HomeMy WebLinkAboutContracts & Agreements_30-2006_CCv0001.pdf AGREEMENT
THIS AGREEMENT, made and entered into this 7"' day of February, 2006, 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 Grand Pacific Contractors.
Inc.,of the City of Mira Loma,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:
1. Scope of Work. The Contractor will furnish all materials and will perform all of the work to perform
construction of Concrete Repair Program project,complete,all as shown,specified,and made a part of
Contract No. 101304-7230.
2. For the Contract Sum of S 181,260.70, 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 thirty(30)work days from and after the
date of the Notice to Proceed.
4. Liquidated Damages.Failure ofthe Contractor to complete the work within the time allowed will result
in damages being sustained by the City. Such damages are,and will continue to be, impracticable and
extremely difficult to determine. The Contractor shall pay to the City, or have withheld from monies
due it,the sum as set forth in the General Provisions for each consecutive calendar day in excess of the
specified time for completion of the work.
Execution of the contract shall constitute agreement by the City and Contractor that the liquidated
damages amount per day is the minimum and actual damage caused by the failure of the Contractor to
complete the work within the allowed time. Such sum is liquidated damages and shall not be construed
as a penalty, and may be deducted from payments due the Contractor if such delay occurs.
5. Contract Documents. The complete contract includes all of the contract documents set forth herein.
to wit; Notice Inviting Bids, Instructions to Bidders, Proposal and Bid Forms, Bid Bond, Agreement,
Performance Bond, Payment Bond, Plans and Specifications, all referenced specifications, and any
Addenda thereto.
6. Attorney Fees. In the event any legal action is commenced to enforce or interpret the terms or
conditions of this contract the prevailing party shall,in addition to any costs and other relief,be entitled
to recovery of its reasonable attorney's fees.
7. Defense Obligation. The Contractor shall defend the City, its elected officials, officers, agents, and
employees from and against any and all claims, losses,damages,and causes of action, including death,
brought by any person or persons for or on account of any wrongful or negligent act or omission of the
Contractor, its employees or agents in connection with the performance of the Contractor's obligation
under this contract.
8. Insurance. All policies of general liability and business automobile insurance required by this contract
shall name the City, its elected officials, employees,and agents as additional insureds. Any insurance
required under this contract shall be primary with respect to the City and non-contributing to any
insurance or self-insurance maintained by the City.
9. Resolution of Construction Claims. Claims made by the Contractor in the amount of$375,000.00 or
less shall be processed by the City pursuant to the provisions of Part 3, Chapter 1, Article 1.5 of the
Public Contracts code(commencing with Section 20104). All claims shall be in writing and include the
documents necessary to substantiate the claim. Nothing in subdivision(a)of the Public Contracts Code
C,
Section 20104.21 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.
11. Assignment of Agreement. No assignment by a party hereto of any rights or interests under this
agreement will be binding on another party without the written consent of the party sought to be bound.
12. Successors and Assigns. The City and Contractor each binds itself,its partners,successors,assigns and
legal representatives in respect to all covenants, agreements and obligations contained in the contract
documents.
13. Severability. Any provision or part of the contract documents held to be void or unenforceable tinder
any law or regulation shall be deemed stricken,and all remaining provisions shall continue to be valid
and binding upon the City and Contractor.
C�
IN WITNESS WHEREOF,the parties hereto have executed this Agreement in duplicate on the day and
year first written above.
CITY SE.4 L
By:
/Mayor,City4of Redlands
County of San Bernardino, California
ATTEST.
CAV -,,'erk,Cfth,otcdlani
Counly of San Berdkf California
X
GRAND PACIFIC CONTR —S. INC.
Name of Contras r
CONTRACTOR SEAL By:
Z W,
Signature Authorize cA gent
Signatory's Title
Signature of Authorized Agent (if necessary)
Signatory's Title (if Necessary)
799878 A
Contractor's License No.
WORKERS' COMPENSATION INSURANCE CERTIFICATION
CONCRETE REPAIR PROGRAM
CONTRACT No. 101304-7230
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
GRAND PACIFIC CONTRACT INC.
Name of Contractor
By:
�ignaturF, Authorizedagent
Signatory's Title
799878 A
Contractor's License No.
BOND NUMBER 725441P
PREMITUTM. 1�31,625.00
PREMIUMISFORCONTRA TERM
K,
AN' IS SUBJECT TO ADJUSTMENT
'ASED ON FINAL CONTRACPRICE
PERFORMANCE BOND I I"
WHEREAS, the City Council of the City of Redlands,State of California(hereinafter designated as City),
and Grand Pacific Contractors, 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 February 7, 2006, and identified as Contract No. 101304-7230, is hereby referred to and
made a part hereof;and
WHEREAS, under the terms of said agreement,Principal is requ ired 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 ONE HUNDRED EIGHTY-ONE THOUSAND TWO 'HUNDRED SIXTY *dollars*AND 70/1.00
(S 181,2.60.7 0 - - - for the payment of which,sum well and truly to be made,we bind ourselves,
our heirs,successors,executors and administrators,jointly and severally,firmly by these presents.
The condition of this obligation is such that if the above bounded Principal, his or her heirs, executors,
administrators, successors or assigns, shall in all things stand to and abide by, and well,and truly keep and
perform the covenants,conditions,end 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 Mull 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 attorneys fees incurred by the City in
successfully enforcing such obligation,all to be taxed as costs and'included in any judgement rendered.
The surety hereby stipulates and agrees that no change,extension of time,alteration or addition to the terms
of the agreement or to the work to be performed thereunder or the specifications accompanying the same
shall in anywise affect its obligations on this bond, and it does hereby waive notice of any such change,
extension of time,alteration or addition to the terms of the agreement or to the work or to tic specifications,
IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and surety named,
--PFBR IT _R'� 10
on Bond No. 725441-21
GRAND PA%,"1.5 FIC CONTRACTO - C D T T
N (SEQ T /IN_y COMPANY OF CALIFORNIA
Principal -11 Surcty (SEAL)
By:
A' IORNEY-IN-FACT
A0�' --Signatur-;';' 9i aturc---SUC� .1 L D. STONG,
Address, 17780 FI CH. STE. 200
IRVINE, CA 92614
(Notarial Acknowledgments of Principal and Surety) Telephone: (_249 ) 263-3300
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
1
State of California
ss.
County of RIVERSIDE
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Date Name and Title of Officer le g-"Jane Doe.Notary Public")
personally appeared MICHAEL D. STONG ti
Name(s)of Signer(s)
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proved to me on the basis of satisfactory
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subscribed to the within instrument and
R.CISNEROS acknowledged to me that he/she/they executed
COMM. #1488731 the same in his/h4F,44err authorized t�
NOTARY PUBLIC-CALIFORNIA
ZI RIVERSIQEcouNTY capacity(ie�, and that by his/hef#kie+r ?�
M Comm.E fires June 7,2008 signature(5,'on the instrument the personX or
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NESS my hand and official seal.
Place Notary Seal Above 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:
Document Date: Number of Pages: _
3
Signer(s)Other Than Named Above:
Capacity(ies) Claimed by Signer
Signer's Name: _
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Signer Is Representing:
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
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MARX SPARKMAN acknowledged to me that he.. � executed
orr`ssfcsr 14224 the same n his + authorized
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Description of Attached Document
Title or Type of Document: _ 4P71
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BOND NUTMBER 725441P
PREMILTM, TINCTIUDED INK PERFOPMANCE BOND
1 -1
PAYMENT BUND
VVMREAS, the City Council ofthe City ofRedlands,State ofCalifornia(hereinafter designated as"City"),
and Grand Pacific Contractors, 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 February 7, 2006,and identified as Contract No, 101304-7230, is hereby referred to and
made a part hereof-,and
WHEREAS, tinder 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 aforesaid agreement and referred to in the aforesaid Civil Code of the State of
California mthe sum.ofONE HUNDRFD EIGHTY–ONE THOUSAND TWO FUNDRED SIL[' M,/100dollars
($ 1,91 ,260.70 - - - - - - - )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 agnosia affect its obligations on this bond, and it does hereby waive notice of any such change,
extension of time,alteration or addition tothe 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,
oil FEBRUARY 10, 2006 , 2006. Bond No. 725441P
GRAND PACIFIC CONTRACTORS 'C. (SEAL) INDFMINNITY COMPANY OF CALIFORNIA (SEAL)
Principal Sure 0
'14�f 'Yot I
By: - I 1� alyr,- AT tIN–FACT
ignaru§�'F& (T—A-ETVI�, -�T�,rna, T�7w
Add-7 17780 FITCH STE. 200
IRVINE, CA 92614
(Notarial Acknowledgments of Princip,;]Rnd5urcty) Telephone: 263-3300
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
ss
County of
RIVERSIDE
�a(O R. CISNEROS
On before me, ,
Date Name and"Title of Officer(e.g.."Jane Doe.Notary Public')
personally appeared MICHAEL D. STONG n
Name(s)of Signer(s)
L:4 personally known to me
proved to me on the basis of satisfactory
evidence
to be the person whose name is/,joK
R.CISNEROS subscribed to the within instrument and
COMM. #14887$1 acknowledged to me that he/she/they executed
NOTARY PUBLIC-CALIFORNIA the same in his/ ei'r authorized
RIVERSIDE COUNTY
my Comm Expires June� 2008 capacity(ime , and that by his/h e
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r the entity upon behalf of which the personW
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acted, executed the instrument.
WITNESS my hand and official seal.
Place Notary Seat Above Sgnature of Notary Public 7
OPTIONAL
Though the information below is not required by taw, it may prove valuable to persons retying on the document
N and could prevent fraudulent removal and reattachment of this form to another document. t
Description of Attached Document
Title or Type of Document:
t
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer ?�
Signer's Name: ---------- .. .. _
E, Individual
�J TOP of thumt here
L:-1 Corporate Officer—Title(s): —
❑ Partner—❑ Limited L-:; General
E'j Attorney in Fact
Trustee
Guardian or Conservator
Other:
Signer Is Representing:
J 1999 National Notary Association•9350 De Soto Ave-,P6.Box 2402•Chatsworth,CA 91313-2402•www.nattonalnorery opo Pray.N. 5907 Reo,do, Call loll Free t-800-876&827
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO BOX 1971-5,IRVINE,CA 92623 (949)263-3300
KNOW ALL MEN BY THESE PRESENTS,that except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY
COMPANY OF CALIFORNIA,do each,hereby make,constitute and appoint:
***Michael D. Stang, Susan C. Monteon, Rosemary Cisneros, Shawn Blume, jointly or severally***
as their true and lawful Attorney(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings
and contracts of suretyship giving and granting unto said Attorncy(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper
to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and
all of the acts of said Attomey(s)-in-Fact,pursuant to these presents,arc hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of
DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of November 1,2000:
RESOLVED,that the Chairman of the Board,the President and any Vice President of the corporation be,and that each of them hereby is,authorized to
execute Powers of Attorney,qualifying the attorney(s)named in the Powers of Attorney to execute,on-behalf of the corporations,bonds,undertakings and contracts
of stiretyslut).and that the Secretary or any Assistant Secretary of the corporations be,and each of'hem hereby is,authorized to attest the execution of any such
Power of Attorrcy;
RESOL`ED,FURTHER,that the signatures of such officers 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 shall be valid and binding upon the corporation when so affixed and in
the future with respect to any bond,undertaking or contract of suretyship to which it is attached
fN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused
these presents to be signed by their respective Executive Vice President and attested by their respective Secretary this I st day of December, 2005.
OpANyo
By: 0,
David H.Rhodes,Executive Vice-President `d"0
P 0 P4
OCT.ffi
5
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10 >rs us 1967
By: -------------------
-0
Walter A.Crowell,Secretary _,g N
v,
STATE OF CALIFORNIA
COUNTY OF ORANGE
On December 1,2005 before me,Gina L.Garner, (here insert name and title of the officer), personally appeared David H.Rhodes and Walter A.Crowell,
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 helsheithey executed the same in his/her/their authorized capacitylkies),and I that by his/hentheir signaturc(s)on the instrument the person(s),
or the entity upon behalf of which the person(s)acted,executed the'Instrument.
WITNESS my hand and official seal.
GINA L.GARNER
Comm # 1569561
NOTARY Pu6uc CAUFORMA
(SEAL) I
Signature ORANGE COUNTY
- - - - - - - - - - -
CERTIFICATE
The undersigned,as Assistant Secretary,of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,
does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked,and furthermore,that the provisions of the resolutions of
the respective Boards of Directors of said corporations set forth in the Power of Attorney,are in fon-Vas cif the date of this Certificate,
This Certificate is executed in the City of Iminc,California,the day of
By
Albert Hillebrand, Assistant Secretary
ID-1380(Rcv. 12,'05)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
ss.
(�ila
Court y of Taus
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to be the persoo+s) whose named ism <:
subscribed to the within instrument and ,:a
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Attorney-in-Fact
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Company Profile
INDEMNITY COMPANY OF CALIFORNIA
P.O. BOX 19725
IRVINE, CA 92713
800-782-1546
Former Names for Company
Old Name: TRANSNATIONAL CASUALTY INS CO Effective Date: 08-12-1976
Agent for Service of Process
Unable to Locate the Agent for Service of Process?
Reference Information
NAIC #: 25550
NAIL Group #: 0075
California Company ID #: 1926-5
Date authorized in California: August 20, 1968
License Status: UNLIMITED-NORMAL
Company Type: Property & Casualty
State of Domicile: CALIFORNIA
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.
SURETY
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Company Performance &_Comparison Data
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_ . .- Last Revised-December 1.3,2005 09:1.7 PM
Copyright Cc.G California Department of Insurance
Disclaimer,
Feb. 10- 2006-11 :01AM NoJ079—P, 3/3
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 after the coverage afforded by the policies listed thereon.
AGORD 26(2001108)
Feb 14 2006 3: 51PM ORR AND ASSOCIATES INS SV (951 ) 506-9299 P. 1
ACDJRD- CERTIFICATE OF LIABILITY INSURANCE � am 22�1°N'w 61
MfR
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Orr and Associates Ina. Serv.. ONLY AND COWERS NO RIGHTTHIS CERTFICAM IS ED S UPON THE A MATTER OCERTIFICATE
CA License #Ob63493 HOLDER.THIS CERTIFICATE DOES NOT AAWND,EXTEND OR
27403 Ynea, Suit* 103 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Temecula CA 92591
Phone:951-506-5859 Fax-.951-506-9299 INSURERS AFFORDING COVERAGE MAIC B
Min
INSURER A: Granit* Skate Insuranoe
INSURER Lr
Grand a $
PacificC¢ntractora NiSURER�
IirL 9 l )NSUAER Ik
COVERAGIES INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED WAILED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWTHSTANDING
REWREMENT TERM OR CONIDITX�N OF ANY CONTPACT OR OTHER DOCUMENT WITH ECT TO WHICH THIS CERTJ MA 13E ED
MMIN,AY PERTATH9 jou tAmCE AFFoftoe 7 BY THE POLICIES DESCRIBED EJECT TO ALL E TERMS,EXCLUSIONS AND COtiDiflONS OF SUCH
POLICIES.AGWE13ATE LWTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR T1?i N IIIIIIIIIIIIIIAMON "icy mum 9t 01►7E 7G Lin.
ONlLSRAL LIASLAT EACH CN,'CURRSNCE i
CN4�Rl6E
CLAL GENERAL LUEIL17Y PREM8 oaar�no� i
CLAIMS MADE OCCUR MED EXP WW CIN P*7oN f
PERSONAL t ADV WJURY i
GENERAL AGGREGATE f
DEMI.AC)GREGATE ppLIAqp",ADPL MS PER: PRODUCTS-CONP/OP ASG i
POLICY NEC[ 71 LAC
AUTIDWONti WitlfY
( SINGLE LIMIT
ANY AUTO EA f
ALL OWNED AUTO
AJRY
SmEoLAED AuTos (PPw
C f
HIRED AUTOS
NON-OWNEOALR (P�
OS par"aidatu)
IIY. ) f
�o
PROPERTY)DAMAGE(p-40chwit
:
GARAGELIAILM AUTO ONLY-EA ACCIDENT S
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG S
WCONSWUNISRELLA UANIUTY EACH OCCURRENCE i
OCCUR Q CLAUS MADE AGGREGATE S
OEDuanaLE
s
s
RETENTION S - f
WORKERS COWMMEARDM AMOSMIFLOVSKX TCIZY '
A `UTWCWR M 11,,E WC1848860 08/01/05 08/01/06 E.L.EACNACCIOENT $1,000,000
EL DISEASE-EA EWLOYEE i 1 000 L 00 a
M.IAL°�`Plb.0 2Hsb''°" EL DISEASE-POUCYLMT f 1 Oda 000
OTHER
OlNal!noN oP O►QIA fAMA t LOLSATtats/vtatrct c>t r oociAlLNOMN AO0R0 Lrr L4Eisiai NT I sleG1AL PROvaIOw
JOB: CITY OF REDLA=S 'CONCRZTB REPAIR PRO(.'EtM CONTRACT #101304-7230
DURATION OF JOB: 30 NOFJCZNG DAYS ZST IIIMTZD PA=ROLL: $20,000
VNIS CZRTIFICATE i$ ZYIDZYM THAT COVZVJ E I8 IN ZPFRCT FOR THE NAA=
INSMMD. MRZVZR OF SUBROGIATION IS APPLICAMA TO THIS POLICY PER ATTACH=
T. *10 DAYS NON-PAY; 30 DAYS ALL OTHER.
CERTIFICATE HOLDER CANCELLATION
SHOULD AMY OP THIS ANOYN o6lCLNNNts POUCNN W cAmosum moKku TNM mmim
DATNTHOOW,TMISSUIML4NISURIMML01116*YORTOOWL *30 WetstlNaTT7at
CITY OF REDLANDS HOTfON TO THE oNRflFlCA7111 HOLDS HUMID TO TTRN LOT,OUT PAiLURN To 00 80 SNALL
FVBLIC W0VJCS DEPARTNENT ISPOSS No ONLJOA7M OR UASILITY w AMY MW UPM THE RM M K rM AOMtS OR
P 0 BOX 3005 VJWR1NNDTATLVON.
REDLANDS CA 92373 AUTHaRtnaIlUgKIINIONTATMIll
ORD 26(200IMS) A Tow
Feb 14 2006 3: 51PM ORR AND ASSOCIATES IMS SV (951 ) 50G-9299 p. 2
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a deferent
date is Wicatted below.
(The rcW*M *sfiwfvV ole sW nesd be oa wkftd o*when oris ardorsenwt is WKW subsequert to wepwaWn or the poW.
This endorsement, effacdw 12:01 AM 08/01/2005 forms a part of policy No. WC 184-88-60
Issued to GRAND PAC I F I C CONTRACTORS, I NC. (A CORP)
By GRANITE STATE INSURANCE COMPANY
We have a right to recover our payments from anyone liable for an Ink" covered by this policy. We will not enforce
our right against any person or organization with wham you have a written contract that requires you to obtain this
agreement from us, as regards any work you perforin for such person or organization.
The addililonal premium for this endorseamd shatI be 2 % of the total estimated workers compensation premium
for this policy.
i
WO 04y//03 61 Countersignedby
(Ed. 11/90)iTLt)
Authorized Representative
ACORDZM CE RTI F I CATE 0 F LIABI MY I N S U RAN C E DATE07111ft
?
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Grace CUlolias E
112519 Pennant Place,Whittier, CA 90606 INSURERS AFFORDING COVERAGE I MAIC#
1 INSURED INSURER A Cenhuy Surety
Grand Pacific Contractors Inc. I INSURER B.Jt RIw�Company '
11405 Geyser Drive INSURER C:Century Surety 3
Ira Loma,CA 91752 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER POLICY EXPIRATION LIMITS
NERAL.LIABILITY H OCCURRENCE !
Al OMMERCIAL GENERAL LIABILITY CP337783 12-09-05 12-09-06 IRE DAMAGE(ANY one fee a
CLAIMS MADE OCCU D EXP(Arty+one person)
PERSONAL&ADV INJURY 1 pQq 0--
ENERAL AGGREGATE 2
.000.000
RODUCTS-COMP/OP AGG
t {
UTOMOBiLE LIABILITY OMSINED SINGLE LIMIT
AUTO Ea accident)
L OWNED AUTOS ODILY INJURY
CHEDULED AUTOS Per Parson)
HIRED AUTOS 0DILY INJURY
ON-OWNED AUTOS Par t)
ROPERTY DAMAGE
*Pwacdderd)
GARAGE LIABILITY ACCIDENT
AUTO EA AC
1
AGG
CESSIUMBRELLA LIABILITY NCE
OCCUR CLAIMS MAD
B 00007773 12-09-05 12-09-06
EDUCTIBLE
�ETENTION 3
WOPAERS COMPENSATION AND WC STATU- OTH
IE PLOYERS'LIABILITY .L.EACH ACCIDENT f
Y PROPRIETORtPARTNERIEXECUTIVE
FICERNAEMBER EXCLUDED? L.DISEASE-EA EMPLOYEE
yes,descrW Loden .L.DISEASE-POLICY LIMIT
CTNER Equipment Floater CCP337783 12-09-05 12-09-06 I
I
i
t
OF OPERATIONS I LOCATIONS I VEHICLES I EXCLI BIM ADDED BY ENDoR$EMENT/sPECiAL PRomms Certificate holder,The City of Redlands be
amed as Additional Insured with respects to General!lability only for the job: Concrete Repair program,0516 Contract No.
013047230 with respect to liabiliti"arising out of the performance of services hereunder. Waive all right of subrogation against
itho City,its officers,employees and volunteers. Excess liability follows form to general liability. XCU exclusions are waived or do
i
of exist In the policy.
CERTIFICATE HOLDER CANCELLATION
(City Of Redlands SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Ublic Works Department EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL MAIL 30 DAYS
,0. BOX 3005 ( t�NRITTEN NOTICE TO THE CERTIFICATE HOLDER
edlands, CA 92373
{
?
UT I EPRESENTATIVE
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(jes)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.
COMMERCIAL GENERAL LIABILITY
CG 20 10 01
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL!IT CAREFULLY
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
[R�edlands,
ame of Person or Organization:
ity Of Redlands
ublic Waits Department
O. Box3005
CA 92373
A. Section II—Who Is An Insured is amended to (1) All work, including materials, parts or
include as an insured the person or organization equipment furnished in connection with
shown in the schedule, but only with respect such work, on the project (other than
liability arising out of your ongoing operations per- service, maintenance or repairs) to be
formed for that insured. performed by or on behalf of the addi—
B.With respect to the insurance afforded to these tional insured(s)at the site or the cov -
additional insureds, the following exclusion is eyed operations has been completed;or
added.
2. Exclusions (2) That portion of"your work"out of which
this insurance does not apply to"bodily in- the injury or damage arises has been
jury"or"property damage"occurring after: put to its intended use
by any person or
organization other than another con—
tractor or subcontractor engaged in
performing operations for a principal as
a part of the same project.
CG 2010 10 01 p ISO Properties,Inc., 2000 Page 1 of 1