HomeMy WebLinkAboutContracts & Agreements_39-2014_CCv0001.pdf PUBLIC WORKS CONSTRUCTION CONTRACT
This Public Works Construction contract ("Contract") made and entered into this I't day of April,
M14. by and between the City of Redlands, a municipal corporation organized and existing under the
laws of the State of California, (hereinafter "City"), and South West Pump & Drilling, Inc. (hereinafter
"Contractor"). City and Contractor are sometimes individually referred to herein as a "Party" and.,
together, as the "Parties."
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In consideration of the mutual promises contained herein, City and Contractor agree as follows:
1. SCOPE OF WORK: Contractor shall furnish all materials and perform all of the work for the
following: Agate #1 Well and Equipment Rehabilitation Project, complete all items as required by
the Contract Documents (as herein defined) and Specifications for City's AGATE #1 WELL
AND EQUIPMENT REHABILITATION PROJECT, Project No. 71252.
2. THE CONTRACT SUM: City shall pay Contractor the sum of$1431,651.00 as consideration for
its performance of the Work in accordance with the terms and conditions set forth in the Contract
Documents. Pursuant to Public Contract Code Section 22300, Contractor has the option to deposit
securities with an escrow agent as a substitute for retention of earnings requirement to be withheld
by City pursuant to an escrow agreement as set forth in the Public Contract Code Section 22300.
3. TIME FOR COMPLETION: The Work shall be completed (See Section 01112, under 1.3 Time
of Completion) within 60 calendar days from and after the date of the delivery to Contractor of a
written Notice to Proceed by City.
4. LIQUIDATED DAMAGES: Contractor's failure to complete the work within the time allowed
will result in damages being sustained by City. Such damages are, and will continue to be,
impracticable and extremely difficult to determine. Accordingly, Contractor shall pay to City, or
have withheld from monies due to Contractor, 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 City and Contractor that $500 per day is
the estimated damage to City caused by the failure of the Contractor to complete the Work within
the allowed time. Such sum is for liquidated damages and shall not be construed as a penalty, and
may be deducted from payments due Contractor if such delay occurs.
5. CONTRACT DOCUMENTS: This Contract includes all of the Contract documents set forth
herein, to wit, Notice Inviting Bids, Instructions to Bidders, Contractor's Proposal, Bid Bond,
Agreement, Performance Bond, Labor and Material Bond, Plans. General Conditions, Special
Conditions, Special Provisions and Specifications, and any addenda thereto.
6. ATTORNEYS' 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, including fees
for use of in-house counsel by a Party.
7. RESOLUTION OF CONSTRUCTION CLAIMS: Claims by Contractor in the amount of
$375.000 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 Contract Code (commencing with Section 20104).
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All claims shall be in writing and include the documents necessary to substantiate the claim.
Nothing in subdivision (a) of Public Contract Code Section 20104.2 shall extend the time limit or
supersede the notice requirements provided in this case from filing claims by Contractor.
8. ELIGIBILITY OF CONTRACTOR/SUBCONTRACTOR: Contractor and all of its
subcontractors shall abide by California Public Contract Code, Section 6109, and California Labor
Code Sections 1777.1 and/or 1777.7, and certify that they are not debarred and are eligible to work
on this project.
9. ASSIGNMENT OF AGREEMENT: No assignment by a Party of any rights or interests under
this Contract shall be binding on another Party without the written consent of the Party sought to be
bound.
10. SUCCESSORS AND ASSIGNS: City and Contractor each binds itself and their respective
successors and assigns in respect to all covenants, agreements, and obligations contained in the
Contract Documents.
11. SEVERABILITY: Any provision or part of the Contract documents held to be void or
unenforceable under any law or regulation shall be deemed stricken, and all remaining provisions
shall continue to be valid and binding upon City and Contractor.
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IN WITNESS WHEREOF,the parties hereto have executed this Agreement the day and year first
"T itten above.
City of Redlands
(SEAL) (Owner)
By:�
Mayor, eity of Redlands,
County of San Bernardino, California
ATTEST:
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City 1erk, lty of Redlands
County of San Bernardino, California (SEAL)
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Name of Contractor
Signature of Authorized Agent
Title
Signature of Authorized Agent(if necessary)
Title
Contractor's License No.
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WORKER'S COMPENSATION INSURANCE CERTIFICATION
Description of Contract: City of Redlands
Municipal Utilities&Engineering Department
AGATE #1 WELL AND EQUIPMENT
REHABILITATION PROJECT,
Project No. 71252
Labor Code, Section 3700,provides, in part that:
"Every employer except the State shall secure the payment of compensation in one or more of
the following ways:
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(a) By being insured against liability to pay compensation in one or more insurer duly
authorized to write compensation insurance in this State.
(b) By securing from the Director of Industrial Relations a certificate of consent to
self-insure, either as an individual employer, or as one employer in a group of employers which
may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability
to self-insure and to pay any compensation that may become due to his or her employees.
I am aware of the provisions of Section 3700 of the Labor Code which requires every employer
to be insured against liability for 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. (Labor Code section 1861)
Dated this J'0 day of .2014.
(Contractor)
(Signature)
T
(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 the work of the contract.)
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Bond #1959264
Premium - $1 , 517 . 00
FAITIIFUL PERFORMANCE BOND
Whereas, the City of Redlands ("City"), State of California, and South West Pump & Drilling,
Inc. (hereinafter designated as "Principal") have entered into an agreement dated I"day of April, 2014
("Agreement") whereby Principal agrees to install, and complete certain public improvements (the
"Work"), which said Agreement is identified as AGATE #1 WELL AND EQUIPMENT
REHABILITATION,Project No. 71252 and is hereby referred to and made a part hereof, and
Whereas, said Principal is required under the terms of the Agreement to furnish a bond for the
faithful performance of the Agreement, now, therefore, we, the Principal and The Hanover
Insurance Company . as Surety, are held and firmly bound unto the City in the penal sum of one
hundred forty three thousand six hundred fifty one dollars and zero cents ($143,651.00) lawful money
of the United States, for the payment of which sum we bind ourselves, and 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 its 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 Agreement and any alteration
thereof made as therein provided, on his or its 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
faithfully fulfill the one-year guarantee of all materials and workmanship, and shall defend, indemnify
and save harmless the City and 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 to the face amount specified therefor,
there shall be included costs and reasonable expenses and fees, including reasonable attorneys' fees,
incurred by the City in successfully enforcing such obligations, all to be taxed as costs and included in
the judgment rendered.
As a condition precedent to the satisfactory completion of the Agreement, the above obligation
shall hold good for a period of one (1) year or longer if required by the Agreement after the acceptance
of the work by the City, during which time if the Principal shall fail to make full, complete, and
satisfactory repair and replacements and totally protect the City from loss or damage made evident
during this period from the date of completion of the Work, and resulting from or caused by defective
materials or faulty workmanship, the above obligation in penal sum thereof shall remain in full force
and. effect. The obligations of Surety hereunder shall continue so long as any obligation of the
Principal remains.
Whenever the Principal shall be, and is declared by the City to be, in default under the
Agreement, the City having performed the City obligations thereunder, the Surety shall promptly
remedy the default, or shall promptly, at the City's option:
1. Complete the Agreement in accordance with its terms and conditions; or
2. Obtain a bid or bids for completing the Agreement in accordance with its terms and
conditions, and upon determination by Surety of the lowest responsive and responsible bidder, arrange
for a contract between such bidder and the City, and make available as work progresses sufficient
funds to pay the cost of completion of the Work less the balance of the Agreement price, but not
CIS5
exceeding, including other costs and damages for which Surety may be liable hereunder, the amount
set forth above. The term "balance of the Agreement price," as used in this paragraph, shall mean the
total amount payable to the Principal by the City under the Agreement and any modifications thereto,
less the amount previously properly paid by the City to the Principal.
Surety expressly agrees that the City may reject any contractor or subcontractor which may be
proposed by Surety in fulfillment of its obligations in the event of default by the Principal.
Surety shall not utilize the Principal in completing the Agreement nor shall Surety accept a bid
From the Principal for completion of the Work if the City, when declaring the Principal in default,
notifies Surety of the City's objection to the Principal's further participation in the completion of the
Work.
No right of action shall accrue on the bond to or for the use of any person or corporation other
than the City named herein or the successors or assigns of the City. Any suit under this bond must be
instituted within the applicable statute of limitations period.
The said Surety, for value received, 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 any way 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.
No final settlement between the City and the Principal shall abridge the right of any beneficiary
hereunder whose claim may be unsatisfied.
The Principal and Surety agree that if the City is required to engage the services of any attorney
in connection with the enforcement of this bond, each shall pay the City's reasonable attorneys' fees
incurred, with or without suit, in addition to the above sum.
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 any way 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_Ap r i 1 8, ?O 14.
(SEAL) (SEAL)
South West Pump & Drilling , I C . The Hanover Insurance Company
(Contractor) (Surety)
BY:(
,N nature) (Signature) Diane M Nielsen
Address: 10509 Vista Sorrento Pkwy_#310
(Seal and'NotarialAcknowledgement cif'Surety} San Diego, CA 92121
'retephone:
CD 6
STATE OF CALIFORNIA
COUNTY OF RIVERSIDE
ON BEFORE MIE, LINDA ROCHA, Notary Public
PERSONALLY APPEARED: Diane M. Nielsen
Who proved to me on the basis of satisfactory evidence to be the person (s) whose name(s) is/are
subscribed to the within instrument & acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity (ies),and that by his/her/their signatures (s)on the instrument the
person (s), or the entity upon behalf of which the person (s) acted,executed the instrument.
I certify under penalty of perjury under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
LINDA ROCHA
Commission# 1958006
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-4- J Notary Public-California Z
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lve,st e ounty
Signature,
'Linda Rocha,Notary Public
ALL PURPOSE ACKNOWLEDGMENT
Bond #1959264
LABOR AND MATERIAL BOND Premium - Included
Whereas, the City Council of the City of Redlands, State of California, and South West Pump &
Drilling, Inc. (hereinafter designated as "Principal") have entered into an agreement (the "Agreement")
whereby Principal agrees to install and complete certain designated public improvements (the "Work"),
which said agreement, dated I" day of April, 2014, and identified as AGATE #1 WELL AND
ECS UIP-MENT REHABILITATION, Project No. 712521s hereby referred to and made a part hereof; and
Whereas, under the terms of the Agreement, Principal is required before commending the performance
of the Work, to file a good and sufficient Labor and Material bond with the City of Redlands to secure the
claims to which reference is made in Title 3 (commencing with Section 9550) of Part 6 of Division 4 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 and all contractors, subcontractors, laborers, material men and other persons employed in the
performance of the Agreement and referred to in the aforesaid Code of Civil Procedure in the sum of one
hundred forty three thousand six hundred fifty one dollars and zero cents ($143,651.00) for materials
furnished or labor thereon of any kind, or for amounts due under the Unemployment Insurance Act with
respect to such work or labor, that said surety will pay the same in an amount not exceeding the amount
hereinabove set forth, and also in case suit is brought upon this bond, will pay, in addition to the face amount
thereof, costs and reasonable expenses and fees, including reasonable attorneys' fees, incurred by the City in
successfully enforcing such obligation, to be awarded and fixed by the court, and to be taxed as costs and to
be included in the judgment therein rendered.
It is hereby expressly stipulated and agreed that this bond shall insure to the benefit of any and all
persons, companies and corporations entitled to file claims under Title 3 (commencing with Section 9550) of
Part 6 of Division 4 of the Civil Code, so as to give it right of action to them or their assigns in any suit
brought upon this bond.
Should the condition of this bond be fully performed, then this obligation shall become null and void,
otherwise it shall.be and remain in full force and effect.
The surety hereby stipulates and agrees that no change., extension of time, alteration or addition to the
terms of the Agreement or the specifications accompanying the same shall in any manner affect its
obligations on this bond,and it does hereby waive notice of any such change, extension of time, alteration or
addition.
In witness whereof, this instrument has been duly executed by the Principal and surety above named, on
2014.
(SEAL) (SEAL)
South West Pump & Drilling , c . The Hanover lnsurance �Company
........ liret
TS-1griature) 1-1
(Signature'Diane M 'i ITS
--
Address: 10509 Vista Sorrento Pkwav #310
(Seal and Notarial Acknowledgement of Surety) San Die_ a CA 92121
Telcphone: (858 )_ZDO_-41Q_$_
CD 7
STATE OF CALIFORNIA
COUNTY OF RIVERSIDE
ON qtiltll -,BEFORE ME, LINDA ROCHA, Notary Public
PERSONALLY APPEARED: Diane M. Nielsen
Who proved to me on the basis of satisfactory evidence to be the person (s) whose name(s) is/are
subscribed to the within instrument & acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity (ies),and that by his/her/their signatures (s) on the instrument the
person (s), or the entity upon behalf of which the person (s) acted,executed the instrument.
I certify under penalty of perjury under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal. LINDA ROGHA
rol,
Signature:
Lida Rocha,Notary Public
ALL PURPOSE ACKNOWLEDGMENT
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being
corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICAA corporation
organized and existing under the laws of the State of Michigan,do hereby constitute and appoint
Van G.Tanner,Mathew S.Costello and/or Diane M.Nielsen
of Palm Desert,CA and each is a true and lawful Attomey(s}in-factto sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and
deed any place within the United States, or, if the following line be filled in, only within the area therein designated any and all bonds, recognizances,
undertakings,contracts of indemnity or other writings dnligatory in the nature thereof,as follows:
Any such obligations inthe United States,not to exceed Ten Million and No/100($10,000,000)in any single instance
and said companies hereby ratify and confirm all and whatsoever said Attomey(s}in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Compaes which resolutions
are still in effect:
"RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint
Attomeys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,rerognizances,
contracts of indemnity..waivers of citation and all otherwritings obligatory in the nature thereof,with powerto attach thereto the seal of the Company.Any such
writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly
elected officers of the Company in their own proper persons,"(Adopted October 7, 1981 -The Hanover Insurance Company,Adopted April 14, 1982-
Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OFAMERICA have caused these presents to be sealed with their respective corporate seals,duly attested b*wo Vice Presidents,
this 26th day of March 2012.
THE HANOVER INSURANCE COMPANY
MASSACHUSEM BAY INSURANCE COMPANY
CITIZENS URANCE OMPANY OF AMERICA
on 93Mf ira
vwrRobert Thomas,Vice President
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )ss. joe,g renstrom,Y President
On this 26th day of March 2012 before me came the above named Vice Presidents of The Hanover insurance Company,Massachusetts Bay Insurance
Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the
seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens
Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said
instrument by the authority and direction of said Cortmrations.
BARBARA A.GAWCK
Npisry Pubbc
Car�west�Gf MassrCwt�
Camtiswaa Srµ-21,2018 — -
Barbara A.Garlick Notary Public
My Commission Expires September 21,2018
I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney Issued by said Companies,and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
"RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attomey and certification in respect thereto,granted and executed
by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.* (Adopted October 7, 1981 -The
Hanover Insurance Company.Adopted April 14,1982-Massachusetts Bay Insurance Company,Adopted September 7,2001-Citizens Insurance Company of
America)
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this_a t1qay ofd i 120 11
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
�t04—
"6n Margosian,Vice President
SOUTWES-02 CMAYO
DATE(MMlDDlYYYY)
' ,Ra►x CERTIFICATE OF LIABILITY INSURANCE 4tg/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Christy Ma
License#0F09643 NAME: tY O
y
Desert Empire Ins Services,Inc. PHONE FAx{760}360-4700 No, {760)360-4799
77564 Country Club Drive AIC
a`o Ext
Suite 401 ADDRESS:
Palm Desert,CA 92211
INSURER(S)AFFORDING COVERAGE NAIL#
INSURER A:Travelers Indemnity Co of Connecticut 25682
INSURED INSURER B:Travelers Property &Casualty Co of America 25674
South West Pump&Drilling,Inc. INSURER C
53-381 Highway 111 INSURER D:
Coachella,CA 92236 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR TYPE OF INSURANCE POLICY NUMBER MMMIDD/YYYY MMtDDtYYYY ADDLSUBR POLICY EFF POLICY EXP LIMITS
LTR
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000:00
DAMAGE TO RIEN r
CLAIMS-MADE I—XI OCCUR X X DT22C04E018567TCT14 04/01/2014 04/0112015 PREMISES Ea occurrence $.,.,._ _ 300,00
MED EXP(Any one person) $ 10,00
PERSONAL&ADV INJURY $ 1,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00
POLICY E° LOC PRODUCTS-COMPtOPAGG $ 2,000,00
OTHER $
AUTOMOBILE LIABILITY CEaOMBINED a
SINGLE LIMIT $ 1 000,00
accident
B X ANY AUTO DT8104EO18667TIL14 04/01/2014 0410112015 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS UTOS $
X HIRED AUTOS
NEDPROPERTY DAMAGE
X AUTOSUTOS (Per accident)
UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,00
B X EXCESS LIAB CLAIMS-MADE DTSMCUP4E018567TIL14 04/01/2014 04/01/2015 AGGREGATE $ 4,000,00
DED X RETENTION$ 10,000 $ --
WORKERS COMPENSATION SPER OTH-
AND EMPLOYERS'LIABILITY YIN TATUTE ER
ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? .........._. ......®
(Mandatory in NH) E L.DISEASE-EA EMPLOYE $
It yes,describe under
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
Re:Agate#1 Well&Equipment Rehabilitaton Project#71252
The City of Redlands is included as an Additional Insured in regards to General Liability Ongoing and completed Operations as per the attached.Waiver of
Subrogation is included,This Isnurance shall be Primary&Non Contributory as per the attached.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Ci of Redlands THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
35 Cajon Street
Redlands,CA 92373
AUTHORIZED REPRESENTATIVE
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD
Policy No. DT22C04EO186567TCTI4 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
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This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1. WHO IS AN |NSUREQ—(Section ||) in onnwnUed c) The insurance provided to the additional in-
to include any person or organization that you ouned does not apply to "bodily injury" or
agree in a 'Written contract requiring insurance" "property damage" caused by "your work"
to include asmmadditional insured on this Cover- and included in the "products-completed op-
age Part, but: erobons hazard" Vm|eon the "written contract
requiring insurance" specifically neqVinmo you
a} (]n|ywith respect tn |iobi|byfor"bodily in]V�"' 1nprovid� �Vnhcover��� forth�tmdd�ona{
"prupe�ydanmmge^mr"personal in<urY"; and inmunyd, and then the insurance provided to
b\ If, and only to the extent that, the injury or the additional insured applies only to such
damage is caused by acts or omissions of "bodily injury" or "property damage" that oo-
you or your subcontractor in the performance curs before the end of the period of time for
of "your work" to vvh)uh the "written contract which the "written contract requiring insVp
naquihng immunnmoe^ applies. The person or anoe^ requires you toprovide such coverage
organization does not qualify as an additional or the end of the policy period, whichever is
insured with respect to the independent aob; earlier.
oromissions ofsuch person nrorganization. The insurance provided tothe additional insured
2' The insurance provided to the additional insured by this endorsement is excess over any valid and
bythis endorsement imlimited aefollows: cn||edib|a "other insurance", whether primary,
a'� In the event that the Limits of Insurance of mxneos, contingent nrmn any other buais. that is
this Coverage Part shown in the Declarations available to the additional insured for a loss we
exceed the limits ofliability required bythe cover under this endorsement. However, if the
° "wh�encnntroctnnquihmginsunamon" speoifica||y"written o�wtm�c� requiring insurance", the in-
provided to the additional insured requires that this insurance apply on g primary
shall be limited to the limits of liability re- basis or a primary and non-contributory besis|
quinsd by that "written contract requiring in- this insurance is primary to "other insurance"
aumnnms"^ This endorsement shall not in- available to the additional insured which covers
crease—he limits of insurance described in that person or organization as named insured
for such (o�� and we will not share with that
Se�UnnNU—Linm{t�O�\nmunano�. '
"other insurance". But the insurance provided to
b1 The insurance provided to the additional in- the additional insured by �h�� endmr��nn�ntu�8| \S
s4rod does not apply to "bodily injury", "prop- excess over any valid and collectible "other in-
ofdamage* or "personal injury" arising out aunmnce", whether primary, exoess, contingent or
nfth� rendering m[ or failure b7 render, any on any other baSin, that is available to the mdd|-
profeaskvna| architectural, engineering prsur- Uona| insured when that person ororganization |s
vmyingservices, including: an additional insured under such "other insUr-
I. The preparing, @pproving, or failing to ance"
prepare or approve, nnops, shop draw- 4^ As a condition of omwarmge provided to the
ings. opinions, reports, surveys, field or- additional insured bythis endon;emuerd-
deo; mrmhange orders, or the preparing,
approvnQ, or failing to prepare or ap- a) The additional insured must give us written
notice as Soon as practicable of an "occur-
ii. Supervisory, inspection, architectural or claim. To the extent p»ss)ble, such notice
engineering activities. should include:
CG [}2 46 08 05 02OO5 The St. Paul Travelers Companies. Inc. Page 1 of
COMMERCIAL GENERAL LIABILITY
L How, when and where the "occurrence" any provider of"other insurance"which would
uroffense took place; cover the additional insured for a loss we
cov�rundg/ thi� �ndor��rn�nt However, this
iiTh� nem�� mndeddr�ms�� ofanyi injured '
^ ', condition does not m�Ew� xvhf#herthe insur-
ance ance pnovided to the additional insured by
Ill. The nature and location of any injury or this endorsement is primary to "other insur-
dernageeriaingmutofthe "qocurrence" or ence" available to the mddUUmno| insured
offense. which covers that person ororganization aaa
b} If o claim is made or"suit" in brought against named insured as described in paragraph 3.
' the additional insured, the additional insured above'
must: 5. The following definition is added to SECTION V.
i. Immediately record the specifics of the —OEF}N|T|ON8:
claim or"suit"and the dote received; and "Written contract requiring insurance" means
ii. NuUfvu�m��omn��prmctimab|�. that pa� ofany xvr�enoun�autoragreement
' under which you �n� required to include �
The additional insured must nee to itthat vve person or organization as an additional receivevvr��`n notice of the claim or"ouif' as in-
sured on this Coverage Part provided that
soon enpracticable. the "bodily injury" and "property damage" on-
o\ The additional insured must immediately curs and the "personal injury" imoouoedbvan
send us copies mfall legal papers received in offense committed:
connection with the claim or "suit^. cooperate m' After the signing and execution ofthe
with us in the investigation orsettlement of contract oragreement byyou;
the claim or defense against the ''uuit", and
otherwise comply with all policy conditions. b. While that pad of the contract or
effect; and
d'� The additional insured must tender the de-
agreement ia|naf�
fenaaand indemnity mfany claim or "suit" to o' Before the end ofthe policy period.
Page 2of2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 46 0885
Policy No. DT22CO4EO18567 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS XTEND ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE-This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply tc
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. Aircraft Chartered With Pilot H. Blanket Additional Insured - Lessors Of Leased
B. Damage To Premises Rented To You Equipment
,,�L, Blanket Additional Insured - States Or Political
C. Increased Supplementary Payments J Subdivisions-Permits
D. Incidental Medical Malpractice J. Knowledge And Notice Of Occurrence Or Offense
E. Who Is An Insured - Newly Acquired Or Formed
Organizations K_ Unintentional Omission
F. Who Is An Insured - Broadened Named Insured Blanket Waiver Of Subrogation
-Unnamed Subsidiaries M. Amended Bodily Injury Definition
G. Blanket Additional Insured - Owners, Managers N. Contractual Liability-Railroads
Or Lessors Of Premises
PROVISIONS INJURY AND PROPERTY DAMAGE LI-
A. AIRCRAFT CHARTERED WITH PILOT ABILITY:
The following is added to Exclusion g., Aircraft Exclusions c. and g. through n. do not apply
Auto Or Watercraft,in Paragraph 2.of SECTION to "premises damage". Exclusion L(1)(a)
I - COVERAGES-COVERAGE A BODILY IN- does not apply to "premises damage"caused
JURY AND PROPERTY DAMAGE LIABILITY: by:
This exclusion does not apply to an aircraft that a. Fire;
is: b. Explosion;
(a) Chartered with a pilot to any insured; c. Lightning;
(b) Not owned by any insured-, and d. Smoke resulting from such fire, explosion,
(c) Not being used to carry any person or prop-
or lightning- or
erty for a charge. e. Water;
B. DAMAGE TO PREMISES RENTED TO YOU unless Exclusion f. of Section I-Coverage A
1. The first paragraph of the exceptions in Ex- -Bodily Injury And Property Damage Liability
clusion J., Damage To Property, in Para- is replaced by another endorsement to this
graph 7- of SECTION I - COVERAGES - Coverage Part that has Exclusion-All Pollu-
COVERAGE A BODILY INJURY AND tion Injury Or Damage or Total Pollution Ex-
PROPERTY DAMAGE LIABILITY is deleted. clusion in its title.
A separate limit of insurance applies to
2. The following replaces the last paragraph of "premises damage" as described in Para-
Paragraph 2., Exclusions, of SECTION I - graph 6. of SECTION III - LIMITS OF IN-
COVERAGES - COVERAGE A. BODILY SURANCE.
CG D3 16 1111 0 2011 The Travelers Indemnity Company.All rights reserved. Page 1 of 6
COMMERCIAL GENERAL LIABILITY
3. The following replaces Paragraph 6. of SEC- C. INCREASED SUPPLEMENTARY PAYMENTS
TION Iff—LIMITS OF INSURANCE: 1. The following replaces Paragraph I.b. of
Subject to 6. above, the Damage To Prem- SUPPLEMENTARY PAYMENTS — COVER-
ises Rented To You Limit is the most we will AGES A AND B of SECTION I — COVER-
pay under Coverage A for damages because AGE.
of "premises damage!' to any one premises. b. Up to $2,500 for the cost of bail bonds
The Damage To Premises Rented To You required because of accidents or traffic
Limit will apply to all "property damage" law violations arising out of the use of any
proximately caused by the same "occur- vehicle to which the Bodily Injury Liability
rence", whether such damage results from: Coverage applies. We do not have to fur-
fire; explosion; lightning; smoke resulting from nish these bonds.
such fire, explosion, or lightning; or water, or 2. The following replaces Paragraph I.d. of
any combination of any of these causes. SUPPLEMENTARY PAYMENTS — COVER-
The Damage To Premises Rented To You AGES A AND B of SECTION I — COVER-
Limit will be: AGES:
a. The amount shown for the Damage To d. All reasonable expenses incurred by the
Premises Rented To You Limit on the insured at our request to assist us in the
Declarations of this Coverage Part; or investigation or defense of the claim or
b. $300,000 if no amount is shown for the "suit', including actual loss of earnings up
Damage To Premises Rented To You to $500 a day because of time off from
Limit on the Declarations of this Coverage work.
Part. D. INCIDENTAL MEDICAL MALPRACTICE
4. The following replaces Paragraph a. of the 1. The following is added to the definition of"oc-
definition of"insured contract' in the DEFIN11- currence"in the DEFINITIONS Section:
TIONS Section-. "Occurrence" also means an act or omission
a. A contract for a lease of premises. How- committed in providing or failing to provide
ever, that portion of the contract for a "incidental medical services", first aid or
lease of premises that indemnifies any "Good Samaritan services"to a person_
personor organization for "premises 2. The following is added to Paragraph 2.a.(1)of
damage!'is not an"insured contract"; SECTION If—WHO IS AN INSURED:
5. The following is added to the DEFINITIONS
Section: Paragraph (1)(d) above does not apply to
"bodily injury" arising out of providing or fail-
"Premises damage" means "property dam- ing to provide:
age"to: (1) "Incidental medical services" by any of
a. Any premises while rented to you or tem- your "employees!' who is a nurse practi-
porarily occupied by you with permission tioner, registered nurse, licensed practical
of the owner;or nurse, nurse assistant, emergency medi.-
b. The contents of any premises while such cal technician or paramedic;or
premises is rented to you, if you rent such (ii) First aid or"Good Samaritan services" by.
premises for a period of seven or fewer any of your "employees" or "volunteer
consecutive days. workers", other than an employed or vol-
6. The following replaces Paragraph 4.b.(1)(b) unteer doctor. Any such "employees!' or
of SECTION IV—COMMERCIAL GENERAL "volunteer workers" providing or failing to
LIABILITY CONDITIONS: provide first aid or "Good Samaritan ser-
(b) That is insurance for"premises damage"; vices" during their work hours for you will
or be deemed to be acting within the scope
7. Paragraph 4.b.(1)(c) of SECTION IV — of their employment by you or performing
COMMERCIAL GENERAL LIABILITY CON- duties related to the conduct of your busi-
DITIONS is deleted. ness.
Page 2 of 6 C 2411 The Travelers Indemnity Company.All rights reserved, CG D3 16 11 11
COMMERCIAL GENERAL LIABILIr(
3. The following is added to Paragraph 5. of 4. Any organization you newly acquire or form,
SECTION III—LIMITS OF INSURANCE: other than a partnership, joint venture or lirri-
For the purposes of determining the applica- ited liability company, of which you are the
ble Each Occurrence Limit, all related acts or sole owner or in which you maintain the ma-
omissions committed in providing or failing to jority owner-ship interest, will qualify as a
provide"incidental medical services", first aid Named Insured if there is no other insurance
or"Good Samaritan services"to any one per- which provides similar coverage to that or-
son will be deemed to be one"occurrence". ganization. However:
4. The following exclusion is added to Para- a. Coverage under this provision is afforded
graph 2., Exclusions, of SECTION I —COV- only:
ERAGES—COVERAGE A BODILY INJURY (1) Until the 180th day after you acquire or
AND PROPERTY DAMAGE LIABILITY: form the organization or the end of the
Sale Of Pharmaceuticals policy period, whichever is earlier, if you
"Bodily injury" or "property damage" arising do not report such organization in writing
out of the willful violation of a penal statute or to us within 180 days after you acquire or
ordinance relating to the sale of pharmaceuti- form it, or
cals committed by, or with the knowledge or (2) Until the end of the policy period, when
consent of, the insured. that date is later than 180 days after you
5. The following is added to the DEFINITIONS acquire or form such organization, if you
Section: report such organization in writing to us
"Incidental medical services"means: within 180 days after you acquire or form
a. Medical, surgical, dental, laboratory, x-ray it, and we agree in writing that it will con-
or nursing service or treatment, advice or tinue to be a Named Insured until the end
instruction, or the related furnishing of of the policy period;
food or beverages; or b. Coverage A does not apply to "bodily injury"
b. The furnishing or dispensing of drugs or or "property damage!' that occurred before
medical, dental, or surgical supplies or you acquired or formed the organization; and
appliances. c. Coverage B does not apply to "personal in-
"Good Samaritan services" means any emer- jury" or "advertising injury" arising out of an
gency medical services for which no compen- offense committed before you acquired or
sation is demanded or received. formed the organization.
6. The following is added to Paragraph 4.b., Ex- F. WHO IS AN INSURED—BROADENED NAMED
cess Insurance, of SECTION IV — COM- INSURED—UNNAMED SUBSIDIARIES
MERCIAL GENERAL LIABILITY CONDI-
TIONS: The following is added to SECTION 11 —WHO IS
The insurance is excess over any valid and AN INSURED:
collectible other insurance available to the in- Any of your subsidiaries, other than a partnership,
sured,whether primary, excess, contingent or joint venture or limited liability company, that is
on any other basis, that is available to any of not shown as a Named Insured in the Declara-
your "employees" or "volunteer workers!* for tons is a Named Insured if you maintain an own-
"bodily injury" that arises out of providing or ership interest of more than 50% in such subsidi-
failing to provide "incidental medical ser- ary on the first day of the policy period.
vices", W aid or"Good Samaritan services" No such subsidiary is an insured for"bodily injury"
to any person to the extent not subject to or "property damage" that occurred, or "personal
Paragraph 2.a.(1) of Section 11 — Who Is An injury" or "advertising injury" caused by an of-
Insured. Tense committed after the date, if any, during the
E. WHO IS AN INSURED — NEWLY ACQUIRED policy period, that you no longer maintain an
OR FORMED ORGANIZATIONS ownership interest of more than 50% in such sub-
The following replaces Paragraph 4. of SECTION sidiary,
11—WHO IS AN INSURED:
CG D3 16 1111 0 2011 The Travelers Indemnity Company.All rights reserved. Page 3 of 6
COMMERCIAL GENERAL LIABILITY
G. BLANKET ADDITIONAL INSURED— OWNERS, H. BLANKET ADDITIONAL INSURED— LESSORS
MANAGERS OR LESSORS OF PREMISES OF LEASED EQUIPMENT
The following is added to SECTION 11 —WHO IS The following is added to SECTION 11 —WHO IS
AN INSURED: AN INSURED:
Any person or organization that is a premises Any person or organization that is an equipment
owner, manager or lessor and that you have lessor and that you have agreed in a written con-
agreed in a written contract or agreement to in- tract or agreement to include as an insured on
clude as an additional insured on this Coverage this Coverage Part is an insured, but only with re-
Part is an insured, but only with respect to liability spect to liability for"bodily injury", "property dam-
for "bodily injury", "property darnage!', "personal
injury"or"advertising injury"that: age!', "personal injury"or"advertising injury"that:
a. Is "bodily injury" or "property damage' that a. Is "bodily injury" or "property damage" that
occurs, or is "personal injury" or "advertising occurs, or is "personal injury" or "advertising
injury" caused by an offense that is commit- injury" caused by an offense that is commt-
ted, subsequent to the execution of that con- ted, subsequent to the execution of that con-
tract or agreement; and tract or agreement;and
b. Arises out of the ownership, maintenance or b. Is caused, in whole or in part, by your acts or
use of that part of any premises leased to omissions in the maintenance, operation or
you, use of equipment leased to you by such
equipment lessor-
The insurance provided to such premises owner,
manager or lessor is subject to the following pro- The insurance provided to such equipment lessor
visions: is subject to the following provisions:
a. The limits of insurance provided to such a. The limits of insurance provided to such
premises owner, manager or lessor will be equipment lessor will be the minimum limits
the minimum limits which you agreed to pro- which you agreed to provide in the written
vide in the written contract or agreement, or contract or agreement, or the limits shown on
the Declarations, whichever are less.
the limits shown on the Declarations, which-
ever are less. b. The insurance provided to such equipment
lessor does not apply to any"bodily injury" or
b. The insurance provided to such premises "property damage' that occurs, or "personal
owner, manager or lessor does not apply to: injury" or"advertising injury'caused by an cr�-
(1) Any "bodily injury" or "property damage' fense that is committed, after the equipment
that occurs, or"personal injury"or"adver- lease expires.
using injury" caused by an offense that is c. The insurance provided to such equipment
committed, after you cease to be a tenant lessor is excess over any valid and collectible
in that premises;or other insurance available to such equipment
(2) Structural alterations, new construction or lessor, whether primary, excess, contingent
demolition operations performed by or on or on any other basis, unless you have
behalf of such premises owner, lessor or agreed in the written contract or agreement
manager. that this insurance must be primary to, or
c. The insurance provided to such premises non-contributory with, such other insurance,
owner, manager or lessor is excess over any in which case this insurance will be primary
valid and collectible other insurance available to, and non-contributory with, such other in-
to such premises owner, manager or lessor, surance.
whether primary, excess, contingent or on I. BLANKET ADDITIONAL INSURED — STATES
any other basis, unless you have agreed in OR POLITICAL SUBDPASIONS—PERMITS
the written contract or agreement that this in-
surance must be primary to, or non- The following is added to SECTION If --WHO IS contributory with, such other insurance, in AN INSURED.
which case this insurance will be primary to, Any state or political subdivision that has issued a
and non-contributory with, such other insur- permit in connection with operations performed by
ance. you or on your behalf and that you are required
Page 4 of 6 0 2011 The Travelers Indemnity Company,All rights reserved. CG D3 16 11 11
COMMERCIAL GENERAL LIABILITY
by any ordinance, law or building code to include (it) A manager of any limited liability
as an additional insured on this Coverage Part is company; or
an insured, but only with respect to liability for (Iii)An executive officer or director of
"bodily injury", ..property damage', "personal in- any other organization;
jury" or"advertising injury"arising out of such op-
erations. that is your partner, joint venture
member or manager,or
The insurance provided to such state or political
subdivision does not apply to: (b) Any "employee" authorized by such
partnership, joint venture, limited Ii-
a. Any "bodily injury," "property damage," "per- ability company or other organization
sonal injury"or"advertising injury"arising out to give notice of an "occurrence" or
of operations performed for that state or po- offense.
litical subdivision;or (3) Notice to us of such"occurrence"or of an
b. Any "bodily injury" or "property damage' in- offense will be deemed to be given as
cluded in the "products-completed operations soon as practicable if it is given in good
hazard". faith as soon as practicable to your work-
J. KNOWLEDGE AND NOTICE OF OCCUR- ers' compensation insurer. This applies
RENCE OR OFFENSE only if you subsequently give notice to us
The following is added to Paragraph 2., Duties In of the"occurrence"or offense as soon as
The Event of Occurrence, Offense, Claim or practicable after any of the persons de-
Suit, of SECTION IV — COMMERCIAL GEN- scribed in Paragraphs e. (1) or (2) above
ERAL LIABILRY CONDITIONS: discovers that the"occurrence"or offense
e. The following provisions apply to Paragraph may result in sums to which the insurance
a. above, but only for the purposes of the in- provided under this Coverage Part may
surance provided under this Coverage Part to apply
you or any insured listed in Paragraph 1. or 2. However, if this Coverage Part includes an en-
of Section 11—Who Is An Insured: dorsement that provides limited coverage for
(1) Notice to us of such "occurrence" or of- "bodily injury" or "property damage' or pollution
fense must be given as soon as practica- costs arising out of a discharge, release or es-
ble only after the "occurrence" or offense cape of"pollutants"which contains a requirement
is known by you (if you are an individual), that the discharge, release or escape of "pollut-
any of your partners or members who is ants" must be reported to us within a specific
an individual (if you are a partnership or number of days after its abrupt commencement,
joint venture), any of your managers who this Paragraph e. does not affect that require-
is an individual(if you are a limited liability merit.
company), any of your "executive offs- K. UNINTENTIONAL OMISSION
cers"or directors (if you are an organiza- The following is added to Paragraph 6., Repre-
tion other than a partnership,joint venture sentations, of SECTION IV — COMMERCIAL
or limited liability company) or any "em- GENERAL LIABILITY CONDITIONS:
ployee' authorized by you to give notice The unintentional omission of, or unintentional
of an"occurrence"or offense. error in, any information provided by you which
(2) If you are a partnership, joint venture or we relied upon in issuing this policy will not preju-
limited liability company, and none of your dice your rights under this insurance. However,
partners, joint venture members or man- this provision does not affect our right to collect
agers are individuals, notice to us of such additional premium or to exercise our rights of
"occurrence"or offense must be given as cancellation or nonrenewal in accordance with
soon as practicable only after the "occur- applicable insurance laws or regulations.
rence"or offense is known by: L. BLANKET WAIVER OF SUBROGATION
(a) Any individual who is: The following is added to Paragraph 8., Transfer
A partner or member of any part- Of Rights Of Recovery Against Others To Us,
nership or joint venture; of SECTION IV— COMMERCIAL GENERAL LI-
ABILITY CONDITIONS:
CG D3 16 1111 C 2011 The Travelers lndemnfty Company.All rights reserved. Page 5 of 6
COMMERCIAL GENERAL LIABILITY
If the insured has agreed in a contract or agree- 3. "Bodily injury" means bodily injury, mental
ment to waive that insured's right of recovery anguish, mental injury, shock, fright, disability,
against any person or organization, we waive our humiliation, sickness or disease sustained by
right of recovery against such person or organiza- a person, including death resulting from any
tion, but only for payments we make because of: of these at any time.
a. "Bodily injury' or "property damage" that oc- N. CONTRACTUAL LIABILITY—RAILROADS
curs; or 1. The following replaces Paragraph c. of the
b. "Personal injury" or "advertising injury" definition of"insured contract" in the DEFINI-
caused by an offense that is committed; TIONS Section:
subsequent to the execution of that contract or c. Any easement or license agreement,
agreement. 2. Paragraph f.(1) of the definition of "insured
M. AMENDED BODILY INJURY DEFINITION contract' in the DEFINITIONS Section is de-
The following replaces the definition of "bodily leted.
injury" in the DEFINITIONS Section:
Page 6 of 6 0 2011 The Travelers Indemnity Company.All rights reserved. CG D3 16 1111
SOUTWES-02 KGOAD
CERTIFICATE OF LIABILITY INSURANCE DAT4/2/2 DtYYYY)
41212014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER;AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
CNAPRODUCER License#OC36861 NNAMME: Michele R Callihan
Inland Empire-Alliant Insurance Services,Inc. PHONE FAX
735 Carnegie Dr Ste 200 (a c No,Ezf):{909}886-9861 - wok:{909}986-2013
San Bernardino,CA 92408 ADDRESS:MCallihan@alliant.com
INSURER(S)AFFORDING COVERAGE NAIC#
.__.__. .. ............._._._ -- _.
INSURERA:Arch insurance Company 11150
INSURED
INSURER B:
South West Pump and Drilling lMSURER c
53381 Hwy 111 INSURER D:
Coachella,CA 92236
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
/NSR TYPE OF INSURANCE ADD/-SUBR POLICY EFF, POLICY EXP LIMITS
LTR POLICY NUMBER MMtDOtYYYY MMlDDtYYYY
GENERAL LIABILITY EACH OCCURRENCE S
DAMAGE TO IzENTED
COMMERCIAL GENERAL LIABILITY PREMISESE( a occurrencel, 3
CLAIMS MADE 'OCCUR MED EXP(Any one person)_____f$
PERSONAL BADV INJURY ~$
GENERAL AGGREGATE Y$
GEN1 AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG f S
......... PRO- �' .................... --_._ ..._.... _-..... ....
':. POLICY LOC $
AUTOMOBILE LIABILITY I : COMBINED SINGLE LIMIT
�(Ea accident} f S
ANY AUTO € ' BODILY INJURY(Per person) S ......... _.__ _..
ALL OWNED --;SCHEDULED ------ ------- -------- _..- ---_--
AUTOS 'AUTOS ; BODILY INJURY(Per acxident)I $
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS i AUTOS i : (Per_accident� _
UMBRELLA LIAR _OCCUR ! EACH OCCURRENCE $
EXCESS UAB
CLAIMS-MADE'; AGGREGATE $
!. DED RETENTIONS S
WORKERS COMPENSATION x Vim STATU OTH-':.
AND EMPLOYERS"LIABILITY I TORY LIMITS. _ FIR
A ANY PROPRIETORiPARTNERIEXECUTIVE Y r N ZAWC19319400 4/1!2014 4/112015 EL.EACH ACCIDENT S 1,000,00
OFFICER/MEMBER EXCLUDED? -N!A E.L.E - -- -
(Mandatory in NH) ❑( E.L.DISEASE-EA EMPLOYEE; S 1,000,00._.
If yes,describe ander - .........__ ........ ....
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,00
....
DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES(Attach ACORD 141,Additional Remarks Schedule,if more space is required)
Proof of insurance.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Proof of insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD