performed by Contractor on the
Project by expressly waiving Contractor's immunity for injuries to Contractor's
employees. Contractor agrees that the obligation to indemnify, defend and hold harmless
provided for in this Agreement extends to any claim brought by, or on behalf of, any
employee of Contractor. This waiver is mutually negotiated by the Parties. This
subsection shall not apply to any damage resulting from the sole negligence of City, its
agents and employees. To the extent any of the damages referenced herein were caused
by or resulted from the concurrent negligence Of City, its agents or employees, the
obligations provided herein to indemnify, defend and hold harmless are valid and
enforceable only to the extent of the negligence of Contractor, its officers, employees and
agents.
53 Hold Harinless and Indemnification. Contractor shall indemnify, hold harmless and defend City
and its elected officials, employees and agents from and against any and all claims, losses and
liability, including attorneys' fees, arising from injury or death to persons or damage to property
occasioned by any act or omission of Contractor, and its officers, employees and agents, in
performing the Project.
5.4 Assignment. Contractor is expressly prohibited from assigning any of the work associated with
the Project without the express prior written consent of City. In the event of mutual agreement
by the Parties to assign a portion of the Project, Contractor shall add the assignee as an additional
insured to its insurance policies and provide City with the insurance endorsements prior to any
work being performed by the assignee. Assignment does not include printing or other customary
reimbursable expenses that may be provided in this Agreement,
5.5 Comprehensive General Liability Insurance. Contractor shall secure and maintain in force
throughout the duration of the Project comprehensive general liability Insurance, with carriers
acceptable to City. with minimum coverage of one million dollars ($1,000,000) per occurrence
and t,,,,,o million 0,Ilars ($2,000,000) aggregate for public liability, property damage and personal
injury. City shall be named as an additional insured and the insurance policy shall include a
provision prohibiting its modification or cancellation except upon thirty (30) days prior written
notice to City. Such insurance shall be primary and non-contributing to any insurance or self-
insurance maintained by City. Certificates of insurance and endorsements shall be delivered to
City prior to commencement of the Project.
5.6 Business Auto Liability Insurance. Contractor shall have business auto liability coverage, with
minimum limits of one million ($1,000,000) per occurrence, combined single limit for bodily
injury liability and property damage liability. This coverage shall include all consultant owned
vehicles used on the project, hired and non-owned vehicles, and employee non-ownership
vehicles. City shall be named as an additional insured and a certificate of insurance shall be
delivered to City prior to commencement of the Project.
ARTICLE 6 - GENERAL CONSIDERATIONS
6.1 In the event any action is commenced to enforce or interpret any of the terms or conditions of
this Agreement the prevailing Party shall, in addition to any costs and other relief, be entitled to
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recover its reasonable attorneys' fees, including fees for in-house counsel of the parties at rates
prevailing in San Bernardino County, California.
6.2 All documents, records, drawings, electronic data files and data base, photographic prints and
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negatives, designs and specifications, cost estimates, and other Project documents developed by
Contractor for the Project shall become the property of City and shall be delivered to City upon
completion of the Project.
6.3 Contractor and City agree that Contractor is, for all purposes under this Agreement, an
independent contractor with respect to the Project and not an employee of City. All personnel
employed by Contractor to perform the Project are for its account only,, and in no event shall
Contractor or any personnel retained by it be deemed to have been employed by City or engaged
by City for the account of, or on behalf of, City. Nothing in this Agreement shall be considered
to create the relationship of employer and employee between the parties.
6t4 Unless earlier terminated as provided for below, this Agreement shall terminate upon completion
and acceptance of the Project by City.
6,5 Upon receipt of a termination notice, Contractor shall (1) promptly discontinue all work
associated with the Project and (2) deliver or otherwise make available to City, copies of any
data, design calculations, drawings, specifications, reports, estimates, summaries, and such other
information and materials as may have been accumulated by Contractor in performing the
Project. Contractor shall be compensated on a pro-rata basis for any work completed up until
notice of termination.
6,6 This Agreement, including the attachments incorporated herein by reference, represents the
entire agreement and understanding between the parties as to the matters contained herein and
any prior negotiations, proposals and verbal agreements relating to the subject matter hereof are
superseded by this Agreement. Any amendment to this Agreement shall be in writing and
approved by the City Council of City and signed by City and Contractor.
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6.7 This Agreement shall be governed by and construed in accordance with the laws of the State of
California.
IN WITNESS WHEREOF, duly authorized representatives of the Parties have signed in confirmation of
this Agreement,
CITY OF REDLANDS ATTEST:
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Cityelerk 6/0
ROY 0 HUFFMAN ROOF COMPANY
Ey Date
President, IRMO
Mep 525iitzrsit
EXHIBIT A
Property Address: 525 University Street, Redlands, California
Scope of Work: House
Remove existing roof on the residential structure
Dispose old roof sheathing
Install 15/32"plywood over skip sheathing
Nail on one layer of 15# felt over entire roof area
Install new I V2" x 3"metal at all roof edges
Install class "a" 30 year Owens Coming limited warranty
fiberglass shingles
Install matching hip and ridge
Seal and paint all pipe vents
Flat Roof Section
Nail on one layer of modified glass base sheet
Install new galvanized low rise metal edge
Install self-adhering modified cap sheet
Upon completion of work, clean up and dispose of all debris
Roy 0 Huffman Roof Company standard 3-year workmanship guarantee
A
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I
ISSUED IN ONE ORIGINAL COUNTERPART BOND NO: 104359559
Exhibit "B" PREMIUM:PREMIUM: $187.00
PAYMENT BONA
WHEREAS, the City Council of the City of Redlands, State of California (hereinafter designated as „City") and
ROY 0. HUFFMAN ROOF COMPANY (hereinafter designated as "Principal") have entered into an agleement whereby
Principal agrees to install and complete certain designated public improvements, which by said agreement dpted MARCH 1, _2005
2005,and identified as Contract No. ,is hereby referred to and made a parr hereof;and
WHEREAS, under the terms of said agreement, Principal is required before entering upon the performan-e 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 Califoriia.
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 performane of the aforesaid
agreement and reforred to in the aforesaid Cavil Code of the State of California ti the sum of
* dollars (S 12,090.00------------- for ruaterials furnished or labor thereon of any kind, or for aniDuats 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 a dition to the face
amount thereof, costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by the City in
successfully eufarcing such obligation, to be awarded and faxed by the court, and to be taxed as costs and to be included in
the judgment therein rendered.
*TWELVE THOUSAND NINETY DOLLARS AND 00/100-------------------
it is hereby expressly stipulated and agreed that this bond shall inure to the benefit of any and all perso,s, companies and
corporations entitled to file claims under Title 15 (commencing with Section 3082)of t'ar't 4 of Division 3 f 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; o4erwise it shall be
and retrain in full force and effect.
The surety hereby stipulates and agrees that no change,extension of time,alteration or addition to the to 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 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, TRAVELERS CASUALTY AND
SURETY COMPANY OF AMERICA
on MARCH 1 12005, Bond No.
TRAVELERS,CASUALTY AND SURETY
DY . HUFF A R0 F COMPANY (SEAL) COMPANY AMERICA _(,SEAL)
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Sign"ture Tom Carton Signature
JULIA B. LEONARD, ATTORNEY-IN-FACT
President Address: 700 N. CENTRAL AVENUE, 8TH FLOOR
GLENDALE CA 91203
(Notarial Acknowledgrrtents of Principal and Surety) Telephone: (U�P, -._..� 409-4240
MCpi325 University
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Riverside
On March 1, 2005 before me, Kim Laliberte, Notary Public
Date Name and Title of Officer(e.g.,"Jane Doe,Notary Public")
personally appeared Tom Garton
Name(s)of Signer(s)
[it personally known to me–OR–❑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
his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted,
executed the instrument.
£� . LA 1SERTE
U COMM.#1309260 XWITESSmy hand and official seal.
0 NOTARY PUBLIC-CALIFORNIA
RIVERSIDECOUNTY
COMM.EXP.JUNE 15,2005 ...
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Signature of Notary Public
OPTIONAL
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
Title or Type of Document: Payment Bond
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
❑ Individual ❑ Individual
.l Corporate Officer ❑ Corporate Officer
Title(s): Title(s):
L_1 Partner—❑ Limited 0 General ❑ Partner—❑ Limited iJ General
❑ Attorney-in-Fact ❑ Attorney-in-Fact
El Trustee [I Trustee
Elll Guardian or Conservator ❑ Guardian or Conservator
❑ Other: Top of thumb here ❑ Other: Top of thumb here
Signer Is Representing: Signer Is Representing:
®1994 National Notary Association•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 Prod,No.5907 Reorder;Call Toll-Free 1-800-876-6827
'CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
State of CALIFORNIA
County of RIVERSIDE
On --- �nn� before me, S.L. KYSETH, NOTARY PUBLIC
Name and Title of Officer(e.g.,"Jane Doe,Notary Public")
personally appeared JULIA B. LEONARD, ATTORNEY IN FACT
Name(s)of Signers)
® personally known to me -OR- ❑ 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
9.L. KYSETH his/her/their authorized capacity(ies), and that by his/her/their
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COMM. #1528013 signature(s) on the instrument the person(s), or the entity upon
NOTARY PUBLIC•5 8fORNlA behalf of which the person(s) acted, executed the instrument.
RIVERSIDE COUNTY
Comm.E fres Nov.19,2048
WITNESS my Iland and o Icial s I.
nature otary Public
----------------------------------------OPTIONAL-----------------------------------------
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
Title or Type of Document:
Document Date: Number of Pages:
Signer(s)Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
❑ Individual ❑ Individual
❑ Corporate Officer ❑ Corporate Officer
❑ Titles(s): _ ❑ Title(s):
❑ Partner-❑ Limited ❑ General ❑ Partner- ❑ Limited ❑ General
❑ Attorney-in-Fact ❑ Attorney-in-Fact
❑ Trustee ❑ Trustee
❑ Guardian or Conservator - ❑ Guardian or Conservator
❑ Other: Top of Thumb here ❑ Other: Top of Thumb here
Signer Is Representing: Signer Is Representing:
BD-1133 09/00
ST PAUL
TRAVELERS
IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE
COVERAGE
On November 26, 2002, President Bush signed into law the Terrorism Risk
Insurance Act of 2002 (the "Act"). The Act establishes a short-term pro-
gram under which the Federal Government will share in the payment of
covered losses caused by certain acts of international terrorism. We are
providing you with this notice to inform you of the key features of the Act,
and to let you know what effect, if any, the Act will have on your premium.
Under the Act, insurers are required to provide coverage for certain losses
caused by international acts of terrorism as defined in the Act. The Act fur-
ther provides that the Federal Government will pay a share of such losses.
Specifically, the Federal Government will pay 90% of the amount of cov-
ered losses caused by certain acts of terrorism which is in excess of an in-
surer's statutorily established deductible for that year. The Act also caps
the amount of terrorism-related losses for which the Federal Government or
an insurer can be responsible at $100,000,000,000.00, provided that the
insurer has met its deductible.
Please note that passage of the Act does not result in any change in cov-
erage under the attached policy or bond (or the policy or bond being
quoted). Please also note that no separate additional premium charge has
been made for the terrorism coverage required by the Act. The premium
charge that is allocable to such coverage is inseparable from and imbed-
ded in your overall premium, and is no more than one percent of your pre-
mium.
ILT-10 18 (9A)4)
TRAVELERS CASUALTY.A—ND SURETY COMPANY OF AMERICA
TRAVELERS CASUALTY AND SURETY COMPANY
FARMINGTON CASUALTY COMPANY
Hartford, Connecticut 06183-9062
ISSUED IN ONE ORIGINAL COUNTERPART BOND NO: 104359559
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYS)-IN-FACT
KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY,
corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford,
County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these
presents make, constitute and appoint: Julia B. Leonard, Ken Coate, Kenneth A. Coate, Mark N. Gladding, of Riverside,
California, their true and lawful Attorneys)-in-Fact, with full power and authority hereby conferred to sign, execute and
acknowledge, at any place within the United States, or, if the following line be filled in,within the area there designated
the following instrument(s): by his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other
writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto
and to bind the Companies,thereby as fully and to the same extent as if the same were signed by the duly authorized officers
of the Companies, and all the acts of said Attorneys)-in-Fact, pursuant to the authority herein given, are hereby ratified and
confirmed.
This appointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are
now in full force and effect:
VOTED: That the Chairman,the President,any Vice Chairman,any Executive Vice President, any Senior Vice President,any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact
and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe
to sign with the Company's name and seal with the Company's seal bonds,recognizarices, contracts of indemnity,and other writings obligatory in
the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such
appointee and revoke the power given him or her.
VOTED: That the Chairman, the President, any Vice Chairman,any Executive Vice President, any Senior Vice President or any Vice President
may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is
in writing and a copy thereof is filed in the office of the Secretary.
VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any
Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary,or(b)duly executed(under Seal, if
required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or
by one or more Company officers pursuant to a written delegation of authority.
This Power of Attorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the following
Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, which
Resolution is now in full force and effect:
VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President,any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any
power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for
purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attomey
or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any suchpower so executed and
certified by such facsimile signature and facsimile seal shall be valid and buiding upon the Company in the future with respect to any bond or
undertaking to which it is attached.
IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS
CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instrument to be
signed by their Senior Vice President, and their corporate seals to be hereto affixed this 15th day of May, 2000.
0 -
STATE OF CONNECTICUT TRAVELERS CASUALTY AND SURETY COMPANYOFAMERICA
TRAVELERS CASUALTY AND SURETY COMPANY
SS. Hartford FARMINGTON CASUALTY COMPANY
COUNTY OF HARTFORD
01"WoCNSU44
Y At,, Olt
HARVOR HART 1992 0 BY
Co ------------
CONN. n z
m. 0
George W. Thompson
Senior Vice President
On this 15th day of May, 2000 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly
sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY XND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the
corporations described in and which executed the above instrument; that he/she knows the seals of said corporations; that the seals
affixed to the said instrument are such corporate seals; and that he/she executed the said instrument on behalf of the corporations by
authority of his/her office under the Standing Resolutions thereof.
My commission expires June 30, 2001 Notary Public
Marie C.Tetreault
CERTIFICATE
1, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,
TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, stock corporations of
the State of Connecticut, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority
remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set
forth in the Certificate of Authority,are now in force.
Signed and Sealed at the Home Office of the Company, in the City of Hartford, State of Connecticut. Dated this 1 ST day of
MARCH 2005 *
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0
By
HARTFORD, 1992 0
CONN. r Kori M. Johanson
Assistant Secretary, Bond
Exhibit "C"
WORKERS' COMPENSATION INSURANCE CERTIFICATION
Contract No.
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 $1861).
March 1, 2005
Date
Roy 0 Huffman Roof Company
N of Conti-actor _
B
Signature of Authorized Agent
President, RMO
Signatory's Title
316458_ ________
Cont ctarcor' L' eny,&
"A � f
Date
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