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Contracts & Agreements_111-96_CCv0001.pdf
AGREEMENT THIS AGREEMENT, made and entered into this 19th day of November, 1996, 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 COMPUTER SERVICE COMPANY a partnership consisting of or an individual trading as of the City Of ANAHEIM County of ORANGE State of California, hereinafter referred to as the "Contractor". WITNESSETH: That the City and the Contractor, for the consideration hereinafter named, agree as follows: SCOPE OF WORK: The Contractor will furnish all materials and will perform all of the work for the following: Construction of the Barton/Bellevue Traffic Signal project, complete, all as shown on drawing no. F-1529, inclusive, as specified, and made a part of Contract No. 22-9528-4230. 2. THE CONTRACT SUM: **$85,914.00** 3. TIME FOR COMPLETION: The work to be completed within seventy-five (75) 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, Proposals and Bid Form. Bid Bond. Aereement. Faithful Performance Bond, Labor and Material Bond, Plans and Specifications and any addenda thereto. CD-13 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first written above. (SEAL) City of Redlands (Owner) ayor, City of Redlands, County of San Bernardino, California ATTEST: City Clerk, City of Redls ` County of:San Bernardido, Califorria (FEALV Ccmrouter Service Cc any Name of Contractor By. 1 ,�6"d.Al 4 Signature f Authorized A at Jay E. Perry, Secretary Title Signature of Authorized Agent (if necessary) Title 171920 Contractor's License No, CD-14 �a BOND NO. 5874473 PREMIUM: $601 . 00 FAITHFUL PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS That COMPUTER SERVICE COMPANY as Contractor, and SAF SCO INSURANCE COMPANY OF AMERICA as Surety, are held and firmly bound unto the City of Redlands, hereinafter called City, in the sum of EIGHTY FIVE THOUSAND NINE HUNDRED FOURTEEN AND NO/100 dollars,forthepayment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrator, successors, and assigns, jointly and severally, firmly by these presents. WHEREAS, said Contractor has been awarded and is about to enter into the annexed contract with said City to perform all work required under the City's Contract No. 22-9528-4230. NOW, 'THEREFORE, if said Contractor shall perform all of the requirements of said contract required to be performed on their part, at the times and in the manner specified therein, then this obligation shall be null and void, otherwise it shall remain in full force and in effect until 90 days after completion. PROVIDED, that any alterations in the work to be done or the materials to be furnished, which may be made pursuant to the terms of said contract, shall not in any way release said Contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said contract release either said Contractor or said Surety, and notice of such alteration or extensions of the contract is hereby waived by said Surety. SIGNED AND SEALED, this 16 day of DEC_c,MBER , 1996. COMPUTER. SERVICE, SAFECO INSURANCE COMPANY COMPANY (SEAL) OF MIERICA (SEAL) (Contractor) (Surety) r (Si nature, (Signature) JEAN'' WILLCOX, Wl y ATTORNEY-IN-FACT Address: 17570 LrQQ rst St. Fountain Valley, Ca. 92748 Telephone No. C ) 437-3047 (Seal and Notarial Acknowledgment of Surety) CIS-15 State of California RIGHT THUMBPRINT lOptional) 0 County of T nq A=1p, B On 12-19-96 before me,Kathleen L. Parsons,Nc�tary Publ � (DATE) (NAMEMTLE OF OFFICER-i.e.'JANE DOE.NOTARY PUBLIC`) o personally appeared Jay E. Perry, (NAME(S)OF SIGNERMI) CAPACITY CLAIMED BY SIGNERIS) OINDIVIDUAL(S) iaCORPORATE OFFicEFtis) Secrete ® personally known to me -OR- E proved to me on the M-rum basls of satisfactory OPARTNERIS) OLIMITED evidence to be the OGENERAL person(s)whose name(s) OATTORNEY IN FACT is/are subscribed to the OTRUSTEE(S) within instrument and OGUARDIAN/CONSERVATOR acknowledged to me that OOTHER: he/she/they executed the same in his/her/their NS authorized capacity0es), SIGNER IS REPRESENTING: ash L ElV L.Ply r i _ -naW7 and that by his/her/their (Name of Personjel or Entity(ies) signature(s) on the tinstrument the person(s), Service Ccxc(oan Ns IWor the entity upon behalf of which the person(s) acted, executed the RIGHT THUMBPRINT(Optional) instrument. Witness my hand and official seal. x2 (SEAL) (SIGNATURE OF NOTARY) CAPACITY CLAIMED BY SIGNERS) OINDIVIDUAL(S) OCORPORATE ATTENTION NOTARY OFFICER(S) The information requested below and in the column to the right is OPTIONAL. ITITL£I) Recording of this document is not required by law and is also optional. It could, however, prevent fraudulent attachment of this certificate to any OPARTNER(S) OLIMTTED unauthorized document. OGENERAL City of Redlands #22-9528-'4230 OATTORNEY IN,FACT THIS CERTIFICATE Title or Type of Documant Faithful Performance Bond 58744733TRusTEE(s) MUST BE ATTACHED 0GUARDIAN/CONSERVATOR TO THE DOCUMENT Number of Pages Date of Document OOTHER: DESCRIBED AT RIGHT: Signers)Other Than Named Above SIGNER IS REPRESENTING: (Name of Persona)or Entitylies) WOLCOTTS FORM 63240 Rev.3-"(pries dW 8-2A) 0 1994 WOLCOTTS FORMS,INC. ALL PURPOSEACKNOWLEDGMENT WITH SIGNER CAPACITYlREPRESENTATION/TWO FINGERPRINTS 7 #67V775632e408 , CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907 A State ofF0T, IA County of r n� nrrTc 12/16/96 before me, RUTH L. YATES, NOTARY PUBLIC A On DATE NAME,TITLE OF OFFICER-E_G-.-JANE DoE,NOTARY PUBLIC- personally appeared JEAN WILLCOX NAME(S)OF SIGNER(S) personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(&) whose name(&) is/ate a subscribed to the within instrument and ac- -= knowledged to me that be/she/they executed { the same in 40/her/tV authorized capacity(i ), and that by tti�her/the& signature(s) on the instrument the person(§), or the entity upon behalf of which the person( ) acted, executed the instrument. Y FUTtL3 wf WITNESS my hand and official seal. y ' A :7 COO-itit. #100799-5 -G / C NOTARY P ISLE:-C+I1Ff7PtIA n S11N URE OF NOTARY LOS ANGELE-5 rOUHTY my Iramlllission'apiras act.3t,I997 OPTIONAL. Though the data below is not required by law, it may prove valuable to persons retying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT INDIVIDUAL ❑ CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL Ell ATTORNEY-IN-FACT NUMBER OF PAGES TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER; DATE OF DOCUMENT } SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) _SAFECO INSURANCE COMPANY OF AASH A SIGNER(S)OTHER THAN NAMED ABOVE )e 01993 NATIONAL NOTARY ASSOCIATION-8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 p SAFECO IWAAAW-E COMPANY OF AMERICA GENERAL iNSURVVE COMPANY OF AWRICA Q ATTORNEY HO?i&OFFICE:�PLAZA SEA?TLf.WASLfl1+KST 95185 SAMM No. 8 KNOW ALL BY THESE PRESENTS- That SAFE O INSURANCE CC ANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMEFKCk each a Washington corporation. does each hereby appoint xx cxxxxxKxxx-«xx««sa—MiJEAN WILLCOX, Los Angeles, Cal if{1rni8xxxxxxxxxaxxx�rs�t�t:a��ssxxxxxaxxxsax i Its trig and with full authority to execute on Its behialf fidelity and stirety borXIS or Undertakings and other documents of a similar Character issued in the course of its business. and to bind the respective companyr IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COWANY OF AMERICA have each executed and attested these presents this 4th day of January 1s 93 3, CERTIFICATE Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA: "Article V. Section 13. FIDELITY AND SUETY BONDS ..the President. any Vice President, the Secretary, and any Assistant Vice President appointed ;for that psr "by the officer in charge of surety operations. shall each,have .mithority to appoint individuals as attorneys-in--tact or iz0x. kWappropriate titles with authority to execute on behalf of the compary f ly and surety bonds and other documents of `atter issued by the comparV in the course of its business . . . On any irstrtawtvt making or evidencing such appointment. the St tures 11W be affixed by facsinti►le. On any Instrument conferring such authority or on any bond or undertaking of the company. the iia � 8 facs a thereof, may be messed or affixed or in any other m refer provided. however. that the seal shalt not ite:. .. to: v idity of any such instrument or undertaking." Extract frtatiai;:a Aasakaw of the Board of Directors of SAFECO INSURANCE COMP A 9f.OF AMB.WA aw OrAOOAL INSURANCE COMPANY OF AMERICA adopted July 28 T#jt "On any certificate wed'by the Secretary or an asslstant secretary of the Company setting out. () The provisions. Of Artl0146 .% Myon 13 of the By-Laws, and 00 X copy Of the mower-orf-Marney appointment. executed pursuant thereto. and (iii) Certifying that sail power-of-attorney appointment is in full force and effect. the signature of the certifyitV officer may be by facsimile, and the seal of the Company may be a fads tt> f" t; A. A. Pierson; Secretary of 8AFEC0 INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA, 46 hereby certify that the for extracts of the By--Laws and of a Resolution of the Board of Directors of these corporatio , and of a Power of Attlorney.issuw pursuant thereto. are true and correct, and that both the Ely-Caws, the Resolution and the Power of Attorney are still in fult force and effect. IN WITNESS WHEREOF. I have hereunto sat rnyr ted and affixed the facsimile seat of Said corporation this 16 day of December 19 96 S-974JEP 1193 ',t•fi 3 Registered trademark of SAFECO Corporation. BOND NO. 5874473 PREMIUM INCLUDED IN FP LABOR AND MATERIAL BOND KNOW ALL PERSONS BY THESE PRESENTS That COMPUTER SERVICE COMPANY as Contractor, and SAFECO INSURANCE COMPANY OF AMERICA as Surety, are held and firmly bound unto the City of Redlands, hereinafter called City, in the sum of EIGHTY FIVE TEOUSAND NINE HUNDRED FOURTEEN AND NO/100 dollars for payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. WHEREAS, said Contractor has been awarded and is about to enter into the annexed contract with said City, to perform all work required under the City's Contract No. 22-9528-4230. NOW, THEREFORE, if said Contractor, or sub-contractor, fails to pay for any materials, equipment, or other supplies, or for rental of same, used in connection with the performance of work contracted to be done, or for amounts due under applicable State law for any work or labor thereon, said Surety will pay for the same in an amount not exceeding the sum specified above, and, in the event suit is brought upon this bond, a reasonable attorney's fee to be fixed by the court. This bond shall inure to the benefit of any persons, companies, or corporations entitled to file claims under applicable State law and will remain in force until 90 days after completion. PROVIDED, that any alterations in the work to be done or the materials to be furnished, which may be made pursuant to the terms of said contract, shall not in any way release either said Contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said contract release either said Contractor or said Surety, and notice of such alterations or extensions of the contract is hereby waived by said Surety. SIGNED AND SEALED, this 16 day of DECEMBER , 1996. COMPUTER SERVICE SAFECO INSURAINCE COMPANY COMPANY (SEAL) OF AMERICA (SEAL) ontracto (Surety) J B3 ( n (Signature) zLLGOx J -Y WE PVRRY, Tr , r Address; 17570 Brookhurst St. Fountain Valley, Ca. 92708 Telephone 714 437-3047 (Seal and Nadal Acknowledgment of Surety) CD-16 j f State of California RIGHT THUMBPRINT(Optional) It County of Toc 12-19-96 l i On before me,Kathleen L. Parsons jbtary Pub -- c MATTI (NAMEtrITLE OF OFFICER-te.-JANE DOE.NOTAAY PUBLIC`) o jpersonally appeared Jay E. Perry ` (NAME(S)OF SIGNERIS)) 3i CAPACITY CLAIMED BY SIGNER(S) j ❑INDIVIDUALIS) l 5000RPORA'tE ry personally known to me -OR- ❑ proved to me on the OFFICER(S) rMTUES) basis of satisfactory ❑PARTNER(S) ❑LIMITED evidencetoto be the ❑GENERAL persons/ whose name(s) ❑ATTORNEY IN FACT I€ (s/are subscribed to the ❑TRUSTEE(S) � within instrument and ❑GUAROIANdCONSERVATOR acknowledged to me that ❑OTHER: he/she/they executed the lTtttE P� same in his/her/their Co 86.667 authorized capacity(ies), SIGNER IS REPRESENTING: It y -" and that by his/her/their (Name of Person(s)or Entitypes) j l , r LosN c simkdWgnature(s) on the n .t instrument the person(s), Cf�puter Service Cc>ITlx�an or the entity upon behalf of which the person(s) acted, executed the l instrument. RIGHT THUMBPRINT(Optional) �I Witness my hand and official seal. 0 ISEAL) % `a (SIGNATURE OF NOTARY) CAPACITY CLAIMED BY SIGNERS) ❑INDIVIDUAL(S) ❑CORPORATE ATTENTION NOTARY OFFICER(S) The information requested below and in the column to the right is OPTIONAL. rnnEs) Recording of this document is not required by law and is also optional. It could, however, prevent fraudulent attachment of this certificate to any ❑PARTNER(S) ❑LIMITED unauthorized document. ❑GENERAL City of Redlands #22-9528-4230 ❑ATTORNEY IN,FACT THIS CERTIFICATE T46 0,Type of Dcc,,,,,t Labor & material Bond #5874473 ❑TRUSTEE(S) MUST BE ATTACHED ❑GUARDIANICONSERVATOR TO THE DOCUMENT Number of Date of Docutnent ❑OTHER: DESCRIBED AT RIGHT: Signer(s)Other Titan Named Above SIGNER IS REPRESENTING; (Name of Pamonts)or Entityties) WOLCOTTS FORM 83240 Rev.3-94 Wea class 8.2A) 01984 WOLCOTTS FORMS,INC. ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACITYtREPRESENTATIONtrWO FINGERPRINTS z67775"63240111 a ; CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No,5907 State of c .I_1FORNIA `{ County Of T ncTnFF On 1 2t1 r jr4 before me, RUTTI L. YATES, NOTARY PUBLIC 4§ DATE NAME,TITLE OF OFFICER-E.G-,`JANE DOE.NOTARY PUBLIC" K personalty appeared JEAN 1ILL cox NAME(S)OF SIGNER(S) KI personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(a) whose name(&) is/ate A. subscribed to the within instrument and ac- knowledged to me that)he/she/they executed ' the same in /her/qAV authorized capacity(ie&), and that by h��her/their ` signature(s) on the instrument the person(), ' entity u" or the behalf of which the Y on p � person(C acted, executed the instrument. -_- - ,[ _ ry WITNESS my hand and official seal. Y 4_ _ L Y. �S,k` I ttMARYPUSLIC-CALIFO?filA �s OL f' r� SIGN E OF NARY LOS ANGELES COUNTY MY Crn1I;tissir,41fIr s'Ul .a +t� 31,1997 s OPTIONAL 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 ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) I❑ PARTNER(S) iI LIMITED GENERAL ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) GUARDIANICONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTRY0ES) ; SAFEC (INSURANCE Q0MZ,ANY OF' AUERICA SIGNER(S)OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION-8236 Remmet Ave.,P.O_Box 7184•Canoga Park,CA 91309-7184 I 4 SURANCE MPANY MERICA POWER GENERAOLI IINSURANCE CCOOMPANY OOFAAMERICA OF ATTORNEY HOME OFFICE SAFECO PLAZA SE�ia� SEATTLE,WASHINGTON 98185 M/' No. 5$68 KNOW ALL BY THESE PRESENTS: That SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA, each a Washington t corporation, does each hereby appoint KKKKKKKKKKKKKKNNNNNNKNNJEAN WILLCOX, Los Angeles, Cal If�rn Ic3XMMMN MMMNIt II/tM 11 i[fi It Y7t M7t 1f It Mi[%RILNMMNXIIM i its true and lawful attorney(s)-in-fact, with full authority to execute on its behalf fidelity and surety fronds or undertakings and other documents of a similar character issued in the course of its business, and to bind the respective company thereby. IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents this 4th day of January . 19 93 CERTIFICATE Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA: "Article V, Section 13. - FIDELITY AND SURETY BONDS . . . the President, any Vice President. the Secretary, and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business . . . On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company. the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced: provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA adopted July 28. 1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i} The provisions of Article V. Section 13 of the By-Laws, and (ii) A copy of the power-of-attorney appointment, executed pursuant thereto. and (iii) Certifying that said power-of-attorney appointment is in full force and effect. the signature of the certifying officer may be by facsimile, and the seat of the Company may be a facsimile thereof." 1, R. A. Pierson. Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of these corporations, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By-Laws. the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation this f day of December 19 96 . S-974/EP 1/93 ® Registered trademark of SAFECO Corporation. -ACOR©. CERTIFICATE OF LIABILITY INSURANCE DATEIMMlDDlYYI S"TE l 12/13/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Alexander & Alexander of CA HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 801 S. Figueroa St, #700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Los Angeles CA 90017 COMPANIES AFFORDING COVERAGE William A. Sadler COMPANY Ptronallo. 213-599-4000 Fax No. A American Guarantee & Liability Ins. Co. INSURED COMPANY B Continental Casualty Company(CNA) COMPANY Computer Service Company C 45707 E. Eisenhower Circle COMPANY Anaheim CA 92807 D 4 COVERAGES THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I ! { POLICY EFFECTIVE !POLICY EXPIRATION !TR I TYPE OF INSURANCE 1 POLICY NUMBER ; DATE(MMfDD1YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY _ ! 1 GENERAL AGGREGATE I s3,000,000 A '�X ! COMMERCIAL GENERALLIABILITY I SCO 2159 338 i 07/01/96 07/01/97 PRODUCTS-COMP/OPAGG I $ 1,000,000 CLAIMS MADE OCCUR j ! PERSONAL&ADV INJURY $ 1,000,000 —}— OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE I $ 1,000,000 X I Broad Form PD I FIRE DAMAGE IAny one fire) . S 50,000 j y MED EXP IAny one person) IsExcluded I AUTOMOBILE LIABILITY i 1--, ! COMBINED SINGLE LIMIT - $ 1,000,000 B X 11 ANY AUTO I BUA 20 2525487 07/01/96 I 07/01/97 X1 ALL OWNED AUTOS BODILY INJURY fif (Per person) $ SCHEDULED AUTOS ! X HIRED AUTOS IIII BODILY INJURY ( 1.r. NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ f AGGREGATE 3 EXCESS LIABILITY EACH OCCURRENCE 6 F UMBRELLA FORM I AGGREGATE j $ � { I OTHER THAN UMBRELLA FORM '; I $ (OTH- WORKERS COMPENSATION ANi WC STATU-D I TORY LIMITS €R EMPLOYERS'LIABILITY ! ! I t #EL EACH ACCIDENT !,$ 1,000,000 B THEPROPRtETOR! �INCL 3 WC'. 40 2525486 07/01/96 { 07/01/97 _`EL DISEASE-POLICY LIMIT $ 1,000,00 !PARTNERS/EXECUTIVE '---� OFFICERS ARE: � I EXCL I i I EL DISEASE-EA EMPLOYEE 1 $ .,000,000 OTHER j E i I j 1 { I DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEStSPECIAL ITEMS JOB: Barton/Bellevue Traffic Signal-Contract #22-9528-4230. CSC Job # 9013. *written notice bV registered mall. CERTIFICATE HOLDER CANCELLATION CITORED SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Redlands EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL dk8&Xd#4Z MAIL Attn: Alan X. Griffiths *45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Contract Admin. Engineer XX � R P.O.Box 3005 Redlands CA 92373Iit3ieXi rB� D € itnXxxx AUTHORIZED REPRESENTATIVE - ` William A. Sadler u ACORD 25-S(1196) 'ACORD CORPORATION 1988 -1 narcuno, EriZ t ,1 k$ County of No Fee , Recorcler Do N ` 2 05105197 CITY CLERK 25 2017355902 it - CITY OF REDLANDS 35 CAJON STREET f Z 3 4 P 0 Box 3005 PE, EEE APF SIMS PH CPY ICRT Vy PEN PR PCOR REDLANDS CA 92373 C 5 NOW ST LN SYT CIT-co TRANS TAX CHRO NOTICE OF COMPLETION FUSt 't REQUIRED i NWS pursuant to ClV#C-09-Section 3M,this notice must be filed wom 10 days after completion of1c. fu�MM1 T CU Notice is het given 6313 t• The unclersigried is owner or corporate officer of fhe owner oaf the interest or estate stated bekw in to properly hersinafter described: 2 The full name of On owner is; CITY OF REDLANDS 3. The full address of 1heis: 36 CAJON STREET, P 0 BOX R 'DLANDS CA 92373 . The nature f tf'#e of the oww is, In fee, 5: The full names acid#A addresses of all persons,if any,who hold tine with the undersigned as joint or asIonants in common are: NOT APPLICABLE 6. A of Mpvmww an the property hereinafter describW Was completedon April 28, 1997. The work done was: Bart TMft Slgnal, Contract No. -952&4230. 7. Thename40f fly of Improvement ww. Computer'Service Company 4570 E Eisenhower arcle Anaheim CA 92W7 November 11996 & The property at WhAch Sw wwk of Improvement p Is in the city of Redlands,County of SW Bernardino,state of caillornia, and is described as boom bite ion of Barton Road and Bellevue Avenue 9. , The wea address of SM property W. Not Applicable Dated. ASI 29, 1907 Ratawwo VERIFICATION i, the undersigned,say t arn the Public Works Director tri of ft foregoing ing a of Cw0wim and have read said Notes of Completion and know"awftft#ww,the Name Is true of my own knowiedge I declare under pensity of leithat the foregomg Istrue Executed on Aril 29, 1997,at Redlands,