HomeMy WebLinkAboutCC Resolution 10573 (Fourth St. & Fifth Ave. Traffic Signal Interconnect Proj)RESOLUTION NO. 10573
RESOLUTION AWARDING THE CONTRACT FOR THE FOURTH STREET
AND FIFTH AVENUE TRAFFIC SIGNAL INTERCONNECT PROJECT,
(RTSOP GRANT) TO MIKE BROWN ELECTRIC CO. IN THE AMOUNT OF
$595,500.00
WHEREAS, on the 3rd day of December, 1999, pursuant to due and legal notice
published in the manner provided by law, inviting sealed bids for proposals for the work
hereinafter mentioned, as more fiilly appears from the Affidavit of Publication thereof on
file in the office of the City Clerk of the City of San Rafael, California, the City Clerk of
said City did publicly open, examine, and declare all sealed bids or proposals for doing
the following work in said City, to wit:
"FOURTH STREET AND FIFTH AVENUE TRAFFIC SIGNAL
INTERCONNECT PROJECT"
PROJECT NO. 049-4910-8270-8000
in accordance with the plans and specifications therefore on file in the office of said City
Clerk; and
WHEREAS, the bid of Mike Brown Electric Co. at the unit prices stated in its
bid was and is the lowest and best bid for said work and said bidder is the lowest
responsible bidder therefor; and
WHEREAS, the Federal grant funding will be supplemented by the funds from
Traffic Signal upgrade 99-00, and remaining gas tax funds from the year 1998-99;
NOW, THEREFORE, IT IS HEREBY ORDERED AND RESOLVED that the
bid of Mike Brown Electric Co. and the same is hereby accepted at said unit prices and
n uI AL 017
13
that the contract for said work and improvements be and the same is hereby awarded to
said Mike Brown Electric Co. at the unit prices mentioned in said bid.
IT IS FURTHER ORDERED AND RESOLVED that the Mayor
and City Clerk of said City be authorized and directed to execute a contract with
Mike Brown Electric Co. for said work and to return the bidders bond upon the
execution of said contract.
BE IT FURTHER RESOLVED that the Director of Public Works
is hereby authorized to take any and all such actions and make changes as may be
necessary to accomplish the purpose of this resolution.
I, JEANNE M. LEONCINI, City Clerk of the City of San Rafael, hereby certify
that the foregoing resolution was duly and regularly introduced and adopted at a regular
meeting of the Council of said City held on the 18`x' day of January, 2000, by the
following vote, to wit:
AYES: COUNCIL MEMBERS: Cohen, Heller, Miller, Phillips & Mayor Boro
NOES: COUNCIL MEMBERS: None
ABSENT: COUNCIL MEMBERS: None
JEAAE— M. LEONCINI, City Clerk
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City of San Rafael • California
Form of Contract Agreement
for
FOURTH STREET AND FIFTH AVENUE TRAFFIC SIGNAL
INTERCONNECT
PROJECT NO. 049-4910-8270-8000
This Agreement is made and entered into this 18th day of January, 2000 by and
between the City of San Rafael (hereinafter called City) and Mike Brown Electric
(hereinafter called Contractor). Witnesseth, that the City and the Contractor, for the
considerations hereinafter named, agree as follows:
II - Scope of the Work
The Contractor hereby agrees to furnish all of the materials and all of the equipment
and labor necessary, and to perform all of the work shown on the plans and described
in the specifications for the project entitled: Fourth Street and Fifth Avenue Traffic
Signal Interconnect Project , all in accordance with the requirements and provisions
of the Contract Documents as defined in the General Conditions which are hereby made
a part of this Agreement.
III- Time of Completion
(a) The work to be performed under this Contract shall be commenced within five (5)
calendar days after the date of written notice by the City to the Contractor to
proceed.
(b) The work shall be completed within sixty (60) working days after the date of such
notice and with such extensions of time as are provided for in the General
Conditions.
IIII - Liquidated Damages
It is agreed that, if all the work required by the contract is not finished or completed
within the number of working days as set forth in the contract, damage will be
sustained by the City, and that it is and will be impracticable and extremely difficult to
ascertain and determine the actual damage which the City will sustain in the event of
and by reason of such delay; and it is therefore agreed that the Contractor will pay to
the City, the sum of $500 for each and every calendar day's delay in finishing the work
in excess of the number of working days prescribed above; and the Contractor agrees to
pay said liquidated damages herein provided for, and further agrees that the City may
deduct the amount thereof from any moneys due or that may become due the
Contractor under the contract.
IV - The Contract Sum
The City shall pay to the Contractor for the performance of the Contract the
amounts determined for the total number of each of the units of work in the
following schedule completed at the unit price stated. The number of units
contained in this schedule is approximate only, and the final payment shall be
made for the actual number of units that are incorporated in or made necessary by
the work covered by the Contract.
AGREEMENT • 1
ITEM
NO. ITEM
1 Modify Traffic Signal at 4th St/ Ross
Valley Dr
2 Modify Traffic Signal at 4th
St/ Greenfield
3 Modify Traffic Signal at 4th St/2nd
St
4 Modify Traffic Signal at 4th St/H St
5 Modify Traffic Signal at 4th St/E St
6 Modify Traffic Signal at 4th St/D St
7 Modify Traffic Signal at 4th St/C St
8 Modify Traffic Signal at 4th St/B St
9 Modify Traffic Signal at 4th St/A St
10 Modify Traffic Signal at 4th
St/ Court St
11 Modify Traffic Signal at 4th
St/ Lootens PI
12 Modify Traffic Signal at 4th St/Cijos
Dr
13 Modify Traffic Signal at 5th St/ E St
14 Modify Traffic Signal at 5th St/ C St
15 Modify Traffic Signal at 5th St/B St
16 Modify Traffic Signal at 5th St/A St
17 Modify Traffic Signal at 5th
St/ Court St
18 Traffic Engineer's Office
19 Traffic Control
V - Progress Payments
UNIT
ES
I QTY
I PRICE, $ I
TOTAL, $
LS
1
25,000.00
25,000.00
LS
1
27,500.00
27,500.00
LS
1
65,000.00
65,000.00
LS
1
34,000.00
34,000.00
LS
1
30,000.00
30,000.00
LS
1
24,000.00
24,000.00
LS
1
24,000.00
24,000.00
LS
1
23,000.00
23,000.00
LS
1
23,000.00
23,000.00
LS
1
16,000.00
16,000.00
LS
1
20,000.00
20,000.00
LS
1
16,000.00
16,000.00
LS
1
50,000.00
50,000.00
LS
1
32,000.00
32,000.00
LS
1
38,000.00
38,000.00
LS
1
30,000.00
30,000.00
LS
1
43,000.00
43,000.00
LS
1
65,000.00
65,000.00
LS
1
10,000.00
10,000.00
Grand Total
595,500.00
(a). On not later than the 6th day of every month the Public Works Department shall
prepare and submit an estimate covering the total quantities under each item of
work that have been completed from the start of the job up to and including the
25th day of the preceding month, and the value of the work so completed
determined in accordance with the schedule of unit prices for such items together
with such supporting evidence as may be required by the City and/or Contractor.
(b). On not later than the 15th day of the month, the City shall, after deducting previous
payments made, pay to the Contractor 90% of the amount of the estimate as
approved by the Public Works Department.
(c). Final payment of all moneys due shall be made within 15 days after the expiration of
35 days following the filing of the notice of completion and acceptance of the work by
the Public Works Department.
(d). The Contractor may elect to receive 100% of payments due under the contract from
time to time, without retention of any portion of the payment by the public agency,
by depositing securities of equivalent value with the public agency in accordance
with the provisions of Section 4590 of the Government Code. Such securities, if
deposited by the Contractr, shall be valued by the City's Finance Director, whose
decision on valuation of the securities shall be final.
VI - Acceptance and Final Payment
(a) Upon receipt of written notice that the work is ready for final inspection and
acceptance, the Engineer shall within 5 days make such inspection, and when he
AGREEMENT • 2
finds the work acceptable under the Contract and the Contract fully performed, he
will promptly issue a Notice of Completion, over his own signature, stating that the
work required by this Contract has been completed and is accepted by him under
the terms and conditions thereof, and the entire balance found to be due the
Contractor, including the retained percentage, shall be paid to the Contractor by
the City within 15 days after the expiration of 35 days following the date of
recordation of said Notice of Completion.
(b) Before final payment is due the Contractor shall submit evidence satisfactory to the
Engineer that all payrolls, material bills, and other indebtedness connected with
work have been paid, except that in case of disputed indebtedness or liens the
Contractor may submit in lieu of evidence of payment a surety bond satisfactory to
the City guaranteeing payment of all such disputed amounts when adjudicated in
cases where such payment has not already been guaranteed by surety bond.
(c) The making and acceptance of the final payment shall constitute a waiver of all
claims by the City, other than those arising from any of the following: (1) unsettled
liens; (2) faulty work appearing within 12 months after final payment; (3)
requirements of the specifications; or (4) manufacturers' guarantees. It shall also
constitute a waiver of all claims by the Contractor, except those previously made
and still unsettled.
(d) If after the work has been substantially completed, full completion thereof is
materially delayed through no fault of the Contractor, and the Engineer so certifies,
the City shall, upon certificate of the Engineer, and without terminating the
Contract, make payment of the balance due for that portion of the work fully
completed and accepted.
Such payment shall be made under the terms and conditions governing final payment,
except that it shall not constitute a waiver of claims.
IN WITNESS WHEREOF, City and Contractor have caused their authorized
representatives to execute this Agreement the day and year first written above.
UVI-11_*ts
Mann M. Leoncini
(Tifii (Node
CITY OF S RAFAEL:
Albert.goro
Mayor
CONTRACTOR:
4a
r
AGREEMENT • 3
PERFORMANCE BOND
The American Institute of Architects, AIA Document A311, February 1970 Edition.
KNOW ALL MEN BY THESE PRESENTS: that
Mike Brown Electric Co
561-A Mercantile Drive
Cotati, California 94931-3040.
Bond Number: 282 13 49
Premium: $4,173.00
(Here insert full name and address or legal title of Contractor)
as Principal, hereinafter called Contractor, and, GREAT AMERICAN INSURANCE COMPANY, a corporation of the State of Ohio, as Surety, hereinafter
called Surety, are held and firmly bound unto
City of San Rafael
1400 Fifth Avenue
Post Office Box 151560
San Rafael, California 94915-1560
(Here insert full name and address or legal title of Owner)
as Obliges, hereinafter called Owner, in the amount of Five Hundred Ninety Five Thousand Five Hundred Dollars ($595,500.00), for the payment whereof
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, Contractor has by written agreement dated January 18. 2000 , entered into a contract with Owner for
Fourth Street and Fifth Avenue Traffic Signal Interconnect Project
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and faithfully perform said Contract, then
this obligation shall be null and void; otherwise it shall remain in full force and effect.
The Surety hereby waives notice of any alteration or extension of time made by the Owner.
Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Owner having performed Owner's obligations
thereunder, the Surety may promptly remedy the default, or shall promptly
1 ) Complete the Contract in accordance with its terms and conditions, or
2) Obtain a bid or bids for completing the Contract in accordance with its terms and conditions, and upon determination by Surety of the lowest
responsible bidder, or, if the Owner elects, upon determination by the Owner and the Surety jointly of the lowest responsible bidder, arrange for a contract
between such bidder and Owner, and make available as Work progresses (even though there should be a default or a succession of defaults under the
contract or contracts of completion arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the contract price; but
not exceeding, including other costs and damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof. The
term "balance of the contract price," as used in this paragraph, shall mean the total amount payable by Owner to Contractor under the Contract and any
amendments thereto, less the amount properly paid by Owner to Contractor.
Any suit under this bond must be instituted before the expiration of two (2) years from the date on which final payment under the contract falls due.
No right of action shall accrue on this bond to or for the use of any person or corporation other than the Owner named herein or the heirs,
executors, administrators or successors of Owner.
Signed and sealed this _ 18'"day of January 20
In the presence of
Mike Brown Electric Co.
(Principal) (Seal)
(Witness)
By: �1
/a.c., G. Brown (Title) President
Great American Insurance Comnanv
(Surety) (Seal)
(Witness)
By:
Steve Dedrickson (Title) Attorney-in-fact
G1Eiu"ttl&R1CJt7V iNSliiirtNCE (SDMPr1111Y6
580 WALNUT STREET a CINCINNATI, OHIO 45202. 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than
T140 POWER OF ATTORNEY
No.0 13830
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY, a corporation organizi&
and existing under and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named beltiyv
its true and lawful attorney-in-fact, for it and in its name, place and stead to execute in behalf of the said Company, as surety, any and all boho,'
undertakings and contracts of suretyship, or other written obligations in the nature thereof; provided that the liability of the said Company on any
such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.
Name Address Limit of Power
K. DIXON 14RIGIIT BOTH OF BOTH
STEVE DEDRICKSON NOVATO, UNLIMITED
CALIFORNIA
This Power of Attorney revokes all previous powers issued in behalf of the attorney(s)-in-fact named above-
IN
bove_
1N WITNESS WHEREOF the GREAT AMERICAN INSURANCE COM PANY has caused these presents to be signed and attested by
its appropriate officers and its corporate seal hereunto affixed thiq 12th day of November , 1999
Attest
1 s�r..t,Int .Sriret:nl
STATE OF OHIO, COUNTY OF HAMILTON - ss -
GREAT AMERICAN INSURANCE COMPANY
Vic•c President
On this 12 t day of November, 1999 , before me personally appeared DOUGLAS R. BOWEN, to me
known, being duly sworn, deposes and says that he resided in Cincinnati, Ohio, that he is the Vice President of the Bond Division of Great
American Insurance Company, the Company described in and which executed the above instrument; that Ire knows the seal; that it was so affixed
by authority of his office under the By -Laws of said Company, and that he signed his name thereto by like authority.
MAUREEN DOUGHERTY
NoteN Public State of Ohio
• My OommiseJan Expires Aug. 12, 2001
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American
Insurance Company by unanimous written consent dated March I, 1993.
RESOLVED: That the Division President, the several Division Vice Presidents and Assistant Vice Presidents, or any one of them, be
and hereby is authorized, from time to time, to appoint one or more Attorneys- In -Fact to execute on behalf orthc Company, assurety, any and all
bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof,• to prescribe their respective duties and the
respective limits of their authority; and to revoke any such appointment at any time.
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant
Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,
undertaking, contract orsuretyship, orothcr written obligation in the nature thereof, such signal urcand seal when so used beingherebyadopted by
the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the
same force and effect as though manually affixed.
CERTIFICATION
1, RONALD C. HAYL-S, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of
Attorney and the Resolutions of the Board of Directors of March I, 1993 have not been revoked and are now in full force and effect.
Signed and sealed this 18th day of January
�r r
ti I(119S (I I N71
2000
Assistant Secretary
CALIFORNIA ALL-PURPOa,c ACKNOWLEDGMENT
1
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..�ii��f� ,r�.•�►rti-�i�tttttr��i. iit���•tti•�����,GGrr..����..
State of California
County of Marin
On January 18, 2000 before me,
DATE
Stacv M. Davis$ Notary Public
NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC'
personally appeared Steve Dedrickson
NAME(S) OF SIGNER(S)
IN 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 ac-
knowledged to me that he/she/they executed
STACY M. DAVISthe same in his/her/their authorized
U COMM. *1238748 capacity(ies), and that by his/her/their
0 NOTARY PUBLIC -CALIFORNIA UO
a, COMMAS IN COUNTY OCT. 9 20030 signature(s) on the instrument the person(s),
„ „ „ „ „ - „ „ „ „ „ „ - k or the entity upon behalf of which the
person(s) acted, executed the instrument.
W S my hand a official s
eal..
SIGNATURE OF NOTARY
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TITLE(S)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
® ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
V SIGNER IS REPRESENTING:
1 NAME OF PERSON(S) OR ENTITY(IES)
Great American Insurance Company
SIGNER(S) OTHER THAN NAMED ABOVE
1
BD -1133 3/94 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184
State of California )
SS.
County of Sonoma )
On January 18, 2000, before me, Susan Heath Allred, Notary Public in and for said
State, personally appeared James G. Brown, personally known to me 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, or the entity upon behalf of which the person acted, executed the instrument.
O SUSA NMHEATA23A�La
NOTARY PULRED
• BLIC-CALIFORNIA Q
SONOMA COUNTY n
v v avn `v COMM. EXP. SEPT. 25, 2003 i
V V V V v
WITNESS my hand and official seal.
Su --o-, at"
Susan Heath Allred
Bond Number: 282 13 49
Premium: Included in Performance Bond
LABOR AND MATERIAL PAYMENT BOND
The American Institute of Architects, AIA Document A311, February 1970 Edition.
THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE
OWNER CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT
KNOW ALL MEN BY THESE PRESENTS: that
Mike Brown Electric Co.
561-A Mercantile Drive
COtati, California 94931-3040
(Here insert full name and address or legal title of Contractor)
as Principal, hereinafter called Contractor, and, GREAT AMERICAN INSURANCE COMPANY, a corporation of the State of Ohio, as Surety, hereinafter
called Surety, are held and firmly bound unto
City of San Rafael
1400 Fifth Avenue
Post Office Box 151560
San Rafael, California 94915-1560
(Here insert full name and address or legal title of Owner)
as Obliges, hereinafter called Owner, in the amount of Five Hundred Ninety Five Thousand Five Hundred Dollars ($595,500.00), for the payment whereof
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, Contractor has by written agreement dated January 18, 2000 , entered into a contract with Owner for
Fourth Street and Fifth Avenue Traffic Signal Interconnect Project
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Principal shall promptly make payment to all claimants as hereinafter
defined, for all labor and material used or reasonably required for use in the performance of the Contract, then this obligation shall be void; otherwise it
shall remain in full force and effect, subject, however, to the following conditions:
1. A claimant is defined as one having a direct contract with the Principal or with a Subcontractor of the Principal for labor, material, or both, used or
reasonably required for use in the performance of the Contract, labor and material being construed to include that part of water, gas, power, light, heat, oil,
gasoline, telephone service or rental of equipment directly applicable to the Contract.
2. The above named Principal and Surety hereby jointly and severally agree with the Owner that every claimant as herein defined, who has not been
paid in full before the expiration of a period of ninety (90) days after the date on which the last of such claimant's work or labor was done or performed, or
materials were furnished by such claimant, may sue on this bond for the use of such claimant, prosecute the suit to final judgment for such sum or sums
as may be justly due claimant, and have execution thereon. The Owner shall not be liable for the payment of any costs or expenses of any such suit.
3. No suit or action shall be commenced hereunder by any claimant:
a) Unless claimant, other than one having a direct contract with the Principal, shall have given written notice to any two of the following: the Principal,
the Owner, or the Surety above named, within ninety (90) days after such claimant did or performed the last of the work or labor, or furnished the last of the
materials for which said claim is made, stating with substantial accuracy the amount claimed and the name of the party to whom the materials were
furnished, or for whom the work or labor was done or performed. Such notice shall be served by mailing the same by registered mail or certified mail,
postage prepaid, in an envelope addressed to the Principal, Owner or Surety, at any place where an office is regularly maintained for the transaction of
business, or served in any manner in which legal process may be served in the state in which the aforesaid project is located, save that such service need
not be made by a public officer.
b) After the expiration of one (1) year following the date on which Principal ceased work on said Contract, it being understood, however, that if any
limitation embodied in this bond is prohibited by any law controlling the construction hereof such limitation shall be deemed to be amended so as to be
equal to the minimum period of limitation permitted by such law.
c) Other than in a state court of competent jurisdiction in and for the county or other political subdivision of the state in which the project, or any part
thereof, is situated, or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere.
4. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith hereunder, inclusive of the payment
by Surety of mechanics' liens which may be filed of record against said improvement, whether or not claim for the amount of such lien be presented under
and against this bond.
Signed and sealed this 18th day of January 20 00
In the presence of
_ Mike Brown__EI_ec_tri_c Co.
(Principal) (Seal)
(Witness)
James G. Brown (Title) President
Great American Insurance Comnanv
(Surety) (Seal)
(Witness)
Labor and Material Payment Bond
Revised to February, 1970
By: 6kz---1190
Steve Deg-rickson (Title) Attorney-in-fact
iGUM AtVMCAN INSURANCE COMP IIY i
580 WALNUT STREET . CINCINNATI, OHIO 45202 • 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than No. 0 13830
T140 POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY, a corporation organiz&
and existing under and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named belgw
its true and lawful attorney-in-fact, for it and in its name, place and stead to execute in behalf of the said Company, as surety, any and all bo$d9,'
undertakings and contracts of suretyship, or other written obligations in the nature thereof; provided that the liability of the said Company on any
such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.
Name Address Limit of Power
K. DIXON 14RIGI1T BOTH OF BOTH
STEVE DEDRICKSON NOVATO, UNLIMITED
CALIFORNIA
This Power of Attorney revokes all previous powers issued in behalf of the attorney(s)-in-fact named above.
I N W ITN ESS W H ER EO F the GR EAT A M ER ICAN 1 NSU R ANCE COM PANY has caused these presents to be signed and attested by
its appropriate officers and its corporate seal hereunto affixed this' 12th day of November , 1999
Attest GREAT AMERICAN INSURANCE COMPANY
t tiitit:�nt .S'ccrivan Vice Preadew
STATE OF OHIO, COUNTY OF HAMILTON - ss:
On this 12th day of November, 1999 , before me personally appeared DOUGLAS R. BOWEN, to me
known, being duly sworn, deposes and says that he resided in Cincinnati, Ohio, that he is the Vice President of the [fond Division of Great
American Insurance Company, the Company described in and which executed the above instrument; that he knows thescal; that it was so affixed
by authority of his office under the By -Laws of said Company, and that he signed his name thereto by like authority.
AAAUREEN DOUG f Ohio
EJoteuy Public. State o! Ohio xh
.� My Expires Aug. 12, tool �
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American
Insurance Company by unanimous written consent dated March 1, 1993.
R ESO!-VED: That the Division President, the several Division Vice Presidents and Assistant Vice Presidents, or any one of them, be
and hereby is authorized, from time to time, to appoint one or more Att orncys-In-Fact to execute on bchaltorthe Company, as surely, any and all
bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof,- to prescribe their respective duties and the
respective limits of their authority; and to revoke any such appointment at any time.
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant
Secretary of the Company may be afTixed by facsimile to any power of attorney or certificate or either given for the execution of any bond,
undertaking, contrac(orsuretyship, orother written obligation in the nature thereof, such signarureand seal when so used being herebyadoplcd by
the Company as the original signature ofsuch officer and the original seal of the Company, to be valid and binding upon (he Company with the
same force and effect as though manually affixed.
CERTIFICATION
1, RONALD C_ HAYES, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of
Attorney and the Resolutions of the Board of Directors of March I, 1993 have not been revoked and are now to full force and effect.
Signed and sealed this 18th day of January 2000
ti
�'��pppyyy�TTyyy'''My b
Assistant Secretary
vmvs r11 'Y'l
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
rri.r�rrrirr.�rr rr rrirrr �rrrrr
State Of California
County of Marin
l
l
1 On January 18. 2000 before me, Stacv M. Davis, Notary Public
DATE NAME. TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC -
personally appeared Steve Dedrickson
NAME(S) OF SIGNER(S)
® 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 ac-
knowledged to me that he/she/they executed
the same in his/her/their authorized
0@COMM'
STACYM. DAS .. capacity(ies), and that by his/her/their
COMM, # 1238748
UNOTARY PUBLIC-CALIFORNIAsignature(s) on the instrument the person(s),
2 MARIN COUNTY 0 or the entity upon behalf of which the
t -- EXP. OCT. 19, - person(s) acted, executed the instrument.
W E S my hand and icial seal.
0
SIGNATURE 0 NTARY
SO -1133 3/94 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309-7184
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this farm.
t
t
CAPACITY CLAIMED BY SIGNER
DESCRIPTION OF ATTACHED DOCUMENT
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TITLE OR TYPE OF DOCUMENT
TITLE(S)
i
❑ PARTNER(S) ❑ LIMITED
1
❑ GENERAL
1
11 ATTORNEY-IN-FACT
NUMBER OF PAGES
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
1
1
DATE OF DOCUMENT t
l
1
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
Great American Insurance Companv
SIGNER(S) OTHER THAN NAMED ABOVE
SO -1133 3/94 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309-7184
State of California )
SS.
County of Sonoma )
On January 18, 2000, before me, Susan Heath Allred, Notary Public in and for said
State, personally appeared James G. Brown, personally known to me 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, or the entity upon behalf of which the person acted, executed the instrument.
SUSAN HEATH ALLRED
UCOMM. S 1235685
Q NOTARY PUBLIC -CALIFORNIA 0
SONOMA COUNTY n
r COMM. EXP. SEPT. 25, 20031
WITNESS my hand and official seal.
su'- w 4ajj�- aL".Ld
Susan Heath Allred
i 1Lvl_I V CI )
JAN 2 5 2000
STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 CITY OF SAN RAFAEL
COMPENSATION
INSURANCE
F V N O CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
JANUARY E4, 2000 POLICY NUMBER: 15'2'9896 - Obi
CERTIFICATE EXPIRES: 1-1-01
F -
CITY OF SAN RAFAEL
DEBT OF PUBLIC WORKS
P 0 BOX 1151560
SAN RAFAEL CA 54915 JOB: FOURTH ST & FIFTH AVE
PROD 049-4910-8 70--8000,
I'D" NUMBER 655
L
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the policy period indicated.
30
This policy is not subject to cancellation by the Fund except upon vq days' advance written notice to the employer.
30
We will also give you W days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with
respect to which this certificate of insurance 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.
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #2,065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE
01/24/00 IS ATTACHED TO AND FORMS P. FART OF THIS POLICY.
EMPLOYER
F -
MIKE BROWN ELECTRIC CO
561-A MERCANTILE DR
COTATI CA 94931
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10262 (REV. 3-95)
o m-_#iLL+r—m 1 IrI%.rH I C Ur LIA01LI 1 T IIN%"')UKHINI►II&B 1 ( 01/24/00
PRODUCER THIS CERTIFICATE ')SUED AS A MATTER OF INFORMATION
ONLY AND CONFEh ,O RIGHTS UPON THE CERTIFICATE
Reffernan Petersen Ins Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1981 North Broadway, Suite 215 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Walnut Creek CA 94596
Phone: 925-934-8500 Fax:925-934-8278 INSURERS AFFORDING COVERAGE
INSURED INSURER CNA 1C'vINED
INSURER B p�1
Mike Brown Electric Co. INSURER C JA88fl
561 A Mercantile Drive
Cotati CA 94931 INSURERD
pVq, IC way S QE 11
INSURER E: CITY OF SAN RAFAE
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR POLICY
ATE IMM/1 EFFECTIVE POLIC
DATE IMM/DDmI n
LTR TYPE OF INSURANCE POLICY NUMBER LIMITS
GE NERAL LIABILITY EACH OCCURRENCE $1000000
A X COMMERCIAL GENERAL LIABILITY 1074160811 01/01/00 01/01/01 I FIRE DAMAGE (Any one fire) $100000
CLAIMS MADE OCCUR I MED EXP (Any one person) $5000
GEN'L AGGREGATE LIMIT APPLIES PER
POLICYF—] PRO- F__] LOC
PRO-
JECT
AUTOMOBILE LIABILITY
A X ANY AUTO 1078377429 01/01/00 01/01/01
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
GARAGE LIABILITY
:�] ANY AUTO
EXCESS LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
A Installation Fltr. 1074160811 01/01/00 01/01/01
PERSONAL BADV INJURY $1000000
GENERAL AGGREGATE s2000000
PRODUCTS - COMP/OPAGG 32000000
Emp Ben. 1000000
COMBINED SINGLE LIMIT $1000000
(Ea accident)
BODILY INJURY $
(Per person)
BODILY INJURY S
(Per accident)
PROPERTY DAMAGE S
(Per accident)
AUTO ONLY - EA ACCIDENT S
OTHER THAN EAACC $
AUTO ONLY: AGG $
EACH OCCURRENCE S
AGGREGATE S
S
WCS
S
S
ORYILIMITS I IOER
E.L. EACH ACCIDENT I S
E.L DISEASE - EA EMPLOYEEI S
E L DISEASE - POLICY LIMIT I S
DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
JOB: FOURTH STREET & FIFTH AVE TRAFFIC SIGNAL INTERCONNECT PROD. PROJECT
#049-4910-8270-8000 CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS AND EMPLOYEES
ARE NAMED AS ADDITIONAL INSUREDS PER THE ATTACHED CONTRACTORS BLANKET
ENDORSEMENT.
CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER:
CITOSRF
CITY OF SAN RAFAEL
DEPARTMENT OF PUBLIC WORKS
P.O. BOX 151560
SAN RAFAEL CA 94915-1560
ACORD 25-S (7/97)
$150,000
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO S HALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES._
CACORD CORPORATION 11988
F
EXE.._✓✓�. ' _ � • 1 �r ��;�--�' �-'^ :7� �-- =`gin
77
,isured:
..._..^....
10741_60811AV AN Ow Cwnwarwkia wV 1&.W
THIS ENDORSEMENT CHANGES THE POLICY.
PLEASE READ IT CAREFULLY,
CONTRACTOR'S BLANKET ADDITIONAL INSURED ENDORSEMENT.
This endorsement modrfles insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. WHO 13 AN iNSURED (Section 11) Is amended to
(2) That .portion of "your work' out ol.which
include as an insured any person or organization _ _ ..-....__
---
_ _ . the injury or damage arises has beea�"put
(called additional insured) whom you ora required to
=:
to its intended use by any person'°ar : w
add as an additional insured on this policy under.
organization other than another coritractor�;:F:
1. A written contract or agreement; or
or subcontractor. engaged In perinrming
operations for a principal as -part' of the
2. An oral contract or agreement whore a certificate
same project.
of insurance showing that person or organization
as an additional insured has heart issued; but
b. "Bodily injury" or "property damage' arising
out of acts or omissions of the • ade t real
the written or oral contract or weenie mt:muat be: _
Insured dther than In connection. -with _tote—:._
- _.------------general
Currently In effect or becoming-effectk—duHng theJ
suporviaion-ofAioury�iark,'
term of this policy; and - 4.
The insurance provided to the-addrtianal insured
' -
2 'bodily injury,' "property
Executed prior to ,the
does ..not - apply -.-.to 'bodily - Injury,' _'pmparty -- .-
damage,*
e,' 'personal lnjury' or 'advertising injury'
damage,' `personal injury' or `advertising Injury.'
arising 'out of .an - architect's, anglneers, or
S. The insurance provided to the addMonal Insured Is
surveyor's rendering at -or failure to render any
limited as follows:
professional servicas including:
1. That person or organization is only an additional
a. The preparing, approving, or failing to prepare
insured with respectlo
a. Your premises;
b. ' Your worm for that additional insured; or
c. Acts or -omissions of the additional insured In
connection wish the general supervision of
"your work! __.. •. _._ . __ _ C.
2. The Limits -_of . Insurance applicable -to the
additional insured are those specified in the
written contract or agreement 'or in the
Declarallons for this policy, whichever Is less.
These Limits -of insurance are Inciusive and not in
addition to the Limits of Insurance shown In the
Declarations,.
or approve maps, shop ;drawings,- opiniono,
reports, surveys, field orders, change orders
or drawings and specifications; and
b. Supervisory, 'or lnspection.actMties performed.
as part of any --related- srchitectural''cr
engineering activities.
As respects the - coverage ;-Rrot�ided:. under -this _ --
endorsement, . -Paragraph = =4.b.-•. �EGTION =:IV= --
COMMERCIAL GENERAL LIABIL".-CONDiTIONS
is amended with the addition of the following,
4. Other Insurance
b. Excess insurance
This insurance is excess over:
3: Except when required by contract or agreement, Any other valid and collectible Insurance
the coverage provided to the additional Insured by available to the additional insured whether
this endorsement does not apply to: primary, excess, contingent or on any other
8. "Bodily injury' or "property damage' occurring basis unless a contract specifically requires
after; that this - insurance be either primary or
primary and noncontributing. Where required
(1) All work on the project (other than by contract, we will consider any other
service, maintenance or repairs) to be Insurance maintained by the additional
performed by c: insured for injury or damage covered by this
additional insured at the . site of the endorsement to be excess and
covered operations has been completed; noncontributing with this insurance.
or
T_^
G -17957-F Paga 1 of I
(Ed. 04/98) Gds oNnas Nus uHO wdze : ve 00, 9e Nur
2'd