HomeMy WebLinkAboutContracts & Agreements_56-1999_CCv0001.pdf AGREEMENT
THIS AGREEMENT, made and entered into this Ist day of June, 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 Rymax Electric Inc of the City of Upland, County of San
Bernardino, 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 the Texonia Park Field Lighting project, complete, all as shown,
specified, and made a part of Contract No. 23-6822-2960.
2. THE CONTRACT SUM OF: $61,135.00
3. TIME FOR COMIPLETION: The work shall be completed within one-hundred twenty (120) 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, Proposal and Bid Forms, Bid Bond,
Agreement, Workers' Compensation Insurance Statement, 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 omission 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,officers, agents, and employees 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.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement in duplicate on the day
and year first written above.
CITY'S SEAL
B y:
'T
Mayor. ity of Redl
County of San Bernardino, California
ATTEST:
t
City Cl k, City of I ds
C 0�� y 0, C
of Sann Be ardino, California
Rymax Electric Inc
Narne of Contractor
CONTRA CTOR'S SEAL By:
Signatu7 of Authorized Agent
President
Signatory's Title
Signature of Authorized Agent (if necessary)
Signatory's Title (if necessary)
621770, C-10
Contractor's License No.
WORKERS' COMPENSATION INSURANCE STATEMENT
1, 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. 23-6822-2960.
R,vmax Electric Inc
Name of Contractor
By*
F7--� f Authorized Agent
2 I
President
Signatory's Title
621770,. C-10
Contractor's License No.
PREMIUM BASED ON FINAL CONTRACT PRICE Bond Number: 3SM 957 020 00
Executed In Duplicate Premium: $1,223.00
PEUORMANCE BOND
City C=d Of dW, City of Reduds,Sutt of CilifWaia,Ozritiaft dcOpMd as Tity ).and
Rya*X Noct0c jw borminsINT40
TAUC4W)bave wMW wo an*=M=wbcircb�ftudpal W=
tO ioS4�RW.=*de CftTdU da*uftd public 11 Uj1roVrrrjj!22ft,WWch by&dd ape==daW lime 1. 1"9,and
�w Cagum No. 234=-2960. 1.9 beteby Tdwed to and MaWa part hemof;ad
WHERUS, =der the tgt=Of SOO AP9CM9M ftucPd is mPired be(=cutaft lqm the perf=guce of
tbg WO*,W finuM a Pod and mffui=fgtbfW pertbirmme bond wft&c CiW.
NOW,TagRUPM& said pf - the undcr!gaetl 23=y0=*Urety. am bW=d fim2ly b&j2d uro
thCCjtyjnfts=Qf Sixty On!!�hi(c�!Isand One -Hundred Thirty' Five Only
612.135.00 — dollan
) fOr ft PAYn=Of Whkh Suza V411 and truly to be zus* we bind mvdves. heim
WC=W=d 4dMwJMt=-JOWAY=d WYMAY,fway by ftw PM93ts-
7be =aQ M of 4* oW-Wt=' is sr
.h that if the above bounded Pdwipal, his of her bobs, amanom
admwsmp.=wMa or sadjos,"in:in luw U*04 to an,d abide by, and vmU and a*lomp ad perfo=
The coy Mom ft said qp=gut=4 alterv=9=00fZub as d==provww,
'. wow�'4�4 woid=iA , a"
or bis I=thr"AIM to bc kc;t md perbrxd at the t1we and in ft mw=flierda VeaW, and in 4 mVects
latem Od MMM& Ud &W ddwd, bd=WY nd b=1= the My, its dected
MRIL and employees. 29 Oadu 94ulaW. then tWs obl*W=3W b minc null and void:
Olhc�It*11 be wd mnsin ju fa fa=aud caba.
As a pW of$C
."0400cuMmed hereby VZd M XWMW the fKe a=, =V=dW thcmeft.dWC Shall b*12ch"
com 04 a
� . Pam=04 fc=.iwlndWS wtomWsfea hx=zd bythe City in svc==Wyecftc*g SUCA
OW49kila. -to be axed w COWW and iwJuded iu any judV==
reudered
Tw wct
Wd,*P=111a no charac,cgcus�aof fwr,&WIdon at a*h6w to ft==of ft
W W w0*tQ bt PcrbxmW gatai*or ft spedficati==*Mpoft ft mm ftu in anywisc
affed us*bj*j*wq*ft,bomid,ad it does baft e
or wkt4m to at tm=of die sjumm or . W=� e W=Of MY W&chwW,==3i=of time.alteram
to I'.WO&or to te wwftat�=.
'N W'T?M.% WHWWV, this=ftMeW has been duly executed by*hirkci*and=My unned.on
June 14 1999.
AMERICAN MOTORISTS
_��rmax Electric INSURANCE COMPANY (SEQ
swvty
By: A
David Z. Noddle-�. rtsprt'g-y-In-Fact
Aidno; 7470 North 9ji6ueroa Street
Los An&eles,, CA 90041
A&ww1e4ftv Toqft=(223j 257-8291
------------------------------
---------- --------
...... ..... ----------
.........
--------------------
State of California
County of Los Angeles
I
'UN 14 19"o
On before me, —A. Melendj�� Nolaa Pjt�jjj��
NAME,TITLE OF 6FFICER
personally appeared Datid Z. No
NAME OF SIGNER
Personally known to me - OR - proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their
authorized capacity(les), and that by his/her/their
01
s 191"
ature(s) on the instrument the person(s), or the
a
-1, m fmo' entity upon behalf of which the person(s) acted,
executed the instrument.
E yh and official seal.
Al
Jcl-
IGNATURE OF N
OPTIONAL
Though the data below is not required by law,it may prove valuable to persons relving on the document and could
prevent fraudulent reattachment of this iorm.
CAPACITY CLAIMED BY SURETY DESCRIPTION OF ATTACHED DOCUMENT
13 INDI-VIDUAL BOND(S)
CORPORATE OFFICER
TfME(S) TITLE OR n-TE OF DOCUMENT
PARINNER(S) C3 LIMITED
Cl GENERAL NUMBER OF PAGES
ATTOKNt-EY-IN-FA(7f
TRUSTEE(S)
GU-XRD I A
-,N/CONSERVATOR 4
OTHER- DATE OF DOCUMENT
SIGNER IS REPRESENTING:
"�AMV
OF PERSON(S)OR ENrnTY'(!E&)
----------------------------------------
SIGNER OTIJER TFfAN NAMED ABOVE
Bond Number: 3SM 957 020 00
PAYAMNT BOND
WEEWA tbeOWCoun4OftbtCitYcfRtdgz&,Stgcofcalif=aia(ho��dedpaMdg$*CitY*),Md
hvc=wed bgo an qxft=ct*bc A&IM
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n delilMa rMk iuqwva==,whic
to ka"Umd cpawhft caw h by old Sgreowxa dwd Junc 1, 19", Md
AMOW as C=Uad M.U452Z-290. is h=by rgf=td to ind=de a pUt herwf. and
WHERFAS, =da vW U=ns of Wd ao=wol. %=qW is mpired WOW aftrMg VOU*1 P"fIll'f
ft wo*�to A4ai*a gpoid aud sufficimt labW And M=iz%PAYMCM bond wi*ft City to==00 be dai=to
witb Soction 3=)of PW 4.0f DiVISM 3 Of tk CiVil CO&of
which=km;e is=adc in Muftic 15
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ft CAY Pd. AU cpV2d=, A6cM&XtK3,. WMM. Mg"UZZ4 ad My,OOW pmm aVloyed in the
pcW=n=of dw*wsW MX===ad relned to in dw afmesaid Crifl Code of ft Mft Of CAdlf*=14 ft
Swv�of Sixty One Thousand One Hundr' ed' Thirty' Five Onjv-- dolUn
(S 617,35-00 rnxuniw f=bhcd.at ww tbawn Of CY c�rft a�aimn%dug the
U=npk to So&wmt or labcw,that said sacty'WW Pq ft 380' 10 an amom
.. ympt bwA=Act w1a MPC= I additim
xW=b=bmbmc Sa km*.;md 2W in cm suit is b=0 up=*U bond,WM PW,M
to ft fa="mw Ox=d.wo wd townable eWMM Wd b=, =kA4 vmo=blc AtOMWS fem, W=Ted
by the C4 19 Wg="Y=*CiAg Mich obligodm,to be lwznWd ad li xed bY ft coun.and to be wed w c=
and to be igg�kj dW judg=ent&ercin rmdabi
it is be"# opvq* SdOulaw:and *grced lbst ibis bond ga ft benc& Of allY =d 4 PUSOM.
owvonxim=Wed to We cla unda rWc 15 (co=n=ft w1th sectka�K= of Pot 4 of
Division 3 of The CWU Co&. so as to givc R elSbI Of BG�C=10 th=of dX'T$aft=tu any awt k0uAt upon
bcnd-
SuWX the cmdi=of 99S bnd bl.-fogy pat=gd.g=ts WISabon ftU b=o=mull and vaid.othtmM it
sbaU bc md�c�In W fb=and dfccL
ne=M bc=by s4ulata=d WM dwt M d=V.=tcrsim Of tilM 41wdion Or"tW=to tU==of
, or to the work W be perfo=od tb=unda or W Vedftad=S==PwWin9 die zxze"I M vywiw
affixt its dw�an ft bond,md it does h=by waivc maim of any sud chang%cxtealm of time,aitaation
or awitka to ft MM Of dw R&MUMM or to the WQ*or to ft
jN wrrN= WEEREOF, dw mz=ca bz b=duly exccOtd bY*c Pdxqml and=cty=ncd on
June 14 ' 1999.
A-MERICAN 'MOTORISTS
Rymax Electric (SEAL) INSURANCE COMPANY (SEOW
Surdy
By*
Da�fdZ. Noddl -orney-In-Fact
7470 Nor� Fi eroa Strvee'f--'
Addmw- -
Los Angeles, 90041
OW wd Abw"AOamkApntw of SumW Tde*=(L2J3 257-8291
State of California
Counq- of Los Ang;gles
On 4 before me, j. Melende- NotaQ-! Publ
�ie
NAME,'CTTLE OF 5FFI(--FR
personally appeared David Z. Noddle
NAME OF SIGNER
Person-ally known to me - OR- proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their
.... authorized capacity(les), and that by his/her/their
signa
ture(s) on the instrument the person(s), or the
entity upon behalf of which the person(s) acted,
executed the instrument.
WITN y .1
,F-S� hand and offi, al seal.
U YJ V , UIL--
(SkdNATURE OF-NOTA10)
OPTIONAL
Though the data below is not required by law,it may prove valuable to persons relvmjz on the document and could
prevent fraudulent reattachment of this form.
CAPACITY CIAIMED BY SURETY DESCRIPTION OF ATTACHED DOCUMENT
INDINTIDUAL BOND(S)
CORPORATE OFFICER
TITLE OR IATE OF DOCUMENIT
Tn-LE(S)
-----------------------------------
PARTNER(S) LIMITED
C3 GENERAL NUMBER OF PAGES
�,TTO RNI EY-I N-F ACT
TRUSTEE(S)
GU--,RDLkN/CONSER-V.ATOR
OTHER-
DATE OF DOCUMENT
SIGNER IS REPRESENT][NG:
NAME OF PERSON(S)OR EN7rrY(IES)
----------------------------------------
SIGNER OTHER THAN NAMED ABO%,T,.
MOWER
Hone Office: Long Grove,(L 60049
POWER OF A17ORNEY
Know All Men ByThese Presents:
That the Lumbemena Mutual Couadtv Company,the American Motorists Insurance Company, and the American Manufacturers Mutual
Insurance Company,corporations organized and existing under the laws of the State of Unnuim, having their principal office inLong Grove,
Illinois,(hereinafter collectively referred to as the"Company")do hereby appoint
David Z. Noddle ofLos Angeles, California
°°~-^~°°°°°^°~°°°°°°°°°°°°°^°~°°°°°°°°°°°^°°°°°^°~^°°=°°=°
their true and lawful agent(s)and attorney(s)-in-fact,to make,execute,seat,and deliver during the period beginning with the date of issuance
of this power and ending on the date specified below,unless sooner revoked for and on its behalf as surety,and as their act and deed:
Any and all bonds and ~°
EXCEPTION: N0AUTHORITY is gmm»ad to make, execute,seal and deliver any bond orundertaking which guarantees the payment or
collection ofany promissory note,check,draft orletter ofcredit.
This authority does not permit the same obligation to be split into two ormore bongs inorder o, bring each such bond within the dollar limit
ofauthority aoset forth herein.
This appointment may herevoked sxany time uythe Company.
The execution of such bonds and undertakings in pursuance of these presents shall be as binding upon the said Company as fully and amply
toall intents and purposes,aaif the same had been duly executed and acknowledged by their regularly elected officers at their principal office in
Long Grove,Illinois.
THIS APPOINTMENT SHALL CEASE AND TERMINATE WITHOUT NOTICE ASOF [emmouer31.2001
This Power of Attorney is executed by authority of resolutions adopted by the Executive Committees ofthe Boards ufDirectors o[the Company
onFebruary 28. 1988 at Chicago, Illinois,true and accurate copies of which are hereinafter sot forth and are hereby certified to by the
undersigned Secretary aobeing infull force and effect:
,/OTED. That the Chaimnanof the Board, the Pesident, or any Vice President, or their appointees designated in writing and filed with
the Secretary,orthe Secretary shall have the power and authority|uappoint agents and auomeya-in-facu.and boauthorize them toexecute on
behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings, vuoognizenoes, contracts of indemnity and
other writings,obligatory in the nature thereof,and any such officers of the Company may appoint agents for acceptance ofpmceso.^
This Power ofAttorney iosigned,sealed and certified by facsimile under and by authority ofthe following resolution adopted bythe Executive
Committee of the Boards of Directors of the Company at a meeting duly called and held on the 23rd day of February,1988:
"VOTED,That the signature of the Chairman of the Board,the President,any Vice President,or their appointees designated inwriting and filed
with the Secretary,and the signature of the Secretary,the seat of the Company,and certifications bythe Secretary,may bo affixed by facsimile
on any power of attorney or bond executed pursuant to resolution adopted by the Executive Committee of the Board ufDirectors onFebruary 23.
1988 and any such power noexecuted,sealed and certified with respect to any bond nrundertaking uzwhich it isattached,shall continue m
bevalid and binding upon the Cnmpany.^
|nTestimony Whereof,the Company has caused this instrument to be signed and their corporate seats to be affixed by their authorized officers,
this May r. 19gS,
Attested and Certified: LombennenoMutual Casualty Company
American Motorists Insurance Company
American Manufacturers Mutual Insurance Company
DEPARTMENT OF ECONOMIC AND COMMUNITY DEVELOPMENT
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
CONTRACTOR'S CERTIFICATION CONCERNING
LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS
TO: Ci1y of Redlands DATE 6/11/99
C/o PROJECT NUMBER (If any)
Citv Contract No. 23-6822-2960
PROJECT NAME
Texonia Park Field Lighting
The undersigned, having executed a contract with the City of Redlands for the construction
of the above-identified project, acknowledges that:
(a) The Labor Standards Provisions are included in the aforesaid contract.
(b) Correction of any infractions of the aforesaid conditions,including infractions by any
of his subcontractors and any lower tier subcontractors, is his responsibility.
2. He certifies that:
(a) Neither he nor any firm, partnership or association in which he has substantial
interest is designated as an ineligible Contractor by the Comptroller General of the
United States pursuant to Section 5.6(b) of the Regulations of the Secretary of
Labor, Part 5 (29 CFR, Part 5) or pursuant to Section 3(a) of the Davis-Bacon Act,
as amended (40 U.S.C. 276a-2(a)).
(b) No part of the aforementioned contract has been or will be subcontracted to any
subcontractor if such subcontractor or any firm, corporation, partnership or
association in which such subcontractor has a substantial interest is designated as an
eligible Contractor pursuant to any of the aforementioned regulatory or statutory
provisions.
3. He agrees to obtain and forward to the aforementioned recipient within ten days after the
execution of any subcontract, including those executed by his subcontractors and any lower
tier subcontractors, a Subcontractor's Certification Concerning Labor Standards and
Prevailing Wage Requirements executed by the subcontractors.
4. He certifies that:
(a) The legal name and the business address of the undersigned are:
0
Rymax Electric, Inc. , 1279-A East 9th St. , Upland, CA 91786
(b) The undersigned is: (3)
(1) A SINGLE PROPRIETORSHIP (3) A CORPORATION ORGANIZED
IN THE STATE OF
California
(2) PARTNERSHIP (4) OTHER ORGANIZATION
-1 (Describe)
The name,title and address of the owner,partners or officers of the undersigned are:
NAME TITLE ADDRESS
John Hewitt President 240 Orchard Tar-&-- Tiplarxi.-
CA 91786
(d) The names and address of all other persons, both natural and corporate, having a
substantial interest in the undersigned, and the nature of the interest are(if none,so
state):
NAME ADDRESS NATURE OF INTEREST
(e) The names, addresses and trade classifications of all other building construction
Contractors in which the undersigned has a substantial interest are(if none,so state):
NAME ADDRESS TRADE CLASSIFICATION
Rymax Electric Inc....-
(ContracTr)
Date: June 11 , 1999
By:
WARNING
U.S. Criminal Code,Section 1010,Title 18, U.S.C., provides in part: "Whoever, . . . makes, passes,
utters, or publishes any statement, knowing the same to be false shall be fined not more than
$5,000 or imprisoned not more than two years, or both.
DEPARTMENT OF ECONOMIC AND COMMUNITY DEVELOPMENT
4
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
SUBCONTRACTOR'S CERTIFICATION CONCERNING
LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS
.....................
TO (Appropriatc Recipients)., DATE ( -ILI- �F 9
City of Redlands PROJECTNt)MSER (if any)
C/O City Contract No. 23-6822-2960
PROJECT NAME
ymax Electric Inc Texonia Park Field-Li2htin
1. The undersigned(�havtn execute4-a co-ntr�qwith_Ryaiax Electric Inc for
Cj �lm of —j-_t
(Nature f Work)
in the amount of for the construction of the above-identified projcct,
certifies that:
(a) The Labor Standards Provisions of The Contract For Construction are included in
the aforesaid contract.
(b) Neither he nor any firm, corporation, partnership or association in which fie has a
substantial interest is designated as an ineligible Contractor by the, Comptroller
General of the United States pursuant to Section 5.60(b) of the Regulations of the
Secretary of Labor, Part 5 ('119 CFR, Part 5), or pursuant to Section 3(a) of the
Davis-Bacon Act, as amended (40 U,S,C. 276a-2(a)).
(c) No part of the aforementioned contract has been or will be subcontracted to any
subcontractor if such subcontractor or any firm, Corporation, partnership or
association in which such subcontractor has a subs -ted s a
.stantial interest is design,t a n
eligible Contractor pursuant to any of the aforementioned regulatory or statutory
provisions,
2, He agrees to obtain and forward to the Contractor, for transmittal to the recipient, within
ten days after the execution of any lower subcontract, a Subcontractor's Certification
Concerning Labor Standards and Prevailing Wage Requirements, executed by the lower ticr
subcontrac?r, in duplicate.
(a) Tj will port for duty on or about
(Date)
3, He ccrtfries that:
(a) IThe legal name and the business address of tile undersigned are:
SO te,
(b) The undersigned is: alohwd Ud q
(1) A SINGLE PROPRIET3'RSIIIP (3) A CORPORATIO* ORGA ED
/-,, IN THE STATE OF
PARTNERSHIP (4) OTH)FR ORGANIZATION
(Describe)
(c) The name,title and address of the owner,partners or officers of the undersigned are:
NAME TITLE DRESS
I I�L--- .. S
(d) The names and address of all other persons, both natural and corporate, having a
substantial interest in the undcrsigne4 and the nature of the interest are (if notre' so
state)-
...............2!�n
NAME ADDRESS NATURE OF INTERFS"l'
(e) The names, addresses and trade classifications of all other building construction
Contractors in which the undersigned has a substantial interest are(if none,so state)
NAME ADDRESS TRADE CLASSIFICATION
...........
nt actor)
(Subco
I
(Ssuignature) WARNIN (Typed Name and Title)
U,S. Criminal Code, Section 1010,Title 18, U.S.C., provides in part: "Who-ever— . . makes, passes,
utters, or publishes any statement, knowing the same to be false shall be fined not more tl�an
S5,000 or imprisoned not more than two years, or both.
CONTRACTOR'S CERTIFICATION OF COMPLIANCE WITH
DAVIS-BACON AND RELATED ACT REQUIREMENTS
1, John Hewitt, President of Rymax Electric , as prime Contractor for
Contract No. 23-6822-2960, hereby make the following certification and acknowledgement with
respect to the applicability of Davis-Bacon and Related Acts Requirements:
1) By entering into this contract, I certify that I acknowledge that the above referenced project
is federally funded and I am solely responsible for complying with the Davis-Bacon and
Related Acts Requirements; and,
2) The Prime Contractor and all subcontractors are required to pay their laborers and
mechanics employed under this contract, a wage not less than the highest wage applicable
to their work classifications, as specified by the current and applicable Federal Wage
Determination. If no Federal work classification appears to apply, prime Contractor shall
make written request to County to obtain applicable work classifications and wage rates prior
to start of construction. When the same classification appears in both the Federal and State
wage decisions, the higher wage must be paid for that classification. The prime Contractor
is responsible for ensuring subcontractor compliance with Davis-Bacon and Related Acts
Requirements.
nat4�ic, Pri�me Contractor
I
President
Title (Owner or President)
6/11/99
Date
CERTIFICATION OF BIDDER REGARDING
EQUAL EMPLOYMENT OPPORTUNITY
INSTRUCTIONS
This certification is required pursuant to Executive Order 11246 (30 F. R. 12319-25). The
implementing rules and regulations provide that any bidder or prospective Contractor,or any of their
proposed subcontractors, shall state as an initial part of the bid or negotiations of the contract
whether it has participated in any previous contract or subcontract subject to the equal opportunity
clause; and, if so,whether it has filed all compliance reports due under applicable instructions.
Where the certification indicates that the bidder has not filed a compliance report due under
applicable instructions, such bidder shall be required to submit a compliance report within seven
calendar days after bid opening. No contract shall be awarded unless such report is submitted.
CERTIFICATION BY BIDDER
Bidder's Name: RYMAX ELECTRIC INC
Address and Zip Code: 1279-A E 9th Street
Upland CA 91786
1. Bidder has participated in a previous contract or subcontract subject to Equal Opportunity
Clause.
Yes N No El (If answer is yes, identify the most recent contract.)
San Gabriel Civic Theatre - Electrical InTprovenientS
2. Compliance reports were required to be filed in connection with such contract or subcontract.
Yes 6d No 0 (If answer is yes, identify the most recent contract.)
Sarne as above
3. Bidder has filed all compliance reports due under applicable instructions, including SF-100.
Yes R9 No 0 None Required 0
Scum as above
4. If answer to item 3 is "No," please explain in detail on reverse side of this certification.
Certification -The information above is true and complete to the best of my knowledge and belief.
John Hewitt, President
".,,",Name and Title of Signer (Please Type)
--� 1� I
June 11, 1999
Signature Date
CERTIFICATION OF PROPOSED SUBCONTRACTOR REGARDING
EQUAL EMPLOYMENT OPPORTUNITY
RYM. AX ELECTRIC INC 23-6822-2960
or,PjkWi CON'MACIDR nomcr NumSIM
INSTRUCTIONS
This certification is required pursuant to Executive Order 11246 (30 F. R. 12319-25), The,
implementing rules and regulations provide that any bidder or prospective Contractor,or any of their
propos,ed subcontr actors, shall state as an initial part of the bid or negotiations of the contract
wbcthcr it has participated in any previous contract or subcontract subject to the equal opportunity
clause; and, if so,whether it has filed all compliance reports due. under applicable instructions.
Where the certification indicates that the Subcontractor has not filed a compliance report due under
applicable instructions, such subc,ontractor shall be required to submit a c,,)mplian" roport before
the owner approves the subcontract or permits work to begin under the subcontract.
SUBCON7RACTOR'S CERTIFICATION
Subcontractor's Name-, I o*sd
-3cu�o � 17
Address and Zip Code- C�� .
1, Bidder has participated in a previous contract or subcontract subject to Equal Opportunity
Clause.
Yes la" No 13
C-impliance reportswere required to tv filed in connection with such contractor sub contract
c
Yes 9 No M
1 Bidderhas filed all compliance reports due Linder applicablc. instructions, including SF-100,
Yes 4n No 0 None Required 0
4� If answer to item 3 is "No," please explain in detail on rcvcrse side of this certification.
Cc 'fication - The information abovc is true and completc to the best of my knowledge and belief-
L L 6)
-0 RJ A- AAJA)e�r- - 142,10-outl� —/4]
f
Name and Title of Signer (Please Typ
6 - 1V49
Signature Date
THIS SIDE FOR CONTRACT COMPLIANCE USE ONLY
Percent Minorities of Total SMSA Percent Does Contractor Meet SMSA Percentages? I-] Yes EI No
Warning Letter Issued Reviewed By
Date Contract Compliance Officer
CONTRACTS PROCESSED
Annual Qualification Dates Date Project Dollar Amount
From To
Contract Compliance
Qualifying Report
For
Non-construction
Contractors
and
Vendors
Comments
A. CONTRACT COMPLIANCE QUALIFYING REPORT B. CURRENT WORK FORCE
FOR MON-CONS TRUCTION CONTRACTORS AND VENDORS Alt FMPHOYE15 mo,tf T01W
c1rees to comply vvith the provisions of the UCCUpsrW.W. Al.
Coritractor�Vendcr a- of the implementing entity and rules (_ATiG0Ae
AffirrTlallVe Action compliance Program reto, Executive order 11246 and
,d pursuant the,
and regulations adopte e Civil Rights Act of 1964 the California F
11375, Title V11 of tlrk al and State laws a
Empioyment Practices Act,and other applicableFed.er aEd
regulations lelating to equal employment opportunity, including laws
regulations hereafter enacted. estofurnishtoirnpleirnenting entity's
Contractor(Verkdor also hereby agre
Compliance office any access and information that theY May
Contract 0 assist in determining compliance with the Pirogram.
request t ormation Seim
I declare under penalty of perjury that the statistical int
submitted herein is true and corfect. ,I
signature
LkNl?f"C of con7ractot"'Vendof.
S��0 W Q
P2 Age TOTAI
_17
,&4 g
_!P0
(Ared Codel Fiffione Nurroey,
Typ�e rye B"Siri�ss, DEFINII IONS biAdingS, tZCiliti"ON Pf"UndS 01 rildific prepeirty� wofliers; in this firwitif rmv
jolif(�ATEGORY Sales,of-GWatiom.in ,hu;h the XT Of setting takes Piece- *W-rivinge'A o0wate 0184111werv, mxv*y and city Offer"Oper"Wria,truck drwisn�
that+khPIOYee%Set h(oad icro an agreed surr' 01""Oney Or otheir lndudes: el.. ciristrodi"I Pwsm-eL ganda— a-
Adrivirwsirrators ocupatiom. 4vhich re,4pire .,teese poliries, direct prOWTy of any kind, 4x of bm Clrfvqrs� garage la"
polic'em, exeilcts" ie*pon9*AtY Amble cmskteiefron. one"rTiciilivoil as a travelliry agent or teprestimat'rVe groiandkeftPets, refuse cotlectors, iaboirers.
jindiyio�fliiri 41MI(OrtnMa"Illi 0#a SPeCrai phaso of the C4100acl0i"s OPO"o"'es, cor to sell goo(le cW services.
drstWq or areia bersts, 00Guloatlom in wtich workem are falciOmil"I" t�x F.THW CAT17GOW
two-Je spec-altzed consultation on 3 regioroll. . heads,conoolliers, otfire and Clwwzl- arm,tellneyal Of dafa andirof
InclLillie, nitie��torti. deritity dotect(ws, 4"fitne"t internel and externall DWrM4*c;H(`On, reconfli"g �h(ta foot of Hispieeic onVA: All persons.having 061111M in any 04 the
fDmnvw., sup�_ olitipactf,", aho kindred w0fkOrs ion aind Other papwwcqk requit ad in an office- C184 irriginalf pooples of EuroPis, 1401"th Ahtics, 'he VA East OT *4 burimet
C,ns itnif(irmat -hine,operato(s,
"fasstonal- Occupartt v#bjCh require specietImed ancl theore lni*xdes: Bookkeepi", sevt-teries. office nwo
oritage trairmig or through diisMilchows, payroll clerks, sulocrontirkar1it. ftwit"ceillais in-W of it*
kriclohadge wh0ch is MurIRY 0Cquited chiough parable knowledigar. typists. stenowphers, statistical c1lorks Slack Imot of HoperAc oeg". AN lalirsO
wcRk experrencii and other training whiiO, Pf*v4ft 00111 nwsswvws, arid kindrad w0flIbIllits- pedorm joeff which ristpore bles* hicisill grioW, ctfllsai�. Swill
sciojell woikeirs.doctor% .0
includes: Personnel and labor relations workers occupations in which worketts of the Hisimnic: All PersOm Of Mcxk**4 PUWW fbpatf%� C *r Sm
, systfirn Skilllifd� knowledge 000in regardless of Two.
ppecho rec ecoinomrsts, ditatlaiaM IlOwyeirs manuall s1kill, a thifficirigh and cornPrehfifidlivif Antatilictirt. cw elthatr SPOligh taftre of
gogists, jf3tered nLinlies ploitfirterit andvocarijonall special jilacollaired ft*L*h ort-010-Ji0b trOffla"g- hov*V 01`11111111110 in aN of dm 01019"W
anat"Is,accountants. rengineen, orm iffocassee involved in#*work which Asian of paift killantlam AN paMOM ot, pocift -Iflp %�. Tho am
;xss W-4 km,&*J Workers. expeffience, thircitifift apprentweshio 4or other formal training firograff". ptioplais of the Fear EAV, Soijiffaiself Asat, PhAkfam 151111irdlk, mod
counselms, teatchers or"mot binglitan of basic Masr"AiC electricians, heavy equipmem Chifte, joplan, Kotea, the
Tschnrcal� 00MV411ilit"wNch to"*S room through Inckilies: hilachartics; and repairrnelL iricilkidies, for exarrifille;,
(x techincel linowtod" and rnamml skiff whIcti Carl be oblairmill ols� "joinery tingineeirs, *jW rnachinist OcCuPat0r%C Ca'"Ittats"
,pecloap saweol nirtio6t)w orthro"gh ori-the-K)b op" tot% and tyPBS'stlem, wid itindrisill workers, sadricia. kan Np&j-- All po-JOrs hin""Ill 00-m"Wart
.,d poet.secoodary and Mni" Amerracan Infililm"09 Aia$
training, operative(Samwki" tt*Ong
^,surveyrKs. -Q, expe-ionce Gir rraf peoples of NorVh Ailivtinea�
el X'%,dreft3rry equifft only, linurted traislif
rinqiiammers iind ap Oh , tnanual wo& that
0�smi, ladso op"alots. kft�kwwcai C34 do"v
hntCAZn5 tnVbdx:al, dental, Cliectronic, krio.ledge. Dcx:upaitioris in which a Worker Pedo'n"ta variety
h�,jhway 1�7N)C*aM re", -0*F Laborem LUniskilled): �nwice, tMOIr and c4mill"On '7f hiigh-eNs'
im -AC
phystcz, �wW--scVrs, inspoctcos, arcl,kiridrWJ W� ot nmnual work in the Me* an kinslulled wWkeff who Itiviegirs rnat9im"
baiWings, wvJ 00w facdltw$'
and does prepelitilo" work tot� skilled worker,5v"in a tfode�
ke(%
peti(wirn<ion"-twch
cupsbons in wtoch
vice Workers: oq�
to the 'cince, krikeep end care of
Qofpjrwt, conven
THIS SIDE FOR CONTRACT COMPLIANCE USE ONLY
Percent Minorities of Total SMSA Percent Does Contractor Meet SMSA Percentages? Ll Yes El No
Warning Letter Issued Reviewed By
Date Contract compliance Officer
CONTRACTS PROCESSED
Annual Qualification Dates Date Project Dollar Amount
From To
Contract Compliance
Qualifying Report
For
Construction
Contractors
and
Vendors
Comments
CONTRACTOR'S AFFIRMATIVE ACTION REPORT
ce Program of the County of Sari Bernardino
B Contractor agrees 10 Comply with the provisions Of the Affilmatwe Action COihPllall in I of,
22E0,T a V1
A 0��traotory xvi be uv, red 10 cotriplote the dIST"b"1100 hoporT her, and rules and regulations adopted pursuant thereto, Executive Orders 11246. 11375, 11625, 12138, 12437, 1
The multaftnife'd designee ba"com"n ed trial Iho coldhiCtOl is the,Jow bidder;or his Act of 1964,the California Fair Employment Practice Act,California public Contracts Code Sectloll 2000 arid the
Sari Bernardino County lyi Policy No, 11-15, and other applicable Federal, State and County aws, regulations and policies
I he Board of Supervisors has deodan to we,,U the compreqq—bidding Process ro hen Of being a sole source Contractor the Cred R19
FEDERAL IDISCICIAL, SECURITY NO, 33-0376760 DATE 6 / 11i99 relating to equal employment opportunity including laws arid regUlatens hereafter enacied,
I Name of CO(pradjor's Boquie,ss — Attached is the statement of Contractor's Affirmative Action Policy Ine Contractor agrees to make a good faith effort to meet
Elec-txicir Inc- the goals of the plan as part of these contract obligations.
Ian will become a part of Contractor's comprehensive management POIICY�
2 Address 1279-A East 9th Street -- Contractor understand$that this p
Up a State CA Zip Code 91786 Contractor agrees to insert in all subcontracts on the project bid herewith a provision that said subcontractors will comply with the
3 provisions of the San Bernardino County Affirmative Action Compliance program and rules and regulations adopted pursuant thereto,
E Order 11246, 11375, 11625, 12138, 12432, 12250, Title VII of the Civil Rights Act of 1964, the California Fair
909 , 985-7250 "eautive ty,
4. I'alephono Numbeir I Employed ITT Practice Act,and other applicable Federal and Stale laws and regulations relating to equal employment opportuni
e ica, Contractor including laws and regulations hereafter enacted.
5 Type of Business Contractor agrees to furnish to the MWBE office the name of each MWBE business that will furnish supplies, goods of services in
excess of$10,000 individually, Said names shall be furnished prior to the time The MWBE business Commences work.
6. Average Annual Sales or Receipts for preceding threO Years $ 1,349,647.85 Contractor also hereby agrees to provide the San Bernardino County MWBE Program Office any access and information that they
Eia __�CA
��ntra�ctor����
------------
Istfibutton report shall be reviewed and approved by the County Affirmative Action Office for affirmative action compliance. may request to assist in determining compliance with the Program
The or true sod-corrracl� v
0 Approved I declare under penalty of parlor fldat the follow'9 Is
0 Disapproved
611� 99
Reviewed by DATE SIGNATURE
Commands— esident
I ITLE
CURRENT WORK FORCE
MINORITY EMPLOYEES UNDEFUTILIZATION RECOMMENDED HIRING GOALS
ALL EMPLOYEES
FEMALE
MALE TOTAL
OCCUPATIONAL A.i- A-i— MINORITIES
CATEGORY TOTAL MALE FEMALE Arii- A—W N,fim ir,
Or.* 10,pmirc I,dim HIIP�IC I.k.
Al-k
0 0 0
P� Administrators 1 1 0 0 0 0 0 0 0
nor,
Professional N.Air,
Technical 3 0 0 Aso Pt 3.70
Sales
Clerical 0 1 0 0 0 0 0
Skilled
opehyavee,, (SedesidiDid) 6 6 0 0 0 0 0 0 0 0
pA
Latium,ainskillern 0
0 0 0 0
se-c.wo'le's
0
Tf)TAL 12 0
���8�������� ���8��U� POLICY F����
AFFIRMATIVE���,�,, � � � , � � _� � _� �
CONTRACTORS ��U�U� ���A�U���RS
~==""� ° ~^^~~~ ^ ~---- AND �
RYMAX. ELECTRIC INC
NAME a=CONTRACTOR
adopts this plan toaffirm its support ofe program of equal employment opportunity, and to assure
compliance with Executive Order Numbers 11375, Title VII of the Civil Rights Act of 1964,Section 503
of the Rehabilitation Act nf 1973; the California Fair Employment Practice Act, and the implementing
entity's Affirmative Action Compliance Program. This Contractor agrees tu assert leadership within the
community and to put forth good faith efforts to achieve full employment and utilization of the
capabilities and productivity of all our citizens without regard to race,age, color, sex,religion, ancestry,
national origin' marital status, or handicap.
This Contractor further recognizes that the effective application of a policy of equal ornp\nyrnent
opportunity involves more than just a policy statement and vvi\\' ther*fore, undertake affirmative action
to make known that equal opportunities are available on the basis of individual merit, and to encourage
advancement onthis basis.
The following Affirmative Action Program \a hereby established as the policy and practices of our
company:
Instructions: Indicate your policy by circling the applicable letter tothe left ofeach item below. The
letters are to be interpreted as follows:
/\ - This imnow apractice ofour company.
B - Our company will adopt this policy.
C - Our company cannot o, will not adopt this policy.
|fCimcircled, explain reason. Use separate sheet ifadditional space iuneeded.
Our company recruit um
,nuvoomn/vvno^w/,xom�uamm'o=000'no/o,'o=,vnu/on.u000m�.nmwnx/o"n/n'ma,ua/
\�/ m �
status,or handicap, and will treat all employees equally in respect to compensation and opportunities for advancement, including
B upgrading and promotion.
C e,p/u/".
v,m company wmo�/.o/v use recruitment sources such as employment agencies, unions, and ommo�°moo»�e a policy of
\^/ �.
`~ referring applicants"n anondiscriminatory basis.
B
C s"n/m".
kx"\ 3. Our company will disseminate its affirmative action policy extmnvnvuvmforminmemdmsovsmooa°uxw/momnm*"tyovmos.
by advertising in "owe media, specifically including minority news mama' and bvnotifying and discussing the policy with all
local minority, handicapped, and women's organizations and subcontractors and shall "a/^mm records u/ the organizations'
nm»u«n°o.
C Explain:
A . Our company shall make specific and vmn,tmn` p*.ovn*/' written, and oral recruitment efforts directed at 'm local minority,
~ '
handicapped, woman'o nmvn/u*/vv,' mcmumu scxur/a' ,v^,uummnt' and training organizations.
w,u
c exmum.
ped,and women employees to recruit their friends
minority,handicap
A 5. our company shall make specific efforts to encourage present
der that of minority,handicapped,or women.
and relatives whose status also comes un
B
C Explain:
6. Our company will maintain a file of the names and addresses of each minority applicant and female applicant referred to the company
at or was not employed,the company's file should document this and
for hiring,and if the applicant is not considered for employme
B the reasons therefor�
C Explain:
A 7. Our company shall notify the implementing entity Contract Compliance Officer when the union or unions with whom our company
has a collective bargaining agreement have not referred to the company a minority,handicapped,or female worker sent for by
B the company or the company has other information that the union referral process has impeded the company's effort 10 meet the
established goals of affirmative action
Explain: Non-union contxactor
tegrate any positions,departments,or plant locations which have no women or minorities
A 8. Our company will actively take steps to in
or are almost staffed with one particular group,
C Explain:
i r A 9. Our company shall insure that all employee specifications,selection requirements,tests,and other employee recruitment or evaluation
procedures do not discriminate against minorities,handicapped,or women.
B
C Explain:
-the-job training opportunities and participate and assist in any association
10. Where reasonable,our company shall develop or finance on
or employee group training programs relevant to the company's employee needs.
B
C Explain:
valuate all minority,handicapped,and female personnel for promotion opportunities
Our company shall continually inventory and e
and encourage minority and female employees to see such opportunities�
C Explain:
�A 12. Our company shall make sure that seniority practices,job classifications,rates of pay,and other forms of compensati n,and other
minority,or female
employee practices and classifications do not have an unlawfully discriminatory effect on handicapped,
B employees�
C Explain:
13. our company will make certain that all facilities normally used concurrently by all company activities are nonsegregated.
B
C Explaiw
A 14. Our company shall make certain that all subcontractors are in compliance with the Affirmative Action Compliance Plan of
the implementing entity,and that all project subcontractors have an approved Affirmative Action Plan.
C Explain:
15. Our company shall solicit bids for subcontracts from minority subcontractors and female subcontractors subject to availability.
B
C Explain-
16. Our company shall make every effort to provide after-school,summer, and vacation employment to minority youths,
B
C Explain:
ative Action
iA 17. Our company shall continually monitor all personnel activities to insure that the implementing entity's Affirm
k—I Policy for Contractors and vendors is carried out.
B
C Explain:
June 1999
-�VGNAT�fJRE
DATE
President
TITLE
Avow. CERTIFICATE OF111AWL14 06/14199
I'FIS CERTIFICATE IS ISSUED AS A MAffER OF INFORMATION
PRODUCER OfZ�AND CONFERS NO RIGHTS UPON THE uERnFicATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND EXTEND OR
United Agencies, Inc. Ste. 220 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
3SO W. Colorado Blvd. COMPANIES AFFORDING COVERAGE
Pasadena CA 91105-1855
COMPANY t Compensation
Robert W. Bader FwcNo. 626-577-1346.... A Fremon
Prw.N., 62 -449-0 01
COMPANY
�NSURED B
COMPANY
C
Rym&x Electric, Znc.
12S7 Z. Ninth Street COMPANY
Upland CA 91786 0
COVERAGES NANED ABOVE FOR THE POLICY PERIOD
THIS IS To CERTIFY THAT THE POLICIES OF NSUPANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUNIENT WITH RESPECT TO WHICH THIS
INDKA, TED,NOTWITHSTANDING AW REQUIREMENT, SU tDED By THE POLICIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERNIS,
CFRTlFr_ATF MAyBE WUEDOR MAyPF-RTAtN,THEW RANCEAFFOP CLAW
F POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID
XCLUsIoNS AND CONDITIONS OF WCH
i POLICY EFFECTIVE POUCY EXPIRATION LIMITS
CO TYPE OF INSURANCE POLICY NUMBER DATE(mMMDIYY) DATE(MMM")
LTR GENERAL AGGREGATE
GENERAL LIABILITY
PRODUCTS COMPIOP AGG S
COMMERCIAL GE14ERAL UABILITY PERS 11 C-P..1"t ADV INJURY $
CLAIMS MADE Ej OCCUR
EACH OCCURRENCE $
OW14EFCS&CONTRACTORS PROT FIRE DAMAGE(An one fire) $
MED EXP(Any wnwon)
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S
ANY AUTO
BODILY INJURY $
ALL OWNED AUTOS (P-pe'—)
SCHEDULED AUTOS
Bcot.y INJURY $
HIRED AUTO$ (Pbr=cwent)
NON4)WNED AUTOS PROPERTY DAMAGE $
ALTO ONLY-EA ACCIDENT S
GARAGE LIABILITY OTHER THAN AUTO ONLY:
ANY AUTO EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE S
EXCESS LIABILITY AGGREGATE $
UMBRA"FORM
OTHER THAN UMBRELLA FORM
WC STATU- OTH-t
IMIT —Luu—
WDRKERS CoupENUTION AND
SMPLOYERS LIABILITY EL kCH ACCIDENT 1$1000000
A THE PROPRIETOW INa WN 99-782354-01 01/01/99 01/01/00 ELojsEAsE-PaucYL1M'T ]$ 1000000
pARTNERwEXECUTIVE Lj PLOYEE I$1000000
OFFICERS ARE' i 11 CL
OTHER
DESMpTION or OPERA'nON'-�&OCA-noN&VE�.a�E���PECIAL ITEMS t NO.
Pro T ia Park Field Lighting, Contrac
23-61W1960"on
CERTIFICATE HOLDER CANCELLATION
IRWINDA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WLL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO T14E CERTIFICATE HOLDER NAMED TO THE LEFT,
City of Redlands BU�:P.�ILURETOM SUCH NOTICE SHALL IMPOSE NO CeLIGATION OR LIA81LITY
Bldg. & S&fetY Dept. KI w'ON�E COMPANY,ITS AGENTS OR REPRESENTATIVES�
P.O. Box 3005 AUTOQMZEV RESWATIVE
Redlands CA 92373 11 1
Robe-r'�, der ACORD CORPORATION 1988
ACORD 26-S(1195)
04&11 L9 9 1
AC-QAFZD -CERTIFICA It Ut- LIAOILI V Y 11m0UF%P%"%a..................
I Q I I I E.I.S ISSUED AS A WTTER OF INFORW
PRODUCER ONL CONFERS NO RIGHTS UPON THE CERTIFICATE
ARM of California HOLDER.THIS CERTIFICATE DOES NOT AMEND�EXTEND OR
C/o The PauleY Company Ste. 220 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
350 W. Colorado Blvd. COMPANIES AFFORDING COVERAGE
Pasadena CA 91105
COMPANY
Robert W. Bader raxNa 626.-577-1346. A united Pacific Insurance CO.
0
P
A
Y
R
ANO C
ER'THI
THE C
'UN" m r"r'
S C RTIFICATE
OV GE AFF,
7
C MPANIES
Aw united Paci
626-449-0301 PAW
INSURED COMPANY
B
C w
OMPANY
C
Rymax Electric OM
12S7 3. Ninth Street COMPANY
Upland CA 91786
COVERAGES THE POLICY PERIOD
HAVE BEEN ISSUED To THE INISURED NAMED ABOVE FOR
THIS IS TO CERTIFY THAT THEE POLICIES OF INSURANCE LISTED BELOW OR OTHER DOCUMEN T WITH RESPFCT TO WHICH THIS
INDICATED,NOTWITHSTANDING ANY REGUiREMENT,TERM OR CONDIT"OF ANY CONTRACT CT TO ALL THE TERMS,
CERW ICATE MAY BE ISSUED OR WAY PERTAIN.THE INSURANCE AFFORDED By THE poLIcIES DESCRIBED HEREIN IS SUBJE
EXCLUSIONS AND CONDITIONS OF sUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
i POLICY EFFECTIVE POLICY EXPIRATION LIMITS
CO TYPE OF INSURANCE POLICY NUMBER DATE(MM/DO/yY) DATE(MM/DD/YY)
LTR GENERAL AGGREGATE is2,000,000
GENERAL LIABILITY 08/01/98 08/01/99 pRDDLcTs-CCMP/OPAGG is2,000,000
A X COMMERCIAL GENERAL LIABILITY I NSA,276-8991 pe!�I-&A INJURY S101000,000
CLAIMS MADE EX-1i OCCUR CURRENCE s 1 1000,000
OWNER,S&CONTRACTORS PROT MAGE(Aryy orvo flre) $ 50,000
MED EXP(Any one pefsom) !$10,000
AUTOM084LE LIABILITY COmBINED SINGLE LIMIT S1,000,000
NSA276-8991 08/01/98 08/01/99
A X ANY AUTO
BODILY II`1;JURY $
ALL OWNED AUTOS (P-P—)
SCHEDULED AUTOS BODILY INJURY $
HIRED AUTOS (Per 2cctdem)
NON4YWNIED AUTOS
PROPERTY DAMAGE
GARAGE UA84UTY AUTO ONLY-EA ACCIDENT S
OTHER THAN AUTO ONLY:
ANY AUTO EACH ACCIDENT $
AGGREGATE $
EACH OCCURRE a7j�
--- WE
EXCESS LIABILITY JA $
UMBRELLA FORM $
OM-ER r*4AN UMBRELLA FORM WC STATU. OTH-
T
WORKERS COMPENSATIOIN AND L tQRY LIM!T
]LL MITS ER
EMPLOVER5 LIABILITY ELFACHACCIDMeN, S
EL04SEASE-POLJCYUMCT $
THE PROPRIETORI INCL i
PARTNERSIEXECUTIV12 EXCL I EL DISEASE-FA EMPLOYEE s
OFFICERS ARE:
OTHER
DESCRIPTION or oPERATI 7EOCA-IONWvf;7'CEs`SPEc1AL ITEMS
Ce tificate hold is naned ff addi jugd Pat the attached
In :I tionaldinL g jag, Contract NO.
,�rlrffl- Pr ect. T*x= Park Fial
8 _ 0
CERTIFICATF-HOLDER CANCELLATION
RMLAND SHOULD ANY OF THE ABOVE DescpjBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WLL ENDEAVORTO MAIL
10 DAYS wRrrrEN NOTICE TO T�-iE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of Redlands BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE No OSLIGATION OR LIABILITY
Bldg. & Safety Dept. d0r AN!YKI� PON THE COMPANY,ITS,AIGIENTI S'—OR R-EPREI-SENTATIVE-S'
A 'A T "'
_r4T
p.0. Box 3005 %FRESENTATiVE
Redlands CA 92373 W
W., ader
ACORD 25-S(1/96) ACORD CORPORATION 19BB
policy Number: NSA278-1239
Named insured: RYmax Electric
THIS ENDORSEMEENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY*
CG 20 09 10 93
ADDITIONAL INSURED - OWNERS, LESSEES or CONTRACTORS (Form A)
This endorsement modifies insurance provided under the following:
cONI?N4ERCIA,L GENERAL LIABILITY COVERAGE PART.
Name of Person or Oreanization(Additional Insured): SCHEDULE Location of Covered operations
Texonia Park Field Lighting, Contract
City of Redlands No. 23-6822-2960
Premium Basis Rates Advance Premium
Cost (Per S1000 of Cost).
S INCL UDED
Bodily injury and
Property Damage Liability
Total Advance Premium S INCLUDED
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to
this endorsement.)
WHO IS AN INSURED (Section 11) is amended to work, on the project (other than service,
include as an insured the person or organization (called maintenance, or repairs) to be performed by or on
"additional insured") shown in the Schedule but only with behalf of the additional insured(s) at the site of the
covered operations has been completed;or
respect to liability arising out of: s performed for the b) That portion of"your work" out of which the
A. Your ongoing operation injury or damage arises has been put to its intended
additional insured(s)at the location designated above, or
B. Acts or omissions of the additional insured(s) in use by any person or organization other than
ection with their general supervision of such another contractor or subcontractor engaged in
corm performing operations for a principal as a part of
operations. afforded these additional the same project.
11. With respect to the insurance 3. "Bodily injury" or "property damage,' arising out
insureds,the following additional provisions apply: of anv act or omission of the additional insured(s) or
A. Exclusions b., C., g., IL(l), j., k., 1. and n. under I
any of their employees, other than the general
COVERAGE A-BODILY INJURY AND PROPERTY
DAMAGE LIABILITY (Section I - Coverages) do not supervision by I the additional insured(s) of your
ongoing operations performed for the additional
B. apply Additional Exclusions.This insurance does not apply msured(s)�
to: 4. "Property damage"to: bv or
1. "Bodily injury" or "property damage" for which a) Property owned, used or occupied
the additional insured(s) are obligated to pay damages rented to the additional insured(s);
by reason of the assumption of liability in a contract or b) Property in the care, custody, or control of the
additional insured(s) or over which the additional
agreement. This exclusion does not apply to liability ercising physical
for damages that the additional insured(s) would have insured(s) are for any purpose ex
in the absence of the contract or agreement.,, control.or
2. "Bodily injury" or "property darnage occurring C) Any work, including materials, parts or
equipment famished in connection with such work,
after:
,NThich is performed for the additional insured(s) by
including
a) All work, materials, parts or
equipment furnished in connection with such you.
ce, Inc., 1992 Page I of I
Copyright. Insurance Services Offil
CG 20 09 10 93
Recorded in official Records, County Of
RECORDING REQUESTED BY San Bernardino, Larry Walker, Recorder
AND WHEN RECORDED MAIL TO No Fee
� 1-11" 1 Doc No . 19990477881
CITY CLERK 2 - 37pm J1 / 18/99
CITY OF REDLANDS
35 CAJON STREET 205 20242902 02 08
P 0 BOX 3005 _lj_ 6
REDLANDS CA 92373 PG FEE APE GIMS PH CPY I CRT CPY ADID NNI PEN PR PCOR
i :—:i:1;5——=
L
5 6
NON Sri LN , SVY I CIT TCO I---f—RANS TAX DA CHRO XAM
NOTICE OF COMPLETION
Notice pursuant to Civil Code Section 3093, this notice must be filed within 10 days after completion Of work.
Notice is hereby given that:
I. 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 of the owner is: CITY OF REDLANDS
& The full address of the owner is: 35 CAJON STREET, P 0 BOX 3005
REDLANDS CA 92373
4. The nature of the interest or estate of the owner is; In fee.
5� The full names and full addresses of all persons, if any,who hold fide with the undersigned as joint tenants or as tenants in common are:
NOT APPLICABLE
6. A work of improvement on the property hereinafter described was completed on November 15, 1999. The work done was:
Texonia Park Field Lighting, Contract No. 23-6822-2960.
T The name of the contractor for such work of improvement was: Rymax Electric, Inc.
1279-A E. 9th Street, Upland CA 91786 June 1, 1999
(Date of Contract)
& The property on which said work of improvement was completed is in the City of Redlands, County of San Bernardino, state of
California,and is described as follows: Texonia Park, located on the northwest corner of Texas Street and Lugonia Avenue.
9� The street address of said property is: 132 1 Texas Street
Dated: November 15, 1999
/,/V"4"- A,
Contract Administration Emgs�meer,Pu�VWoirkl Department,City of Redlands
VERIFICATION
1, the undersigned, say I am the Public Works Director of the declarant of the foregoing Notice of Completion, and have read said Notice of
Completion and know the contents thereof-, the same is true of my own knowledge.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on November 15, 1999,at Redlands, California,
Pubb.Wol�D�ulor,P.bhc�1.ls