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AGREEMENT
THIS AGREEMENT, made and entered into this 7th day of September, 1999, 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 Moody Construction of the City of Banning, 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:
I. SCOPE OF WORK: The Contractor will furnish all materials and will perform all of the work for the
following:
To perform construction of Fire Station No. 1 Door Enlargements project, complete, all as
shown, specified, and made a part of Contract No. 34-5024-4150A.
2. THE CONTRACT SUM OF:
I TIME FOR COMPLETION: The work shall be completed within forty-five(45)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 Sealed Proposals, Instructions to Bidders, Proposal and Bid Forms, Bid
Bond, Agreement, Performance Bond, Payment Bond, Plans and Specifications, all referenced
specifications, and any Addenda thereto.
5. 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.
6. 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 ommission of the
Contractor,its employees or agents in connection with the performance of the Contractor's obligation under
this Contract.
7. INSURANCE: All policies of insurance required by this Contract shall name the City, its elected
officials, employees, and agents as additional insureds, and such insurance shall be primary with respect
to such additional insureds and non-contributing to any insurance or self-insurance maintained by the
additional insureds.
a
ON
IN WITNESS WHEREOF, the parties hereto have executed this Agreement in duplicate on the day
and year first written above.
CITY'S SEAL
By:
Mayor, ity of Redlan
County of San Bernardino, California
ATTEST:
Deput"Nity Clerk, City of Redlands
County of San Bernardino,--California
.MOODY CONSTRUCTION
Name of Contractor
CONTRAC'TOR'S SEAL By:
Signature of Authorized A ent
W
Signatory's Title
Signature of Authorized Agent (if necessary)
Signatory's Title (if necessary)
690611 B
Contractor's License No.
WORKERS' COMPENSATION INSURANCE STATEMENT
I, the undersigned and authorized agent for the Contractor, 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 under the City's Contract
No. 34-50244150A.
MOODY CONSTRUCTION
Name of Contractor
By:
Signature of Authorize ^gen
(34L
Signatory's Title
690671 B
Contractor's License No.
EXECUTED IN DUPLICATE BOND NUMBER: SD00081209
PREMIUM: $638.00
PERFORMANCE BOND
WHEREAS, the City Council of the City of Redlands, State of California(hereinafter designated as "City"), and
Moody Construction(hereinafter designated as "Principal")have entered into an agreement whereby Principal agrees
to install and complete certain designated public improvements, which by said agreement dated September 7, 1999,
and identified as Contract No. 34-5024-4150A, is hereby referred to and made a part hereof; and
WHEREAS, under the terms of said agreement, Principal is required before entering upon the performance of
the work, to furnish a good and sufficient 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 TWENTY FIVE THOUSAND FIVE HUNDRED AND NO1100
(�5 ,5 0 0.0 0 dollars
*� ) 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, and provisions in the said agreement and any alteration thereof made as therein provided,
or his or her part, to be kept and performed at the time and in the manner therein specified, and in all respects
according to their true intent and meaning, and shall defend, indemnify and save harmless the City, its elected
officials, officers, agents, and employees, as therein stipulated, then this obligation shall become null and void;
otherwise it shall be and remain in full force and effect.
As a part of the obligation secured hereby and in addition the face amount specified therefor, there shall be included
costs and reasonable expenses and fees, including attorney's fees incurred by the City in successfully enforcing such
obligation, all to be taxed as costs and included in any judgement 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 the specifications.
IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and surety named, on
SEPTEMBER 20 1999
FRONTIER PACIFIC INSURANCE
MOODY CONSTRUCTION (SEAL) COMPANY
Principal (SEAQ,)
Surety
By: .. `
By:
Signature Signator RNEY—IN—FACT
CROSBY INSURANCE, INC .
Address: P.O. BOX 5017
UPLAND, CA 91785-5017
(Notarial Acknowledgments of Contractor and Surety) Telephone: (5 9 9} 985-0345
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of . San Bernardino ss.
On SEPT. 20 , 1999
before me, _ Susan Pugh, NotaryPublic
Date Name and Title of Officer(e.g., Jane Doe,Notary Pumic') '
Dwight Reilly _
personally appeared g y _________________
Name(s)of Signer(s) '
I
® personally known to me
O proved to me on the basis of satisfactory
evidence
to be the person(s) whose namefs) is/WA
subscribed to the within instrument and
. to acknowledged to me that he/3tm&J t executed
SUSAN P rH the same in his/bec#dx- authorized
AA®r;1_V
Commission capacity(is}, and that by his/t '�
Notary PUblic_ 4if signature(x) on the instrument the person(g) or
A iris County the entity upon behalf of which the person(
r 25°2003 acted, executed the instrument. v
WITNESS my hand and off< 'al sea
Piave Notary Seal Above Signature of Notary Publics
SUSAN PUGH
OPTIONAL
Though the information below is not required by taw, 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 PERFORMANCE BOND
Title or Type of Document:
SEPTEMBER 20, 1999 1
Document Date:
Number of Pages:
Signer(s)Other Than Named Above: None
)
Capacity(ies) Claimed by Signer
Signer's Name: Dwight Reilly ------------------------
El
-------------------❑ Individual • ••
El Corporate Officer—Title(s): Top of thumb here
0 Partner—El Limited ❑ General
X' Attorney in Fact .3
El Trustee
El Guardian or Conservator
0 Other:
Signer Is Representing: FRONTIER PACIFIC INSURANCE COMPAN
0 1997 National Notary Association•9350 Do Soto Ave.P o.Box 2402•Chatsworth,CA 91313-2402 Prod.No.5907 Reorder.Call Toll-Free 1-806-876-6827
WROMTSIER
_ _ ®_ -
fi Ctl fom,o ti cmcorty)
4250 Fxecutive Square, Suite 200, La Jolla,'California 92037
POWER OF ATTORNEY
i'I ITITin5v „3i e -r tots , at FRONTIER PACIFIC flaSURANCE COMPANY,a California Corporation,having its principal office
in La Jo"!a,C a> o,n a.pu=rsuant to the following resou,on,adopted by the Board of Directors of the Corporation on the 15th day of November, ;991.
'RESOLVED.that the Chairrinan,of the Board.the President,or any Vice President be,and hereby is.authorized to appoint Attorneys-in-
Fact to representr,ano act or and„ behalf o1 the Company to execute borids, nde.tak3, gs.recogrizanees and other contracts of inderinnit t
and iontings obligatory in the nantre thereof and 'a a".tach thereto the corporate seal of the company, in the transaction of its surety
business;
RESOLVED thatffie signaturesand h=sta ons of n ;h off and the seal of re C.otnpat y may be affixed to any such Power of Attorney
orto any ceritf cafe naiatino thereto by-Hos..t:e,and ar.y SUCt-P:,wei of Attorney or certificate bear,f g such facsimile signatures or facsimile
sea'sha! be ,al ,and binding up he Cao( p zn t her;so affixed with resper t-o an y bond,!Endertatunto,recognizance or other contract of
nder rr ty or writing obligatory ir,the nature t`elkof:
RESOLVES f~ar any such A t ,, in-Fact delivering a secretarial e t icat or thattheforegomg resolutions still be in effect may insert in
such certification the date t`tereot. u!d date to he not later than ,he date of de ive:y thereof by such Attorney-in-Fact."
T;his Power of Attorney;s signed and ses,e=•d : .r _.sir;i e Linder and by the aut tt
y ori v of the above Resolution.
DOES HEREBY MAKE,CONST!TU T E A ID,:.PPO;NIS-: H.J. DUECK DWIGHT REILLY
VICKI MARTINEZ CHRISTOPHER S. HOPPER
Upland r the State of California
tS tr- e and acifji Attornr y_S?-i _ Fact-irvar, fu'i power and aithonty hereby confer°'ed m its name,place and stead to sigh;,execute,ackno ledge and
deiiiier in its bets.{.and as its act and deed..without,.,ower of redeiegst;o a,follows:
Burros guaranteeing the fidelity of persons holding places of public or private trust;guaranteeing the performance of contracts other than
insurance policies;and executing or guaranteeing bonds and undertakings r er110€red ut permitted in a i actions or proceedings or by law allowed;
IN AN AMOUNT NOT TO EXCEED THREE MILLION FIVE HUNDRED THOUSAND($3.500,000-00)DOLLAR ;and to bind FRONTIER PACIFIC
N URANCE COMPANY thereby as Sully arts°to the same extent as if such bored or undertaking was signed by the duly authorized officers of
FRONTIER PACIFIC INSURANCE COMPANY,and a':c the acts of said Attorney s)-€r Fact pursuantto the authority here r giver are hereby ratifiers
and confirmed.
-4112lit't_lt'55 114?mr oi,FRONTIER PACIFIC INSURANCE COMPANY o'La jolla,California.has caused this Power of Allo,neyto be signed by its
Vice President and its Corporate sea'to be affixed this 26th day of August =9 97
FRONTIER PACIFIC!NSURANCE COMPANY
p,,,
Q .' vJune n
2:
I-o $, Y � {
Y._
,STATE OF CALIFORNIA-, UAMID E.CAt PBEI L Vice President
COUNTY OF SAN DIEGO
On August 26, 1997 before me Nydia Ortiz personally appeared David E. Campbell, personally known to me or proved to me on the
basis of satisfactory evidence to b e the person whose name,s subscribed to the within instrument and a=cknowledged to me that he executed tate same
in his authorized;apacity and that by his signature on the Instrument the person•.(s),or the entity .spur,behalf of which the person s?actedexecuted tate
instru :ent.
WITNESS my hand and official sea!
N.OZ
Commission# '1192302
.n. ° NotW Pu is-wilt _ ..
Son DkW County
f
*COMM.El#-esALQ 6,20G2
Siana ure of Notary 4
Corporation Ackn ow!edgemnent
the o de signer Joseph P.Lrft rt of FRONTIER PACIFIC INSURANCE COMPANY,do hereby certify that the original ftER
OF A—TORNEY, of which�the foregoing Is F.full,true d correct Cop s n`u4,force and effect
r�i ,
``A!TNEESS WHEREOF
HEREOF i fiats' her-untc si1��`scC`-bed ? name as Joseph P L r.=a:"t'=>',h: ,s'eCr"e$€t,fy, and affixed the Corporate Seal of
the Coraorat cr this_.-----20TH - - day�' SEPTEMBERy9 9.9
€ v u ff
Js
Joseph R.Loughlin,Secretary
-,. 5X2A, f 1 2.96; 1V 1992.4. 12'966."Ov
EXECUTED IN DUPLICATE BOND NUMBER: SD00081209
PREMIUM: $638.00
PAYWNT BOND
WHEREAS, the City Council of the City of Redlands, State of California(hereinafter designated as "City"), and
Moody Construction(hereinafter designated as "Principal")have entered into an agreement whereby Principal agrees
to install and complete certain designated public improvements, which by said agreement dated September 7, 1999,
and identified as Contract No. 34-5024-4150A, is hereby referred to and made a part hereof, and
WHEREAS, under the terms of said agreement, Principal is required before entering upon the performance of
the work, to furnish a good and sufficient labor and materials payment bond with the City to secure the claims to
which reference is made in Title 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 in the
sum ofTWENTY FIVE THOUSAND FIVE HUNDRED AND N01100 dollars
($2 5 ,5 0 0. 0 0 ****) 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 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 to the terms of the agreement or to the work or to the specifications.
IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and surety named, on
SEPTEMBER 20 _ , 1999.
FRONTIER PACIFIC INSURANCE
MOODY CONSTRUCTION (SEAL) COMPANY (SEAL)
Principal Surety
Bv: By:
Signature X SignaturDWIGHT REILLY—,-7CTTORN Y—IN—FACT
CROSBY INSURANCE, INC.
Address: P .O. BOX 5017
UPLAND, CA 91785-5017
(Notarial Acknowledgments of Contractor and Surety) Telephone: (20 9) 985-0345
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
rc:C`.t;�.r�``�`-v-,.= x�
State of California
County of San Bernardino ss.
SEPT. 20, 1999
On before me, Susan Pugh, Notary Public
y
Data Name and Title of Officer(e.g.."Jane Doe,Notary Public-)
personally appeared Dwight Reilly
--------------------------
Name(s)of Signer(s) '
X personally known to me
❑ proved to me on the basis of satisfactory
evidence
)
to be the person(s) whose name(ss) is/M
subscribed to the within instrument and
acknowledged to me that he/abx#JM executed
SUSAN
the same in his/beck authorized
r i ,c 1Z929 capacity(ixso, and that by hislft)eg3hek
�/PUt -Cold
T-din n _ signature(x)on the instrument the person{ , or
M" n the entity upon behalf of which the person(;}
s Mar 14
acted, executed the instrument.
WITNESS my hand and offs ial seal
Aa
Place Notary Seal Above Signature of Notary Public
SUSAN PUGH
OPTIONAL '
Though the information below is not required by law, it may prove valuable to persons relying an 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
SEPTEMBER 20, 1999 1
Document Date: Number of Pages:
Signer(s)Other Than NamEid Above: None `
Capacity(les) Claimed by Signer
Signer's Name: Dwight Reilly -------------------------
D Individual
El Corporate Officer—Title(s): Top or thumb here
E Partner—0 Limited E General
X Attorney in Fact
0 Trustee
I Guardian or Conservator
El Other:
Signer Is Representing:
FRONTIER PACIFIC INSURANCE COMPAN
0 1997 National Notary Association-9350 De Soto Ave..P.O.Box 2402-Chatsworth,CA 91313-2402 Prod.No,5907 Reorder:call Rilt-Free 1-800-876-6827
ZRI
A250 Executive Square.Suite 200, Ira.scala,California 92037
POWER OF ATTORNEY
iltttcr ttA t ifl oil 1 11tti'3r` rVeivitts:That FRONTIER PACIFIC INSURANCE COMPANY.a Calf,rri aCorporation,having its principal office
n i a o,. California.Pursuant t e;o scwin_;resc,sution.adopted by the Board of Directors of the Corporation on the 15th day of November,e„=991.
RESOLVED,that the Chairman of into Board,the Pfesidert,or any Vce President be,and hereby is,authorized to appoint Attorneys =n-
Fac;,to represent and actfor and on behalf o`the Company to execate bonds.undertakings,recogn€zances and other contracts of indemnity
and vrrit ,gs obigatoryn rhe nawle inereo` and to attach thereto the corporate sea; of the Company. in the transaction of its surety
dus.ness
-SC L`I Ev,tf±a the c.ys'at�:reg�4(So ste ions of s€u b rr_;ce s a ,a t sea'of the Cornoany may be affixed to any such Power of Attorney
or-o "sy er'-?C3 e relating theretoby i si €+€c and arra S U .h Power ok,t!oy -ey C certificate searing such faCS:Rl1;e signatures or facs mine
sea hall be,tali and binding uponort, my when€s, art xed xitn . pec° o any bond,undertaking,recognizance or other contract f
inder-nnitv or einfing obligatory in tat nature r €'eo`
'RESOLVED,that ani sucr Atomer ,r Fa=�t dei:veri,ig a secie aria`s co .:ficat or that the foregoing resolutions still be in effect may in.eat in
such cer c,t on the date thereof.saici lots to be rot Fater than the date of delivery thereof by such Attorney in-Fact.'°
This Power of Attorney Is signed and sue3ied ;n facsimile Finder and by the authority of the above Resolution.
DOES HEREBY RIAKECONSTITUTE °4, 1 APPOINT, H.J. DUECK DWIGHT REILLY
VICKI MARTINEZ CHRISTOPHER S. HOPPER
of Upland it the State of California
its true and awfw Attotne si-in-Fact with f0 power and authority hereby co erred i 's=tame, place and stead tc si r-._execute,acknowledge and
deliver „its ber lf,and as its act and deer without power of redeleg 3i on.as f`Jliows
Bonds guaranteeing the f+deli=y oro r^ors holding places of Public or Private trust:guaranteeing the performance of contracts other than
insurance policies:and executing or 9 -aranteeing bonds and undertakings required or permitted in all actions or proceedings or by law allowed:
1N AN;,;VICvUNT NOT TO EXCEED THREE MILLION R E HUNDRED THOUSAND t$ -BJ t)gft. 0!DOLLARS-and to bird FRONTIER PACIFIC
INSURANCE COMPANY thereby as fully ane to the same extent as If such bond or undertaking was signed by the duly authorized officers of
FRONTIER PACIFIC€NSu4RANCE COMPANY,and all tt e acts of said Attor.ey s3-in-Fact is i suantto the authority herein given are hereby ratified
and confirmed.
dtltt f f$ti 11herc,#f,FRONT IER PACIFIC INSURANCE COMPANY of La Jolla.California,has cau ed this Power of Attorney to be si ne by its
ay of August
9 97
Vice President. and Its Corporate sea!to be aFfiX2�'i this 26th
FRONTIER PACIFIC INSURANCE COMPANY
_iNS4,s
o
JUL,2.
g'
Z i3?3 an
DAVID E.CAMPBELL,Vice President
STATE OF CALIFORNIA"
COUNTY OF SAN MEqui
C
August 26, 1997 before fire, Nydia Crtz personally appeared David R. Campbell, personally known to me or proved to Fie on the
leas; of satisfactory evidence to b e the person chose name �rudo ri ed to`tie within instrument and acknowledged to e that s, acted,ex the sante
in his authorized capacity,and that by his signature on the instrument the person(s),or the entity upon behalf of which the person{s;adted,exthe
instrument,
WITNESS my hard and official sea"
N.ORPIZ
- afit r Y `
son Dkw C _ ty
Signature of Notary i
Corporation Acknowledgement _
I,tae;.,dersicgned,:;oseph? Lc,.rahsi -,ret try of FRONTIER PACIFIC INSURANCE COMPANY,do hereby certify that the original POWER
OF ATTORNEY.of which.he foregoing is a full ie and correct c0QY. is In full force and e acct.
^
IN t,..v.� ,.r, e�}.,: subscribed£',., rtt p" a.i e as Joseph `0. Loughlin, Secretary. and affixed
21`:e Corporate ,'��£a of
,1i;NESS WHEREOF- .
20TH dar ,t -EPTIEMBE- _
the Corporanor,;his
,u su 4fjuLf 25
r y
'ol 12925-12,96 10V
fir..,`_ n 2A_r-Po2,96y
CFCSR DS DATE(MMIDDfYY),
AC090. CERTIFICATE OF LIABILITY INSURAN O0DY-D 09/20/99
!:� : ISSUED_ASA MATTER OF INFORMATION
THIS CERTIFICATE`
PRODUCER AND CONFERS NO RIGHTS UP
ONLY ONFE ON THE CERTIFICATE
Crosby Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
H.J. Dueck Agency, Inc ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P. O. Box 5017
!Upland, CA 91785-5017 i INSURERS AFFORDING COVERAGE
Phone: 909-985-0345 Fax:909-981-9385
INSURER A: SCTTSDALE INSURANCE CO-
O,
INSURED
IN S-U R-E-R B:-----------SAFECO INSURANCE.COMPANY
----------
INSURANCE COMPANY
EPTANCE IN
INSURER C ACC
MOODY CONSTRUCTION -----------------------------------------------------------------------
883 S LOVELL INSURER-D ---------------------------------------
BANNING CA 92220 INSURER E� -A
COVERAGES To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE BE SSUED OR
CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY I
ANY REQUIREMENT,TERM 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.--- POLICY EFFECTIVE PONY LIMITS
EPIRATIO
POLICY NUMBER DATE'MM/DD 1 DATE MMID
_�R D
T TYPE OF INSURANCE
1 SIR EACH OCCURRENCE $ 1,000f000
GENERAL LIABILITY
04/30)99 1 04/30/00
FIRE DAMAGE(Any one fire) {$ 50,000
A X I COMMERCIAL GENERAL LIABILITY CL36600382 !$NONE
MED EXP(Any one person) 1
CLAIMS MADE I X I OCCURs 1,000,000
PERSONAL&ADV INJURY
GENERAL AGGREGATE 1s2,000,000
r PRODUCTS-COMPIOP AGO 1$ 1,000fOOO
GEN1 AGGREGATE LIMIT APPLIES PER,I
PRO-
1 LOC 1
POLICY JECT I OMBINED SINGLE LIMIT
;C s 1,000,000
(Ea accident)
AUTOMOBILE LIABILITY
08/11/98 08/11/99
ANY AUTO I! SA 4317071
B BODILY INJURY
$
ALL OWNED AUTOS i I(Per person)
X 1 SCHEDULED AUTOS
BODILY INJURY $
X HIRED AUTOS I (Per accident)
X NON-OWNED AUTOS PROPERTY DAMAGE
$
(Per accident',
AUTO ONLY-EA ACCIDENT I$
GARAGE LIABILITY I EA ACC
OTHER THAN
ANY AUTO AUTO ONLY
AGO $
EACH OCCURRENCE $
EXCESS LIABILITY AGGREGATE $
OCCUR
CLAIMS MADE
i $
DEDUCTIBLE
RETENTION $
_TORY UMTSi
WORKERS COMPENSATION AND
E.L.EACH ACCIDENT is
EMPLOYERS'LIABILITY
E.L.DISEASE-EA EMPLOYEE$
E.L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONSfLOCATIONSfVE.HICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Fire Station No. 1 Door Enlargements, Contract No. 34-5024-4150A. City
of Redlands, its elected officials, employees and agents are added as
Additional Insureds per the attached. W
*10 Days Notice of Cancellation will be given for non-payment of premium.
Al INSURED:INSURER LETTER CANCELLATION
CERTIFICATE HOLDER N I ADDITION REDLAN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER
MAIL
*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT,
CITY OF REDLANDS
P.O. Box 3005 N
Redlands CA 92373
ACORD CORPORATION 1988
ACORD 25-8(1/91)
SEP.20. 1999 2:06PN P 2
PHONE NO. : 909 794 0661
FROH : VULCAN INSURANCE V UUU11114 J-AAIJ-.�Jj ruql_j 3Uj%A L%-JL3 li4J.JI-Ak V
Acctptallce 111sutw1ux k-ulllvwly 366 9/20/99
MOODY CONSTRUCTION
Endorsement No. 10A
p0LIcYN, UMI3ER: CL 36600382 COMMERCIAL GENERAL LIABILITY
EFFECTIVE: 09/20/99 CG 20 10 10 93
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
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:
CITY OF REDLANDS,
ITS ELECTED OFFICIALS,EMPLOYEES AND AGENTS
P.O.BOX 3005
REDLANDS,CA 92373
(if no entry appears above,information required to complete this endorsement will be shown in the Declarations as to
applicable to this endorsement)
WHO IS INSURED(Section II)is amended to include as an insured the person or organization shown in the Schedule,
but only with respect to liability arising out of your ongoing operations performed for that insured.
IT IS FURTHER AGREED THAT THIS INSURANCE SHALL BE PRIMARY ONLY IN
THE EVENT OF THE NAMED INSURED'S SOLE NEGLIGENCE.
CC-T 20 10 10 93 Copyright,Insurance Services Office,Inc., 1992