HomeMy WebLinkAboutContracts & Agreements_42-1999_CCv0001.pdf necoroea in Official County of
San Bernardino, L �--~' ~~'
Larry Walker Recorder
ee
'
N '
RECORDING PZEQUESTED BY Doc No . 19990377432
AND WHEN RMORDED MAIL TO 12 * 10pm 09/07/99
F Name office of the City Clerk 205 40202276 01 15
Address P 0.Box 3005 013 FEE APE DIMS -PH CPY I CRT CPY ADD MM 46 R
City& Redlands,California 92373
State 16
L _W0_NST _LN TRANS TAX DA;4WRG VEXAM—
NOTICE OF COMPLETION PER GOVERNMENT CODE
SECTION 6!03
Notice pursuantu,Civil Code Section 3O93.must befiled within 10days after completion. (See reverse side for Complete equipemants.)
wouoemhereby 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 n,the owner m Cily of Redlands-Municipal Utilities Department
a, The full address orthe owner ie P.O. Box 3005
Redlands CA 92373 .
4. The nature ofthe interest nrestate n[the owner is; |nfee.
(If other than fee,strike"in fee"and insert,for example,"purchaser under contract of purchase."or lessee")
5 The full names and full addresses ofall persons,ifany,who hold title with the undersigned osjoint tenants o,antenants incommon are:
NAMES ADDRESSES
& a workm improvementnnthe property hereinafter described was completed~'
August 25,. 1999 The work done was:
Judson Street and..Pioneer Avenue Water Transmis ion Mains Project No. 4-9916
7. The name of the contractor,if any,for such work of improvement was:Hemet Manufacturing Co., Inc., dba Genesis Construction
(if no contractor for work of improvement as a Whole,insert"none".) May 4, 1999 (Data of Contract)
– Theproperty
on which said work of improvement was completed is in the city of Redlands,
County of San Bemardino, State of California,and is described as follows: In Judson St. from San Bernardino Ave to future
Riverview Dr.,and in future Pioneer Ave from Sessums Dr. to the Ci1y's Mentone Acres well, approximately 900 feet
east of Sessiums Dr
9, The Street address nfsaid property is I if no street addre s J"Onne totally assigned,insert"none-,)
Dated: We
Elias Elhazin, Project Martager
Signature of owner or corporate officer of owner names in paragraph 2 or his agent
VERIFICATION
/. the undersigned, say: | nuof�e�n�u�gnoUcmofcomp�8un; | have �ad
-prsaid notice ofcompletion and know the contents thereof;the same is true conyown knowledge.
|declare under penalty ofperjury that the foregoing is true and correct.
Executed no .18_0�_. California,.
AGREEMENT
THIS AGREEMENT, made and entered into this 4h day of May 19_29 , 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
Hemet Manufacturing Co— Inc. dba Genesis Construction, a Corporation
a partnership consisting of
or an individual trading as
of the City of Hemet 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 for the following:
Construction of the Judson Street and Pioneer Avenue Water Transmission Mains,
complete, all as specified in the Contract Documents (Drawings and Specifications), and
made a part of Project No. 4-9916.
2. THE CONTRACT SUM: $273,739.00 in accordance with the terms and conditions
set forth in the Contract Documents.
3. TIME FOR COMPLETION: The work to be completed within sixty (60) working days
from and after the date in 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 of$500 for each consecutive calendar day
in excess of the specified time for completion of Work.
Execution of the Contract shall constitute agreement by the City and Contractor that $500 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, Proposals and
Bid Form, Bid Bond, Agreement, Faithful Performance Bond, Labor and Material Bond, Plans
and Specifications and any addenda thereto.
6. ATTOIZNEYS' FEES: In the event any legal action is commenced to enforce or interpret
the terms or conditions of the contract documents, the prevailing party in such action, in addition
to any costs and other relief, shall be entitled to recover its reasonable attorneys' fees.
CD-I
7. RESOLUTION OF CONSTRUCTION CLAIMS: Claims by the Contractor in the
amount of$3)75,000.00 or less shall be made by Contractor and 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 Public Contracts Code Section 20104.2
shall extend the time limit or supersede the notice requirements provided in this case from filing
claims by Contractor.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year
first written above.
City of Redlands
(SEAL) (Owner)
By:
Mayor, y of Redlan s, Co of
San Bernardino, California
ATTEST:
A
City Cl, I k, City -lands
County of San ernardino, California Hemet Manufacturing Co. , Inc. (SEAL)
dba Genesis Construction
Name of Contractor
a
By:
Signature of Authorized Agent Bruce E. Perry
President
Title
Signature of Authorized Agent(if necessary)
Title
433661 A&B
Contractor's License No.
CD-2
LABOR AND MATERIAL BOND
MACWT11CMEW
WHEREAS,the City Council of the City of Redlands, State of California,and DW-- G OPANY, INI
(hereinafter designated as "Principal") have entered into an agreement whereby
Principal agrees to install and complete certain designated public improvements, which said agreement,
dated NAY 4 1999 and identified as Judson Street and Pioneer Avenue Water
Transmission Mains,Project No.4-9916 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 file a good and sufficient payment bond with the City of Redlands 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 firmly bound unto the
City of Redlands and all contractors, subcontractors, laborers, materialmen, and other persons employed
in the performance of the of referred to in the aforesaid Code of Civil Procedure in
the sum of VNO I -------------------------Dollars ($273,739.00
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 hereinabove 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 of Redlands 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 judgment therein rendered.
It is hereby expressly stipulated and agreed that this bond shall insure 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 said agreement or the specifications accompanying the same shall in any manner affect its
obligations on this bond, and it does hereby waive notice of any such change, extension of time,
alteration or addition.
In witness whereof,this instrument has been duly executed by the Principal and surety above named, on
MAY 1-1 1999
(SEAL) (SEAL)
D
HFAI�T(MAC�M�NNY-' TNC. SEABOARD SURETY ANY
(Contractor)
(Surety)
BY: By:
(Signature) CHRISTTNE A. PATERSON ( i re) ATTORNEY-IN-FACT
Address: 500 S. KRAEMER BLVD., SUITE 200
BREA, CA 92821
(Seal mid MotwwlArAnowlsdgwem qrSurrty) Telephone No,(714 ) 993-4430
CD-5
CALIFORNIA AILD-PURPOSE ACKNOWLEDGMENT
ro�
State of California '
Ss,
County of Riverside �
On May 12, 1999 , before me, Tracy A. Bundrant, Notary_Public
Date Came and Title of Off, e.a.,'Jame Doc-,Notary Put-fic'j
personally appeared Bruce E. Perry
:.
lam (s)of Signer(s) &I
personally known to me
proved to me on the basis of satisfactory f
evidence
6
to be the person whose name i
subscribed to the within instrument and
acknowledged to me hat e they executed
-UN,, RfikhM
the same in h fttyeif uthorized
f £� capacity{ an that by ht 1
signature( on the instrument the person(*'or
the entity upon behalf of which the person{
x.- acted, executed the instrument.
WITNESS my hand and official seal.
Pace Notary Seal Above iy^^-nature 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: Labor and Material Bond
N
Document Date: May 11, 1999 Dumber of Pages: Z
�N Signer(s)Other Than Named Above: _ Christine A. Paterson
Capacity(ies) Claimed by Signer
Signer's dame: Bruce B. Perry
Individual
t� here, if
X! Corporate Officer Title(s): President # Ol
Ol
` Partner—` Limited General
Attorney in Fact P
Trustee
Guardian or Conservator I
Other:
Signer Is Representing: Hemet Manufacturnc
ing Co. , I .
dba Genesis Construction f.
1997 National Notary Associat.on-9350 De Soto Ave DO Box 2402-Chatswo-h,CA 91313-2-402 Prcd,No,5907 Reorder Call?'o.;-Pr 1-800-876-6827
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907
State of California
County of San Diego
On 5-11-99 before me, America San Martin, Notary Public
DATE NAME,TITLE OF OFFICER-E.G.,-JANE DOE,NOTARY PUBLIC'
personally appeared Christine A. Paterson
NAME(S)OF SIGNER(S)
personally known to me - OR - 0 proved to me on the basis of satisfactory evidence
to be the person(Y.) whose name(z) is/=
subscribed to the within instrument and ac-
knowledged to me thatXWsheAKWexecuted
the same in xW/her/11-N" authorized
capacity , and that by X=her/ZKW
signature(-x) on the instrument the person(x),
or the entity upon behalf of which the
person(l) acted, executed the instrument.
OFFICIAL SEAL
AMERICA SAN MARTIN
NOTARY PUBLIC-CAUFORNIA E WITNESS my hand and official spal.
G COMMISSION#1200313
SAN DIEGO COUNTY
MyOwnmission Exp.Octcbersl,2002
SIGNATURE OF NOTARY
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)
PARTNER(S) ❑ LIMITED
GENERAL
L. ATTORNEY-IN-FACT NUMBER OF PAGES
0 TRUSTEE(S)
71 GUARDIAN/CONSERVATOR
El OTHER:
DATE OF DOCUMENT
SIGNER IS REPRESENTING;
NAME OF PERSON(S)OR ENTrrY(!F-&,
SIGNER(S)OTHER THAN NAMED ABOVE
01993 NATIONAL NOTARY ASSOCIATION-8236 Remmet Ave.,P.O.Box 7,84-Canoga Park,CA 91309-7184
PERFORMANCE BOND
HDM! MANUFACTURING INC
WHEREAS,the City Council of the City of Redlands, State of California, and DBA: GMSIS CONMURFOVY'
(hereinafter designated as "Principal") have entered into an agreement
whereby Principal agrees to install and complete certain designated public improvements, which said
agreement, dated MAY 4 , 1999 , and identified as Judson Street and Pioneer Avenue
Water Transmission Mains,Project No. 4-9916 is hereby referred to and made a part hereof-,and
WHEREAS, said Principal is required under the terms of said agreement to furnish a bond for the
faithful performance of said project.
Now,Therefore, said Principal and SEABOARD SURETY COMPANY as surety, are held
firmly bound unto the City of Redlands (hereinafter call "City"), in the penal 'sum of
TWO HUNDMM SEVENTY 7HM THOUSAND SEM HUNDRED THIRTY NINE AND N01100---Dollars (5273,739.00 ) lawful
money of the United States, 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 hers heirs, executors,
administrator, 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 their 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 therefore,there shall
be included costs and reasonable expenses and fees, including reasonable attorney's fees incurred by the
City in successfully enforcing such obligation, all to be taxed as costs and included in any judgment
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 anyway 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 above named, on
MAY 11 1999
(SEAL) (SEAL)
DBA: GEi IS S ONNY, INC. SEAWARD SURETY ANY
(Surety)
BY:
Sy
(Signature)I Bruce E. Perry CHRISnNIE A. PATERSON (Si lure) ATTORNEY-TN-FACT
President Address: 500 S. MU04ER BLVD., WITE 200
BREA, CA 92821
(Seal and Nalanaf Ackawkdgment of S ..y) Telephone No.(71-4 ----) 993-4430
CD-4
CALIFORNIA AML-PURPOSE ACKNOWLEDGMENT
rR A
Mate of California
ss. '
County of Riverside }'
On fay 12, 1999 before rite; Tracy A Bundrant Notary Public
Da#e Name ani Title of Officer i;e.Y.. }ane Doe.N„tary Pub€iC)
personally appeared Bruce E. Perry
2'. Name,s)of !arer(s .
personally known to me
proved to me on the basis of satisfactory
evidence
Al
61 to be the person{ whose name{ is r
subscribed to thewithin instrument and
� � = acknowledged to me tha h f#4ey executed
. f 5 the same in fis r uthorized
0 capacity{ and that by ht lbefAi
-
5 ... signature{ on the instrument the person(h(or
the entity upon behalf of which the person{
acted„ executed the instrument.
rz
WITNESS my hand and official seal.
Pace Notar�Seal Above i atura of i Public
OPTIONAL
Though the information below is not required by law, It may prove valuable to persons retying on the document
and could prevent fraudulent removal and reattachment of this form to another document o
r
�r
Description of Attached Document _
Title or Type of Document: --- Performance bond
2
—
Document Date: May 11, 1999 __------------Number of Pages:_ _—
;J
Signer{s} Other Than Named Above:_Christine A. Paterson
Capacity(ies) Claimed by Signer
r
Signer's Name: Bruce E. Per
__-- ---------
Individual J
President
,-. .iimb
Y, Corporate Officer —Titlefsy: — -- -_ -
Partner—I.—, Limited General
Attorney in Fact '
Trustee
}
Guardian or Conservator
V I
r
t� ter. — ---— -— ------- —— �
Signer is Representing.
--_ Hemet ,Manufact;urin Co. Inc.
dba Genesis Construction
1 cn'National vota f Association 935 Cie Sctu Ave..P.0.Box 2-=02•C„v's ut,�..,CA .:=si3-2 it�2 Ps�_tdo,.�_.,, Pee,de, Gae Tel-Frees,-800-876-682?
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907
p - - -----
State of California
County of San Diego
On 5-11-99 before me, America San Martin, Notary Public
DATE NAME,TITLE OF OFFICER-E.G.,"JANE DOE,NOTARY PUBLIC"
personally appeared Christine A. Paterson
NAME(S)OF SIGNER(S)
personally known to me - OR - El proved to me on the basis of satisfactory evidence
to be the person(79) whose name(z) is/�em
subscribed to the within instrument and ac-
knowledged to me thatAWsheA*Wexecuted
the same in xXWher/j%M authorized
capacity(CW, and that by *Mher/IUM
signature(x) on the instrument the person(x),
or the entity upon behalf of which the
person(l) acted, executed the instrument.
OFFICIALSEAL
AMERICA SANI MAIN 0
NOTARy pUBuC-CAUFORNIA — WITNESS y hand and official seal.
ComMISSK)N#1200313 C
SAN DIEGO COUNTY
Exp.October 31,
SIGNATURE OF NOTARY
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
TrTLE(S)
El PARTNER(S) El LIMITED
El GENERAL
ATTORNEY-IN-FACT NUMBER OF PAGES
El TRUSTEE(S)
El
GUARDIAN/CONSERVATOR
El OTHER:
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
NAME OF PERSONjS)OR ENT.TrY(IES)
SIGNER(S)OTHER THAN NAMED ABOVE
01993 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 4184-Canoga Pak,CA 91309-7184
TheMbul POWER OF ATTORNEY
Seaboard So"Company United States Fidelity and Guaranty Company
St.Paul Fire and Marine Insurance Company Fidelity and Guaranty Insurance Company
St.Paul Guardian Insurance Company Fidelity,and Guaranty Insurance Underwriters,Inc.
St.Paul-Memory Insurance Company
Power of Attorney No. 20004 Certificate No. Y422 7
KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,and that
St.Paul Fire and Marine Insurance Company,St Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under
the laws of the State of Minnesota,and that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,and
that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance
Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do
hereby make,constitute and appoint
Jerold D.Hall,Sandra J.Little,Jack T.Warnock,Bart B.Stewart,Valerie M.Pearce,Chris A.Lydick,Christine A.Paterson and
Leticia San Martin
of the City of San Diego State California
their true and lawful Attonney(s)-in-Fact-
each in their Separate capacity if more than one is named above.to sign its name as Surety to,and to execute,sea]and acknowledge any and all bonds,undertakings,
contracts and other written instruments in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the
performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed this 13th day of April 1999
Seaboard Surety Company United States Fidelity and Guaranty Company
St.Paul Fire and Marine Insurance Company Fidelity and Guaranty Insurance Company
St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc.
St.Paul Mercury Insurance Company
I82AN -ft v MICHAEL B.KEEGAN,x1rlace.President
is
State of Maryland v
'a
City of Baltimore
MICHAEL,R.MCKIBREN,Assistant Secretary
13th April 9"
On this day of
re me,the undersigned officer,personally appeared Michael B.Keegan and
Michael R.McKibben,who acknowledged themselves to 1iQ ice,PsBe tt t Secretary,respectively,of Seaboard Surety Company,St.Paul Fire and
Marine Insurance Company,St.Paul Guardian I Nt insurance Company,United States Fidelity and Guaranty Company.Fidelity and
Guaranty Insurance Company,and FiZfitya=;:�Zty
cry,Inc.and that they,a,such,being authorized so it,do,executed the foregoing
instrument for the purposes therein contained by signing as of the rations by themselves as duly authorized officers.
In Witness Whereof.I hereunto set me hand and official sea]. *4a"-AA4&,
My Commission expires the 13th day of July,2002 U
(9 REBECCA LASLEYONOKAI-A,Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Seaboard Surety Company,St.Paul
Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,United States Fidelity and'Guaranty Company,
Fidelity and Guaranty Insurance Company,and Fidelity and Guaranty Insurance Underwriters,Inc.on September 2,1998,which resolutions are now in full force and
effect,reading as follows.
RESOLVED,that in connection with the fidelity and surety insurance business of the Company,all bonds,undertakings,contracts and other instruments relating
to said business may be signed,executed,and acknowledged by persons or entities appointed as Attorneys)
WORKERS COMPENSATION INSURANCE CERTIFICATION
Description of Contract: City of Redlands
municipal Utilities Department
JUDSON STREET AND PIONEER AVENUE
WATER TRANSMISSION MAINS
PROJECT NO. 4-9916
Labor Code section 3700 provides, in part:
"Every employer except the State and all political subdivisions or institutions thereof,
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, 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 employees"
I am aware of the provisions of Section 3700 of the Labor Code which requires every
employer to be insured against liability for worker's 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.
Dated this i2th day of May -, 19 99
Hemet Manufacturing Co. , Inc.
dba _Genesis Construction
(Contractor)
(Signature) B�uce E. Perry
President
(Official Title)
(SEAL)
(Labor Code Section 1861 provides that the above certificate must be signed and filed by the
Contractor with the Owner prior to performing any work.)
CD-3
...........
- ....... IY
Y
...... DATEMMIDD
5/11/99
AC
` 619-23$-1$2$ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER
ROBERT F. DRIVER COMPANY, INC, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1620 FIFTH AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
SAN DIEGO, CA 92101 COMPANIES AFFORDING COVERAGE
COMPANY EVANSTON INSURANCE CO,
INSURED COMPANY
Hemet Manufacturing Co., Inc.
B FIDELITY & GUARANTY INS. CO.
� ---
dba: Genesis Construction ! COMPANY
P.O. Box 7067 C
Hemet CA 92545 COMPANY
D
777777777
" ..
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.
! POLICY EFFECTIVE POLICY EXPIRATION( LIMITS
CO ` TYPE OF INSURANCE POLICY NUMBER I DATE{MMIDDIYY) DATE{MMIDDIYY}
LTR
A GENERAL LIABILITY GLP1003584 7/31/98 7/31/99 GENERAL AGGREGATE Is 2000000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO s 1000000
,,.... CLAIMS MADE ( X t OCCUR I PERSONAL&ADV INJURY S 1 ddda0d
OWNER'S&CONTRACTOR'S PROT ( EACH OCCURRENCE �) s� 1 000000
I i lil FIRE DAMAGE?Any one fire? S 550000
I MED EXP{Any one person} S 5000
B AUTOMOBILE LIABILITYBFA1$$230 7/31/98 7/31/99 'COMBINED SINGLE LIMIT S
_ 1000000
X ANY AUTO
i ALL OWNED AUTOS i BODILY INJURY $
(Pee person)
SCHEDULED AUTOS
HIRED AUTOS I (BODILY INJURY
{Per accident} $
X NON-OWNED AUTOS
t—1 I
i PROPERTY DAMAGE $
i AUTO ONLY-EA ACCIDENT S
GARAGE LIABILITY
OTHER THAN AUTO ONLY:
ANY AUTO � � It— �u
EACH ACCIDENT $
i
( AGGREGATES
EACH OCCURRENCE S
EXCESS LIABILITY
I AGGREGATE S
—I UMBRELLA FORM
I OTHER THAN UMBRELLA FORM $
T RY T MTU I OT I
WORKERS COMPENSATION AND i - - -{
!EMPLOYERS'LIABILITY I
j EL EACH ACCIDENT $
3 i i
I i El DISEASE-POLICY LIMIT $
p THE PROPRIETOR/
'�-I INCL I I -
PARTNERSIEXECUTIVE € I EL DISEASE-EA EMPLOYEE $
OFFICERS ARE: }EXCLt
3 OTHER
j I �
r
DESCRIPTION OF OPERATIONSILOCATtof4SNEHICL.ESISPECIAL ITEMS
RE: JUDSON ST&PIONEER AVE WATER TRANSMISSION MAINS PROJECT #4-9916
CONTRACT $273,739.00 60 C-DAYS CERTIFICATE HOLDER IS NAMED AS
ADDITIONAL INSURED WITH RESPECTS TO ABOVE PER THE ATTACHED ENDORSEMENT
10 DAYS NOTICE FOR NON-PAYMENT
7.7
7.777.
OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE.
GELLATIt3N
CITY OF REDLANDS EXPIRATION DATE THEREOF, THE ISSUtMG COMPANY WILL MAIL
ATTN: ELIAS ELHAZIN 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
35 CAJON ST., STE. 15A
REDLANDS, CA 92373 AUTHORIZED REPRESENTATIVE `
ch byu
(10-93)
POLICY NUMBER: GLP1003584
NAMED INSURED: HEMET MANUFACTURING CO. , INC.
DBA: GENESIS CONSTRUCTION
ENDORSEMENT EFFECTIVE: 7-31-98
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 10 93
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization:
SEE ATTACHED CERTIFICATE
PER SCHEDULE ON FILE WITH THE CARRIER
(If no entry appears above, information required to complete this
endorsement will be shown in the Declarations as applicable to this
endorsement. )
WHO IS INSURED (Section II) is amended to include as an with insureresd pect to
the
person or organization shown in the Schedule, but only
liability arising out of your ongoing operations performed for that
insured.
PRIMARY INSURANCE CLAUSE-It is agreed that such insurance as is
afforded bythis policy for the benefit of the Additional Insured
ned
shown shall be primary insurance, and any other insurance maintained
by the Additional Insured(s) shall be excess and non-contributory, but
only as respects any laim, loss or liability arising out Of the
operations of the Namced Insured(s) or its sub-contractors, and only if
such claim, loss or liability is determined to be solely the
negligence or responsibility of the Named Insured.
WAIVER OF SUBROGATION-It is hereby understood and agreed that
underwriters waive all rights of subrogation against any person or
organization as required b, written contract but only in respect of
v
work carried out by or on behalf of the named insured(s) under
written contract executed before loss requirinq the named insured to
obtain this agreement from underwriters .
AGGREGATE LIMITS OF INSURANCE (PER PROJECT) -The general aggregate
to
limit under Limits Of Insurance (Section III) applies separately
each of your projects away from premises owned by or rented to you.
COUNTERSIGNED BY:
REPRESENTATIVE)
CIL
05/11199
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 ALTER THE COVERAGE AFFORDED BY THE
Ead Insurance Corp. POLICIES BELOW. _
3300 Progress Street COMPANIES AFFORDING COVERAGE
Whittier CA 901
COMPANY A Golden Eagle Ins. Corp.
LETTER
COMPANY p
LETTER LJ
INSURED
COMPANY C
Hemet Manufacturing Inc. LETTER V
DBA: Genesis Construction COMPANY ,D
P.O. Box 7067 LETTER
Hemet CA 92545 _
COMPAN E
LETTER E
THIS IS TO CERTIFY THAT THE PflLIGIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDINfia 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.
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GO TYPE OF INSURANCE POLICY NUMBER DATE (MM,DDrYY) DATE(MM/DD/YY)
LTR
_ GENERAL AGGREGATE $
GENERAL LIABILITY
PRODUCTS-COMP/OP ACG. $
COMMERCIAL GENERAL LIABILITY
PERSONAL&ADV.INJURY $,,
CLAIMS MADE OCCUR_ _. _.
EACH OCCURRENCE $
OWNER'S&CONTRACTOR'S PROT. -I
FIRE DAMAGE E( one fire) $
MED.EXPENSE(Any one person) $
COMBINED SINGLE $
AUTOMOBILE LIABILITY LIMIT
ANY AUTO
BODILY INJURY $
ALL OWNED AUTOS (Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
GARAGE LIABILITY PROPERTY DAMAGE $
EACH OCCURRENCE $
EXCESS UABIt1TY AGGREGATE
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
X STATUTORY LIMITS
WORKERS COMPENSATION EACH ACCIDENT $ 1,000,000
A AND Nr10548444 44 01141199 01141144
DISEASE--POLICY LIMIT $ 1 000,000
EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONStLOCATK)NSflVEnCLES(SPECIAL ITEM
14 Day notice of cancellation for Nan Payment of PremiL€n. LL
CERTIFICATE HOLDER'-- CE I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BEFORE THE
BE CANCELLED
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENS 6+XiXXXXXXXXX
MAIL .._45_'DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
City of Redlands LEFT, B'XXMX XR XUW WMZMMW t RRXXXXXXXXXX
Attn: Elias Elhazln Rgl'['afXIT X St;m)m IfARbl A(MXXXXXXXXXXX
35 Cajon St, Ste. 15A CA 'EXCEPT 10 DAYS FOR NON PAYMENT OF PREMIUM
Redlands AUTHORIz REPRESENTATIVE
ACORD 254 (7100)
MUE DATE (MM/DDrM
u
v A4 NPRO, CEITrIFICAT OF INSURANCE
05111=
PROMIICE�' THIS CERTIFICATE IS RUED ASQ.TFER OF WORMAtM ONLY AND
CONFERS NO MGM UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Ead lasuranos POLICES BELOW.
3300 Pmgren .. ............
COMPANIES AFFORDING COVERAGE
Www CA 90801
LETTERPAN
COMY A Golden Ewe h& Corp.
COMPANY B
LETTER
COMPANY C
Hemet Mwubftft Inc. LETTER
DBA:Gens*Cons#ucdm ------
P.O. Box 7067 COMPA
Hemet CA 92545 L FINY D
COMPANY
LETTERE
OUVERAfflis
THS S TO CERT:FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED FOR THE POLICY PERIOD
T I
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.
POLICY effow mILICY EXPIRATION
00' TYPE OF INSURANCE POLICY NumemUwM
DATE (MMODAY)
DATE(MMIDDfM
GENERAL IUA8111TY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPiOP AGG, $
CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY
ibWNER'S&CONTRACTORS PROTL EACH OCCURRENCE $
FIRE DAMAGE(Any cm Rte) $
MED,EXPENSE(Any one pawn) $
COMBINED SINGLE
ANY AUTO LIMIT
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (%r P—)
HIRED AUTOS BODILY INJURY
$
--i
NON-OWNED AUTOS { e"
GARAGE LIABILITY
PROPERTY DAMAGE $
EACH OCCURRENCE
66615'LLANILITY $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
X STATUTORY LIMITS
WORKERS COMPENSATM
01/01/00 EACH
A AM ACCIDENT WC548000-00 01!01199 1,000,000
EMPLOYERS UASUM DISEASE-POLICY Aw $ 1,000,000
DISEASE-EACH EMPLOYEE
$ 1,000,000
DESCR01ION OF OPERAilON6AACA ITEMS
10 Day notice of cancellation for Non Payment of Premiun.
C001IFF -AI r "OLDER CAIKEUIM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EN%VyW3W00000=
MAIL 45 *oAys WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
city Of Reftnds
Ann: EW ElwinLEFT,
35 CA*M
SI. SO. 15AX)D(XX)D(XXXX
PAdWA* CA M *EXGEPT 10 DAYS FOR NON PAYMENT OF PREMIUM
AUTHORUED REPRE01131TATWE
L'u
ACOM 2M (71A0) CACM COFrORMM