HomeMy WebLinkAboutContracts & Agreements_8-2000_CCv0001.pdf AGREEMENT
THIS AGREEMENT, made and entered into this 4th day of January2000
, t9t , by and
between the City of Redlands, a Municipal Corporation, organized and existing un—der the laws
of the State of California, hereinafter referred to as the "City" and Tri CouW B= Compairy
a partnership consisting of
or an individual trading as
of the City of-San-Bernardino County of 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:
Construction of the Well No. 39 Pump and Electric Motor, complete and in place, as
specified in the Contract Documents (Specification), and made a part of Project No. 4-0080A.
2. THE CONTRACT SUM: $34,992.00 - in accordance with the terms and conditions set
forth in the Contract Documents.
3. TIME FOR COMPLETION: The work to be completed within twenty (20) working days
from and after the date of the Notice to Proceed.
4. LIQUIDATED DAMAGES: Failure of the Contractor to complete the work within the time
allowed will result in damages being sustained by the City. Such damages are, and will continue
to be, impracticable and extremely difficult to determine. The Contractor shall pay to the City,
or have withheld from monies due it, the sum of$500 for each consecutive calendar day in excess
of the specified time for completion of Work.
Execution of the Contract shall constitute agreement by the City and Contractor that $500 per day
is the minimum and actual damage caused by the failure of the Contractor to complete the Work
within the allowed time. Such sum is liquidated damages and shall not be construed as a penalty,
and may be deducted from payments due the Contractor if such delay occurs.
5. CONTRACT DOCUMENTS: The complete contract includes all of the contract documents
set forth herein, to wit; Notice Inviting Bids, Instructions to Bidders, Proposals and Bid Form,
Bid Bond, Agreement, Faithful Performance Bond, Labor and Material Bond, Plans and
Specifications and any addenda thereto.
CD 1
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.
7. RESOLUTION OF CONSTRUCTION CLAIMS: Claims by the Contractor in the amount
of $375,000.00 or less shall be made by Contractor and processed by the City pursuant to the
provisions of Part 3, chapter 1, article 1.5 of the Public Contracts Code (commencing with
Section 20104). All claims shall be in writing and include the documents necessary to substantiate
the claim. Nothing in subdivision (a) of Public Contracts Code Section 20104.2 shall extend the
time limit or supersede the notice requirements provided in this case from filing claims by
Contractor.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year
first written above.
City of Redlands
(SEAL) (Owner)
Byer
Mayor, City of Redlands, County of
San Bernardino, California
ATTEST:
City CYeirk, Citylands
County of San Err=ino, California
(SEAL)
Tril. County Pugin Comnanv
Name of 1Fontractor
By ILI�
f Authorized Agent
Secretary
Title
Signature of Authorized Agent (if necessary)
Title
7/44742
Contractor's License No.
CD 2
WORKERS' COMPENSATION INSURANCE CERTIFICATION
Description of Contract: City of Redlands
Municipal Utilities Department
Well No. 39 Pump and Electric Motor
Project No. 4-0080A
Labor Code section 3700 provides, in part:
"Every employer except the State and all political subdivisions or institutions thereof, shall
secure the payment of compensation in one or more of the following ways:
(a) By being insured against liability to pay compensation in one or more insurer duly
authorized to write compensation insurance in this State.
(b) By securing from the Director of Industrial Relations a certificate of consent to
self-insure, which may be given upon furnishing proof satisfactory to the Director
of Industrial Relations of ability to self-insure and to pay any compensation that
may become due to his employees"
I am aware of the provisions of Section 3700 of the Labor Code which requires every
employer to be insured against liability for worker's compensation or to undertake self-insurance
in accordance with the provisions of that code, and I will comply with such provisions before
commencing the performance of the work of this contract.
Dated this 18thday of January jq2QOO
Tri County Pumn Comnanv
(Contractor)
I
(Signature)
Secre tary
(Seal) (Official Title)
(Labor Code Section 1861 provides that the above certificate must be signed and filed by the
Contractor with the Owner prior to performing any work.)
CD 3
BOND NUMBER: SDO0081240
PREMIUM: $875. 00
PERFORMANCE BOND
WHEREAS,the City Council of the City of Redlands, State of California, and TRI COUNTY PY'vT
COMPANY (hereinafter designated as "principal")have entered into an agreement whereby Principal
agrees to install and complete certain designated public improvements,which said agreement, date
, 19 .and identified as Well No.39 Pump and Electric Motor,Project No. 4-0080A
is hereby referred to and made a part hereof-, and
WHEREAS,said Principal is required under the terms of said agreement to furnish a bond for the faithful
performance of said project.
FRONTIER PACIFIC
Now,Therefore,said Principal and INSURANCE COMPANY as surety,are held firmly bound
unto the City of Redlands (hereinafter called "City"), in the penal sum of THIRTY FOUR THOUSAND NINE
HUNDRED NINETY TOO Dollars($-34,992.00 ) lawful money of the United States, for the payment of
which sum well and truly to be made,we bind ourselves,our heirs, successors,executors and administrators,
jointly and severally, firmly by these presents.
The conditions of this obligation is such that if the above bounded Principal, his or hers heirs, executors,
administrators, successors or assigns, shall in all things stand to and abide by, and well truly keep and
perform the covenants,conditions and provisions in the said agreement and alteration thereof made as therein
provided,or his or their part,to be kept and performed at the time and in the manner therein specified, and
in all respects according to their true intent and meaning,and shall defend, indemnify and save harmless the
City, its elected officials, officers, agents and employees, as therein stipulated, then this obligation shall
become null and void;otherwise it shall be and remain in full force and effect.
As a part of the obligation secured hereby and in addition to the face amount specified therefore,there shall
be included costs and reasonable expenses and fees, including reasonable attorney's fees incurred by the City
in successfully enforcing such obligation, all to be taxed as costs and included in any judgment rendered.
The surety hereby stipulates and agrees that no change,extension of time,alteration or addition to the terms
of the agreement or to the work to be performed thereunder or the specifications accompanying the same in
anyway affect its obligations on this bond, and it does hereby waive notice of any such change, extension
of time, alteration or addition to the terms of the work or to the specifications.
In witness whereof,this instrument has been duly executed by the Principal and Surety above named, on
JANUARY 12 —,)4)9 2000
(SEAL) (SEAL)
TRI COUNT_X PUMP COMPANY FRONTIER PACIFIC INSURIU,CE COMPANY
(Contractor) (Surety)
By:
( ijnatuDWIGHT RE ILLY(Signature)AT`T`6RNEY–IN–FACT
CROSBY INSURANCE, INC .
Address:. P .O. BOX 5017 , UPLAND, CA
91785-5017
(Seal and Normal Ackwwledgment of Suirty) Telephone No. (9 0 9 3 985-0345
CD 4
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of Califomia
ss.
County of San Bernardino
on JAN. 12, 2 0 0 0 before me, _ Susan Pugh, Notary Public
Mame and Iiitte of C7tftcer(e.g.,"Jane Doe,Notary PuWic')
Date
personally appeared Dwight Rein
--------------------------- --
Narae(S) ......�
of Signar{s}
t
tX personally known to me
proved to me on the basis of satisfactory
evidence
to be the person(s) whose name(*) is/
SUSAN PUGH subscribed to the within instrument and
� Comftssion# 121 acknowledged to me that he/abMMM executed
Notary Public-Coldamlo the same in histbac if authorized
n ' capacity(iss0, and that by hisilhaviftk
signature(s)on the instrument the person(g), or
the entity upon behalf of which the person(
acted, executed the instrument.
s
WITNESS my hand and official seal.
Place Notary Seal Above
Signature of Notary Pub
SUSAN PUGH
OPTIONAL
Though the information below is not required by taw, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this fora to another document.
Description of Attached DocumPERFORMANCE BOND
Title or Type of Document:
Document Date: JANUARY 12, 2000 Number of Pages: 1
Signer(s)Other Than Named Above: None
Capaciity(ies) Claimed by Signer R
Signer's Name: Dwight Reilly .-_______________________
Individual Top of thumb here
El Corporate Officer—Title(s):
El Partner—0 Limited C General
X1 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other:
k
Signer Is Representing. FRON'T'IER PACIFIC INSURANCE COMPANY
r
Free 1-860-876-6827
1997 National Notary Association•9350 De Sotos Ave-PO Box 2402•Chatsworth,CA 91313-2442 Prod.No.5907 Reorder:Can Toll-
C Aw
TIER P-W47==F=U
RICW
INSURANCE COMPANY
(a California Company)
101 West Broadway,Sufte 700,San Diego,California 92101
POWER OF ATTORNEY
!K1100 A f f`jjjejj )3.y Vljese Tro-$ZlrttS:That FRONTIER PACIFIC INSURANCE COMPANY,a California Corporation,having its principal office
in San Diego,California,pursuant to the following resolution,adopted by the Board of Directors of the Corporation on the 15th day of November,1991.
"RESOLVED,that the Chairman of the Board,the President,or any Vice President be,and hereby is,authorized to appoint Attorneys-in-
Fact to represent and act for and on behalf of the Company to execute bonds,undertakings,recognizances and other contracts of indemnity
and writings obligatory in the nature thereof, and to attach thereto the corporate seat of the Company, in the transaction of its surety
business;
"RESOLVED,that the signatures and attestations of such officers and the seat of the Company may be affixed to any such Power of Attorney
or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile
seal shall be valid and binding upon the Company when so affixed with respect to any bond,undertaking,recognizance or other contract of
indemnity or writing obligatory in the nature thereof;
"RESOLVED,that any such Attomey-in-Fact delivering a secretarial certification that the foregoing resolutions still be in effect may insert in
such certification the date thereof,said date to be not later than the date of delivery thereof by such Attorney-in-Fact."
This Power of Attorney is signed and sealed in facsimile under and by the authority of the above Resolution,
DOES HEREBY MAKE,CONSTITUTE AND APPOINT H. J. DUECK DWIGHT REILLY
VICKI MARTINEZ CHRISTOPHER S. HOPPER
of upland ,in the State of California
its true and lawful Aftomey(s)-in-Fact with full power and authority hereby conferred in its name,place and stead to sign,execute,acknowledge and deliver
in its behalf,and as its act and dead,without power of redelegation,as follows:
Bonds guaranteeing the fidelity of persons holding places of public or private trust,guaranteeing the performance of contracts other than
insurance policies;and executing or guaranteeing bonds and undertakings required or permitted in all actions or proceedings or by law allowed;
IN AN AMOUNT NOT TO EXCEED THREE MILLION FIVE HUNDRED THOUSAND ($3,500,000.00) DOLLARS; and to bind FRONTIER
PACIFIC INSURANCE COMPANY thereby as fully and to the same extent as if such bond or undertaking was signed by the duty authorized
officers of FRONTIER PACIFIC INSURANCE COMPANY,and all the acts of said Aftomey(s)-in-Fact pursuant to the authority herein given are
hereby ratified and confirmed.
3n (Witness Wf)ergo f FRONTIER PACIFIC INSURAt��OMPANY of San Diego.Ca ia,has caused this Power of Attorney to be 1�—jl by
its Vice President and its Corporate seal to be affixed this day of. AUgmf U7
FRONTIER PACIFIC INSURANCE COMPANY
5�
DAVID E.CAMPBELL,Vice President
STATE OF CALIFORNIA)
COUNTY OF SAN DIEGO)
On AU9USt 26, 1997 before me,N.Ortiz,personally appeared David E.Campbell,personally known to me or proved
to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed
the same in his authorized capacity, and that by his signature on the instrument the person(s),or the entity upon behalf of which the person(s)acted,
executed the instrument.
Witness my hand and official seal
N.OIZ�7n
COMMISSICei# I.
Notcry Public-Califs rtia
Son DI9W C0nty
COMM.Expkes AULjg 6,2002 Signature of Notary
r
Corporation Acknowledgement
1,the undersigned,Joseph P.Loughlin,Secretary of FRONTIER PACIFIC INSURANCE COMPANY,do hereby certify that the original POWER
OF ATTORNEY,of which the foregoing is a full,true and correct copy,is in full force and effect,
IN WITNESS WHEREOF, I have hereunto subscribed my name as Joseph P, Loughlin, Secretary, and affixed the Corporate Seal of the
Corporation this 12TH day of JANUARY-,- 12000 1
I N
JULY25
4!!Joseph P.Loughlin,Secretary
Secretary
FM 19-5002A-FP(1/2000)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
California
State of
San Bernardino
County of
January 183 2000 Edward FamelyNotary Public
CJ before me, x �.
Bate Name and TAle of Officer re g.,`,lane Due,Notary Publt''7 'z
Mpersonally appeared John Hodges ____—_ ----------------------------
Narre s;of Signer(s) �Y
X personally known to me
proved to me on the basis of satisfactory evidence z
E
d
to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they
a. Edward Famely executed the same in his/her/their authorized capacity(ies),
Comm. *1085227 and that by his/her/their signature(s) on the instrument rj the
oNos person(s).or the entity upon behalf of which the person(s)
4 comm Exp April s, 2r0 G acted, executed the instrument.
WITNESS my hand and official se NIv
Signature of Notary Public
OPTIONAL � "_
Though the information below is not required by levo it may prove valuable to persons relying on the document and could prevent
fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Performance Bond
Januarlv �
12, 2000 Number of Pages: One
Document Date: )
Dwight Reil:L
Signers) Cather Than Named Above: �
Capacity(ies) Claimed by Signer(s)
John Hodaes
Signer's Name:
Signer's Name: g
I
Individual I Individual
Corporate{officer Corporate Officer
Title(s): Title(s): ,
Partner Limited __- General I Partner--- .- Limited - General �
_ Attorney-in-Fact Attorney-in-Fact
.- Trustee
Trustee � �,�} � ..
Guardian or Conservator �
Guardian or Conservator
Other-
X;
£ Trop of thumb here j F Other` � 'vc h, "�,r
F
k
e
Signer Is Representing:; Signer Is Representing-
Tri County Puma Comnan i I ;
] `0:
0 1996 National Notari Association•82366 Rernmet Ave.,P.G.Boz 7184•Canoga Park.CA 91309-,164 Prod.No.5907 Reorder.Gall Toil-gree;-800-876-6827
BOND NUMBER: SD00081240
PREMIUM: $875.00
LABOR AND MATERIAL BOND
WHEREAS,the City Council of the City of Redlands, State of California, and TRI COUNTY PUMP
COMPANY —(hereinafter designated as "principal") have entered into an agreement whereby Principal
agrees to install and complete certain designated public improvements, which said agreement, date
—, 19—,and identified as Well No.39 Pump and Electric Motor,Project No.4-0080A is hereby
referred to and made a part hereof-, and
WHEREAS,under the terms of said agreement,Principal is required before entering upon the performance
of the work,to file a good and sufficient payment bond with the City of Redlands to secure the claims to
which reference is made in Title 15 (commencing with Section 3082)of Part 4 of Division 3 of the Civil
Code of the State of California.
Now,Therefore,said Principal and the undersigned as corporate surety,are held firmly bound unto the City
of Redlands and all contractors, subcontractors, laborers, materialmen,and other persons employed in the
performance of the aforesaid agreed and referred to in the aforesaid Code of Civil Procedure in the sum of
THIRTY FOUR THOUSAND NINE HUNDRED NINETY TWO AND NO/100 Dollars($34,992.00)for
materials furnished or labor thereon of any kind,or for amounts due under the Unemployment Insurance Act
with respect to such work or labor,that said surety will pay the same in an amount not exceeding the amount
hereinabove set forth,and also in case suit is brought upon this bond,will pay, in addition to the face amount
thereof, costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by the City
of Redlands in successfully enforcing such obligation,to be awarded and fixed by the court,and to be taxed
as costs and to be included in the judgment therein rendered.
It is hereby expressly stipulated and agreed that this bond shall insure to the benefit of any and all persons,
companies and corporations entitled to file claim under Title 15 (commencing with Section 3082)of Part
4 of Division 3 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought
upon this bond.
Should the conditions of this bond be fully performed, then this obligation shall become null and void,
otherwise it shall be and remain in full force and effect.
The Surety hereby stipulates and agrees that no change,extension of time,alteration or addition to the terms
of said agreement or the specifications accompanying the same shall in any manner affect its obligations on
this bond, and it does hereby waive notice of any such change, extension of time,alteration or addition.
In witness whereof,this instrument has been duly executed by the Principal and Surety above named, on
JANUARY 1244 2000,
(SEAL) (SEAL)
TR OUNTY PUMP COMPANY FRONTIER PACIFIC INSURANCE COMPANY
(Contractor) (Surety)
BY:
i=gnature) DWIGHT REILL)(Signature�TMRNEY-IN-FACT
CROSBY INSURANCE, INC.
Address:, P .O. BOX 5017
UPLAND, CA 91785-5017
(Seal and Notarial Acknowle4ment of Surety) Telephone No. ( 9 0 9 ) 985-0345
CD 5
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
ss.
County of San Bernardino
On JAN . 12 , 2000 , before me, Susan Pugh, Notary Public
Date Name ard Title of Officer(e.g..'Jane Doe,Notary PLbkc
personally appeared Dwight Reilly ------------------------------
Name(s)of Sgner(s)
® personally known to me
❑ proved to me on the basis of satisfactory
evidence
to be the person(,) whose name6s) is/mv
subscribed to the within instrument and
_ acknowledged to me that he/moi executed
�+ � �++�12)
r. the same in his/bwc�ir authorized
SAP PtH capacity(iK*, and that by his/t��K
Cts 3p" signature(m)on the instrument the person(, or
San��Y Pt�Rc-CWitcxrWot
BemrranoCocoY _ the entity upon behalf of which the person(
hxmm2.23o3 acted, executed the instrument.
WITNESS my hand and official al.
i
Place Notary Seal Above Signature of Notary
SUSAN PUGH
OPTIONAL 1
Though the information below is not required by law,it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document PAYMENT BOND
Title or Type of Document:
Document Date: JANUARY 12 , 2000 Number of Pages: 1
Signer(s) Other Than Named Above: None
Capacity(ies) Claimed by Signer
Signer's Name: Dwight Reilly -------------------------
❑ Individual
Top of thumb(sere �
❑ Corporate Officer—Title(s):
❑ Partner—❑ Limited ❑General
K Attorney in Fact
❑ Trustee `
Lor Conservatorresenting: FRONTIER PACIFIC INSURANCE COMPANY
C 1997 National Notary Association•9350 De Soto Ave-P.O.Box 2402•Chatsworth,CA 91313-2402 Prod No.5907 Reorder Cap Tot-Free 1-$00-876-6827
Z M mrqb
AwAll'90INTIER 9�2
RI
INSURANCE C70MPANY
(a California Company)
101 West Broadway,Suite 700,Son Diego,Calffornla 92 101
POWER OF ATTORNEY
Aloft}Aff�Xrten 93m Vijese (presents:That FRONTIER PACIFIC INSURANCE COMPANY,a California Corporation,having its principal office
in San Diego,California,pursuant to the following resolution,adopted by the Board of Directors of the Corporation on the 15th day of November,1991.
'RESOLVED,that the Chairman of the Board,the President,or any Vice President be,and hereby is,authorized to appoint Attorneys-in-
Fact to represent and act for and on behalf of the Company to execute bonds,undertakings,recognizances and other contracts of indemnity
and writings obligatory in the nature thereof, and to attach thereto the corporate seal of the Company, in the transaction of its surety
business;
'RESOLVED,that the signatures and attestations of such officers and the seat of the Company may be affixed to any such Power of Attorney
or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile
seat shall be valid and binding upon the Company when so affixed with respect to any bond,undertaking,recognizance or other contract of
indemnity or writing obligatory in the nature thereof;
"RESOLVED,that any such Attorney-in-Fact delivering a secretarial certification that the foregoing resolutions still be in effect may insert in
such certification the date thereof,said date to be not later than the date of delivery thereof by such Attomey-in-Fact."
This Power of Attorney is signed and sealed in facsimile under and by the authority of the above Resolution,
DOES HEREBY MAKE,CONSTITUTE AND APPOINT H. J. DUECK DWIGHT REILLY
VICKI MARTINEZ CHRISTOPHER S. HOPPER
of Upland ,in the State of California
its true and lawful Attorneys}-in-Fact with full power and authority hereby conferred in its name,place and stead to sign,execute,acknowledge and deliver
in its behalf,and as its act and deed,without power of redelegation,as follows:
Bonds guaranteeing the fidelity of persons holding places of public or private trust,guaranteeing the performance of contracts other than
insurance policies;and executing or guaranteeing bonds and undertakings required or permitted in all actions or proceedings or by law allowed;
IN AN AMOUNT NOT TO EXCEED THREE MILLION FIVE HUNDRED THOUSAND ($3,500,000.00) DOLLARS;and to bind FRONTIER
PACIFIC INSURANCE COMPANY thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized
officers of FRONTIER PACIFIC INSURANCE COMPANY,and all the acts of said Aftorney(s)-in-Fact pursuant to the authority herein given are
hereby ratified and confirmed.
3n Witness Wfjereof FRONTIER PACIFIC INSURAh�CMPANY of San DiegA,ffl%Tia,has caused this Power of Attorney to be ji�lj�by
its Vice President and its Corporate seal to be affixed this day of. LT9
FRONTIER PACIFIC INSURANCE COMPANY
'JULY 25
"-V
BY:
DAVID E.CAMPBELL,Vice President
STATE OF CALIFORNIA}
COUNTY OF SAN DIEGO)
On
August 26, 1997 before me,N,Ortiz,personally appeared David E.Campbell,personally known to me or proved
to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed
the same in his authorized capacity,and that by his signature on the instrument the person(s), or the entity upon behalf of which the person(s)acted,
executed the instrument.
Witness my hand and official seat
-"I,- - — - - - - - -
N.ORTIZ
Commission# 1192302
Son NeW County
N&cffy Pubfic-Califarno
WCOMM.Bq)-MAug6,=i Signature of Notary
Corporation Acknowledgement
1,the undersigned,Joseph P.Loughlin,Secretary of FRONTIER PACIFIC INSURANCE COMPANY,do hereby certify that the original POWER
OF ATTORNEY,of which the foregoing is a full,true and correct copy,is in full force and effect.
IN WITNESS WHEREOF, I have hereunto subscribed my name as Joseph P. Loughlin, Secretary, and affixed the Corporate Seal of the
Corporation this 12TH day of JANUARY-MS-, 2000
C U 4
0
JULY 25 �Joseph�P %���—
FM 19-5002A-FP(1/2000)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of San Bernardino
On January 18 , 2000 before me, Eduard r amely, Notary Public
Cato, Name and Title of Officer(e.g.,'Jane Doe.Notary Public')
personally appeared John Hodges -------------------------------------
Name(s)of Signer(s) i
_personally known to me
Fj proved to me on the basis of satisfactory evidences
to be the person(s)whose name(s) is/are subscribed to the
Edward Tamely within instrument and acknowledged to me that he/she/they
() �.
'� executed the same in his/her/their authorized capacity(ies),
Comm #1085227
(� t
_,NOTARY PUBLIC, cauFORNiA® and that by his/her/their signature(s) On the instrument the
Los ANGELEs COUNTY n persons), or the entity upon behalf of which the person(s)
Comm. EXP. Ap"i 26, 2000 acted, executed the instrument.
i
WITNESS my hand and official seal.
Signature of Notary Public
OPTIONAL '
Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document: Labor & Material Bond
i
Document Date: January 12 , 2000 Number of Pages: One (1)
Signer(s) Other Than Named Above: T)wi aht- Reilly y ---------------------------
Capacity(ies) Claimed by Signer(s)
Signer's Name: John Hodes s Signer's Name:
- Individual Individual
EX Corporate Officer Corporate Officer
Title(s): Secretary Title(s):
Partner—- Limited - General Partner—,'1-1 Limited General
Attorney-in-Fact - Attorney-in-Fact
Trustee
Trustee
Guardian or Conservator - Guardian or Conservator
Other: Top of thumb here Other: Trp of thumb here
I
Signer Is Representing: Signer Is Representing:
i
Tri County Puma Company
i
0 1996 National Notary Associafon•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 Prod.No,5907 Reorder Call Toll-Free 1-800 876-6827
Ac a . CERTIFICATE OF LIABILITY INSURANCEM P-3 DATE
011131 o
0
CERT
PRODUCER IFICATE IS ISSUED AS A MATTER OF INFORMATION
Silverstone Ins Svs Inc OTHISNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ttan i Assoc Ina Svs Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR-'-
Je
" ttUtica Ave, 247 I�0004829 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.-
�o Cucamonga, CA 91730-3852 COMPANIES AFFORDING COVERAGE
COMPANY
CIC �P
Brent Jetton, AAIr A CNA Insurance
909-980-4211 fano 909-980-4785
wsureEn COMPANY
g Credit General Insurance Cc ;.
COMPANY ';
C
Tri County Pump Company
241 S. Arrowhead Avenue COMPANY '
san Bernardino CA 92408 D
. y
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NANtED ABOVE FOR THE POLICY PERIOD
ERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
INDICATED,NOTWITHSTANDING ANY REaUIRENIENT,T
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,E THE
ELINSU INSURANCE
SHOWN MANY HAVE BEEN REDUCED DED BY
BY PAID CLAIJIS,THE POLICIES SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. Y i
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
CO TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDJYY) DATE(MM/DDfYY) s
LTR
GENERAL AGGREGATE $2,000,0
GENERAL LIABILITY
A X COMMERciALGENERALLUBILm 1075222108 01/05/00 12/05/00 PRODUCTS-CCMP/�AGG $2,000,000
_
PERSONAL S ADV INJURY $ 1,000,OOO
CLAIMS MADE 7 OCCUR
EACH OCCURRENCE $ 1,000,000 _
OWNER'S S CONTRACTOR'S PROT
FIRE DAMAGE(My one fire) S 50,000
MED EXP(My one person) s 5 000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
A X ANY 1075222092 01/05/00 12/05/00
ALL OWNED AUTOS BODILY INJURY $
(Per Person)
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY $
(Per accidenq
X NON-OWNED AUTOS
PROPERTY DAMAGE $
AUTO ONLY-EA ACCIDENT $
GARAGE LIABILITY
OTHER AUTO ONLY:
ANY AUTO
EACH ACCIDENT $
AGGREGATE s
EACH OCCURRENCE $ 1,000,000
LIABILITY
PELXCESS
UMBRELLA FORM 1075222111 01/05/00 12/05/00 AGGREGATE s1,000,000
OTHER THAN UMBRELLA FORM WC STATU- OTH-
KERS COMPENSATION AND X TORY LIMITS ER
OYERS'LIABILITY EL EACH ACCIDENT $ 1,000,000
B THE PROPRIETOR/ X ffvCL SWC3410656-00 01/05/00 12/05/00 EL DISEASE•POLICYIIMIT $ 1,000,000
PARTNERSIEXECUTIVE EL DISEASE-EA EMPLOYEE $ 11000,0 00
OFFICERS ARE: 71 EXCL
OTHER
A Rented/Leased 1075222108 01/05/00 12/05/00 Special $40,000
Equipment
DESCRIPTION OF OPERATIONSA-OCAT*NSIYS-UUESPS'ECIAL ITEMS
Certificate Holder is named as Additional Insured with Primary wordings as
respects ll Oteperatioons of the Named Insured for work performed on behalf of
the
older.
xxx
CERTIFICATE HOLDER CANCELLATION
REDLA-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Redlands EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL MOB"OOR*0 MAIL
Municipal Utilities Department 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn: Elias Elhazin
P.O. Box 3005
Redlands, CA 92373 Q �: �
AnEDREPRESENTBt Jettan, _ AC C FURATI Nb 1
ACORD 25-5(1/95)
'f
C N A POLICY#: 1075222108 INSURED: Tri County Pump Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
WHO IS AN INSURED (SECTION II) is amended to include as an insured any person or organization (called
additional insured) whom you are required to add as an additional insured on this policy under a written contract
or agreement currently in effect or becoming effective during the term of this policy provided that a certificate
of insurance showing that person or organization as an additional insured has been issued.
The insurance provided to the additional insured is limited as follows:
1. That person or organization is only an additional insured with respect to liability arising out of
a. Premises you own, rent, lease or occupy or
b. 'Your work" for that additional insured by or for you.
2. The limits of insurance applicable to the additional insured are those specified in the written contract or
agreement or in the declarations for this policy,whichever are less. These limits of insurance are inclusive
of and not in addition to the limits of insurance shown in the declarations.
The insurance provided to the additional insured does not apply to "bodily injury", "property damage", "personal
injury"or"advertising injury:" arising out of an architect's, engineer's or surveyor's rendering of or failure to
render any professional services including:
1. The preparing, approving or failing to prepare or approve maps, drawings, opinions, reports, surveys,
change orders, designs or specifications and
2. Supervisory, inspection or engineering services.
Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to
the additional insured whether primary, excess, contingent or any other basis unless a contract specifically
requires that this insurance be primary or you request that this insurance be primary or you request that it apply
on a primary basis.
THIS ENDORSEMENT IS A PART OF YOUR POLICY AND TAKES EFFECT ON THE EFFECTIVE DATE
f. OF YOUR POLICY UNLESS ANOTHER EFFECTIVE DATE IS SHOWN BELOW.
=AUTHORIZE13 REPRESENTATIVE
r
GL474
G47957-A
(ED 2/92)
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