HomeMy WebLinkAboutCC Resolution 10588 (Oakwood Dr Slide Repair)RESOLUTION NO. 10588
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN
RAFAEL AWARDING THE CONTRACT FOR THE OAKWOOD
DRIVE SLIDE REPAIR TO MAGGIORA AND GHILOTTI, INC. IN
THE AMOUNT OF $83,495.00.
BE IT RESOLVED by the Council of the City of San Rafael as follows:
WHEREAS, on the 10"' day of February, 2000, pursuant to due and legal
notice published in the manner provided by law, inviting sealed bids or proposals for the
work hereinafter mentioned, as more fully 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:
"OAKWOOD DRIVE SLIDE REPAIR"
PROJECT NO. 110-4421-656-8000
in accordance with the plans and specifications therefor on file in the office of said City
Clerk; and
WHEREAS, the bid of Maggiora and Ghilotti, Inc. at the unit prices stated
in its bid is the lowest and best bid for said work and said bidder is the lowest responsible
bidder therefor.
NOW, THEREFORE, BE IT RESOLVED by the Council of the City of
San Rafael that the bid of Maggiora and Ghilotti, Inc. and the same is hereby accepted at
said unit prices and that the contract for said work and improvements be and the same is
hereby awarded to said Maggiora and Ghilotti, Inc. at the unit prices mentioned in said
bid.
RESOLVED, FURTHER, that the Mayor and City Clerk of said City be
authorized and directed to execute a contract with Maggiora and Ghilotti, Inc. for said
work and to return the bidders bond upon the execution of said contract.
IT IS 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, 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 on the 22"d day of February, 2000, by the following vote, to wit:
AYES: COUNCILMEMBERS: Cohen, Heller, Miller, Phillips & Mayor Boro
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: None
'�h .
�iClerk
JEAAMLEO INI
File No.: 16.11.41
City of San Rafael • California
Form of Contract Agreement
for
Oakwood Drive Slide Repair
This Agreement is made and entered into this 22nd day of February, 2000 by and
between the City of San Rafael (hereinafter called City) and Maggiora & Ghilotti, Inc.
(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: Oakwood Drive Slide Repair , 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 7
calendar days after the date of written notice by the City to the Contractor to
proceed.
(b) The work shall be completed within 60 working days after the date of such notice
and with such extensions of time as are provided for in the General Conditions.
(c) No excavation work during rain and rain days will be given.
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
NO.
ITEM
1. Mobilization and Demobilization and all
other Ancillary Work not otherwise
included.
2. Six foot high Soldier Pile and Timber
Lagging Retaining Wall, includes
excavation of 5 -foot wide bench below
wall, temporary stockpiling of spoils for
future use as backfill behind wall,
drilling, steeel beam installation,
placement of wood lagging and wall
drainage.
3. Soil backfill behind wall.
4, Landscape to include replanting
approximately 40 Oleanders.
5. Jute Netting and Hydroseeding.
QUANTITY UNITS
LS
UNIT PRICE
@ $8,900.00 =
1200
Ft.2 @
$49.00 =
115
Yds3 @
$89.00 =
LS
@
$3,000.00 =
400
Yds2 @
$6.40 =
GRAND TOTAL BID
TOTAL PRICE f
i,: •11 11
$58,800.00
$10,235.00
$3,000.00
$2,560.00
$83,495.00
V - Progress Payments
(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.
AGREEMENT • 2
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
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.
ATTEST:
aWn` 'M.`Le ci
Je ne M. Leoncini
City Clerk
&6y T. Ray
City Attorney
CITY OF SAN RAFAEL:
Iq - XI)
'p
A ertboyo
Mayor
CONTRACTOR:
ak
for Ghgotil
File No: 16.11.41
AGREEMENT 9 3
CONTRACTOR'S BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
FOR FAITHFUL PERFORMANCE Hartford, Connecticut 06183
BOND NO. 005SB103239751BCM
PREMIUM: $376.00
KNOW ALL MEN BY THESE PRESENTS:
Thatwe, MAGGIORA AND GHILOTTI, INC.
as Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, a corporation organized
under the laws of the State of Connecticut and duly authorized under the laws of the State of California to become
sole surety on bonds and undertakings, as Surety, are held and firmly bound unto
CITY OF SAN RAFAEL
1400 FIFTH AVENUE, SAN RAFAEL, CA. 94915 as Obligee,
in the full and just sum of EIGHTY THREE THOUSAND FOUR HUNDRED NINETY FIVE AND NO/100THS---------
Dollars, ($83,495.00 ), lawful money of the United States of America, to be paid to the said Obligee,
successors or assigns; for which payment, well and truly to be made, we bind ourselves, our heirs, executors,
successors, administrators and assigns, jointly and severally, firmly by these presents.
Sealed with our seals and dated this 1st day of MARCH . 2000
THE CONDITION OF THE ABOVE OBLIGATION is such that whereas the said Principal has entered into a
contract or is about to enter into a contract with the said Obligee
OAKWOOD DRIVE SLIDE REPAIR
PROJECT NO. 110-4421-656-8000
as is more specifically set forth in said contract, to which contract reference is hereby made.
NOW, THEREFORE, if the said Principal shall well and truly do the said work, and fulfill each and every of the
covenants, conditions and requirements of the said contract in accordance with the plans and specifications, then
the above obligation to be void, otherwise to remain in full force and virtue.
MAGGIORA SND G INC.
}
BY.
l �
TRAVELERS CASUALTY A`ND SURETY COMPANY OF AMERICA
By 6ZL,
KETA,Y HOLTEMANN Attorney -in -Fact
S-2359-1 (07-97)
CA UFORNIA AIrPURPOSE ACKIVO WLEIDGEM=
State of CALIFORNIA
County of S O N O M A
On 3-1-00 before me, BONNIE K. FRYMIRE, NOTARY PUBLIC ,
DATE NAAAE, TITLE OF OFFICER - E.G., AMIE DOE, NOTARY PUBLIC
personally appeared
KELLY HOLTEMA-------------------'---'------'-'--
--------'
NAMES) OF SIGNERS)
® personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
to be the personal whose nameW is/mc
subscribed to the within instrument and
acknowledged to me that ]?c>sS/she/� e1 K
executed the same in WaffierAkeir authorized
t capacit(jWy, and that by /leer/bhebm
OFFICIALSEAL -1217287 Z signature(A on the instrument the personal
BONNIE K. FRYMIRE n
U m NOTARY PUBLIC CALIF. or the entity upon behalf of which the
COUNTY OF SONOMA j erson(#) acted, executed the instrument.
Z
My Comm. Exp. Apol 2B, 2003 P p
�r.'F`fJW.1�fY , .CSitp..i}..7'�Y..i -YY, �.�,�.V •.f i' i j
TNr,SS my hand and official seal.
SIGNATURE OF NOT Y
OPTIONRI
Though the data below is not requited by law, it may prove valuable to persons relying on the
document and prevent fraudulent reattachment of this form
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE
TITLES)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSONS) OR EWMES)Y
TR_ AVELERS CASUALTY AND
OF AMERICA
SURETY COMPANY
DESCRIPTION OF ATTACHED DOCUMENT
PERFORMANCE BOND
TITLE OR TYPE OF DOCUMENT
ONE
NUMBER OF PAGES
MARCh 1st, 2000
DATE OF DOCUMENT
N/S
SIGNER(S) OTHER THAN NAMED ABOVE
I r I rrvuv I OUNU - eUBLIC: w0
SECTIONS 3247 -.3252, CIVIL CODE
(CALIFORNIA)
KNOW ALL MEN BY THESE PRESENTS:
TRAVELERS CASUALT I -AND SURETY COMPANY OF AMERICA
Hartford, Connecticut 06183
Bond No. 005SB103239751BCM
Premium $INCLUDED
THAT WHEREAS, The State of California, acting by and through the CITY OF SAN RAFAEL
has awarded to MAGGIORA AND GEILO TTI, INC.
as Contractor, a contract for the work described as follows:
OAKWOOD DRIVE SLIDE REPAIR
PROJECT NO. 110-4421-656-8000
AND WHEREAS, Said Contractor is required to furnish a bond in connection with said contract, to secure the payment of
claims of laborers, mechanics, materialmen, and other persons as provided by law.
NOW, THEREFORE, We the undersigned Contractor and Surety are held and firmly bound unto the State of Califomia in
the amount required by law, the sum of EIGHTY 'THREE THOUSAND FOUR HUNDRED NINETY FIVE AND NO/10OTHS----
($83,495•00 ) Dollars, for which payment well and truly to be made we bind ourselves, our heirs, executors
and administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH,
That if said Contractors shall fail to pay (1) Any of the persons named in Civil Code Section 3181, (2) amounts due under
the Unemployment Insurance Code for work or labor performed in connection with said contract by any such claimant, or
(3) any amounts required to be deducted, withheld and paid over to the Employment Development Department from
wages of the employees of Contractor and his sub -contractors with respect to such work and labor, pursuant to Section
13020 of the Unemployment Insurance Code, then the Surety or Sureties herein will pay for the same in an aggregate
amount not exceeding the sum specified in this bond, and also in case suit is brought upon the bond, a reasonable
attorney's fee, to be fixed by the court, otherwise the above obligation shall be void.
This bond shall inure to the benefit of any of the persons named in Civil Code Section 3181 so as to give a right of action
to such persons or their assigns in any suit brought upon this bond.
This bond is executed and filed to comply with the provisions of the act of Legislature of the State of Califomia as
designated in Civil Code, Sections 3247 - 3252 inclusive, and all amendments thereto.
IN WITNESS WHEREOF, We have hereunto set our hands and seals on this 1St day of MARCH 2000 .
MAGGIORA AND GHILOTTI, INC.
BY: 8
Contractor
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
By 6Lilkm hv)
' Attorney -in -Fact
S -2061-B (07-97)
State of CALIFORNIA
County of S O N O M A
On 3-1-00 before me, BONNIE K. FRYMIRE, NOTARY PUBLIC
DATE NAME, TITLE OF OFFICER - E.G., JANE DOE, NOTARY PUBLIC
personally appeared KELLY HOLTEMANN ------------------------------------------
"L*(S) OF SIGNER(S)
® personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
to be the person(* whose name( is/am
subscribed to the within instrument and
acknowledged to me that Wshe/
executed the same in h6sIffierAkeir authorized
capacit(i y, and that by AWher/bac
signatureW on the instrument the personal
OFFICIAL SEAL - 1217287 or the entity upon behalf of which the
*;BONNIE K. FRYMIRE z person" acted, executed the instrument
Q NOTARY PUBLIC - CALIF. M
Z COUNTY OF SONOMA
My Comm. Exp. Apri12B, Zoos) WIT�,SS my hand and official seal.
SIGNATURE OF j16TARY/
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the
document and prevent fraudulent reattachment of this form
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE
TITLE(S)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAPE OF PERSONS) OR ENTIT(IES)Y
TRAVELERS CASUALTY AND SURETY COMPANY
OF AMERICA
DESCRIPTION OF ATTACHED DOCUMENT
PAYMENT BOND (LABOR AND MATERIALS BOND)
TITLE OR TYPE OF DOCUMENT
ONE
NUMBER OF PAGES
MARCH 1st, 2000
DATE OF DOCUMENT
N/S
SIGNER(S) OTHER THAN NAMED ABOVE
IN WITNESS WHEREOF, TRAVELER :ASUALTYAND SURETY COMPANY C AMERICA has caused this instrum er
to be signed by its Vice President, and its corporate seal to be hereto affixed this 1st day of July, 1997.
�l0 YAF�C
STATE OF CONNECTICUT i SS. Hartford 5=
f 3 mmom
COUNTY OF HARTFORD
TRAVELERS CASUALTY AND SURETY COMPANY OF ANIERICA
By
George W. Thompson
Vice President
On this 1st day'of July, 1997, before me personally came GEORGE W. THOMPSON to me known, who, being by me dul
swom, did depose and say: that he/she is Vice President of TRAVELERS CASUALTY AND SURETY COMPANY O
AMERICA, the corporation described in and which executed the above lostrument; that he/she knows the seal of sal
corporation; that the seal affixed to the said instrument is such corporate seal; and that he/she executed the said instrumer
on behalf of the corporation by authority of his/her office under the Standing Resolutions thereof.
My commission expires June 30, 2001 Notary Public
Marie C. Tetreault
CERTIFICATE
i, the undersigned, Assistant Secretary of TRAVEL:ERS;,CASUALTY--ANDkSURM, xCOMPANYf1OF AMERICA, a-stoc
corporation of the State of Connecticut,— DO HEREBY CERTIFYipthat the" foregdinrana*ttaciW!—Power, of'Attomey'ar
Certificate of Authority remains in full force and has not been revoked; and furthermore_; that the'=Standing Resolutions of tt
Board of Directors, as set forth in the Certificate of Authority, are now in force.
Signed and Sealed at the Home Office of the Company, in the City of Hartford, State of Connecticut. Dated this
1st day of MARCH , 20 00
ti
M * By.
CM
Rose Gonsoulin
h` • '' Assistant Secretary
S-2435 (7-95)
ACORD,. CERTI FICA— --OF LIABILITY INSUR. 4 ECSR s0 DATE(MM/DDNY)
MAGGI-1 02/25/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Don Ramatici Insurance, Inc.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. 0. Box 551
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Petaluma CA 94953
I COMPANIES AFFORDING COVERAGE-,-
Paul Ramatici
COMPANY 1, - • `- ''
Phone No 707-782-9200 Fax No 707-782-9300
A Travelers/Aetna Insurance
INSURED
�• �_ L k'
I COMPANY i l_Li
B Fireman's Fund Insurance Co.
COMPANY
Maggiora & Ghilotti, Inc.
C Travelers/Aetna Insurance
555 Dubois Street
San Rafael CA 94901
COMPANY
D
COVERAGES
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.
co LTR TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
LIMITS
DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE I $ 2,000,000
A X COMMERCIAL GENERAL LIABILITY DTC045OX3036
09/01/99 09/01/00
PRODUCTS - COMP/OPAGG I$ 2,000,000
CLAIMS MADE FX� OCCUR
PERSONAL & ADV INJURY I $ 1,000,000
OWNER'S & CONTRACTOR'S PROT
I EACH OCCURRENCE I $ 1,000,000
X XCU Included BROAD FORM PROP. DAMAGE
IFIRE DAMAGE (Any one fiire) Is 300,000
X $500. GL Ded INDEPENDENT CONTRACTORS
I MED EXP (Any one person)
$ 5,000
AUTOMOBILE LIABILITY
B X ANY AUTO 1X=80742322
09/01/99 09/01/00
COMBINED SINGLE LIMIT
$1,000,000
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
—
(Per person)
X HIRED AUTOS
X NON -OWNED AUTOS
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY
I AUTO ONLY - EA ACCIDENT I $
ANY AUTO
OTHER THAN AUTO ONLY. I
I
EACH ACCIDENT I $
AGGREGATE I $
EXCESS LIABILITY
I EACH OCCURRENCE
$ 9,000,000
C
UMBRELLA FORM
DTCUP331K8475
09/01/99 09/01/00 AGGREGATE
I $ 9,000,000
OTHER THAN UMBRELLA FORM
l Retention $ 10,000
WORKERS COMPENSATION AND
I I WC S I
EMPLOYERS LIABILITY
ITU-
IOER I
I EL EACH ACCIDENT I $
THE PROPRIETOR/
INCL
I
PARTNERS/EXECUTIVE
EL DISEASE - POLICY LIMIT
$
OFFICERS ARE
EXCL
EL DISEASE - EA EMPLOYEE
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: Operations of the Named Insured for the
Certificate Holder.
Job: Oakwood Drive Slide Repair Project No. 110-4421-656-8000 M&G #{4803
*Ten day notice would be sent on non payment.
30*XCGD209 07-98/Special
CERTIFICATE HOLDER
CANCELLATION
SANRAI3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EMBEANIOR;B MAIL
City of San Rafael, its
30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
officers, agents & employees
Dept. of Public Works
�arrt�l►�rnllrrnn�l�
P.O. Box 151560
onyaart rtcrneacrrnri4E9
San Rafael, CA 94915-1560
AUTHo EPRESENTATI
ACORD 25-S (1/95)
OLMORPORATION 1988
INSURED: MAGGIORA & GH TTI, INC.
POLICY NO: DTC0450X3036 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(CONTRACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY — CONTRACTORS COVERAGE PART
1. WHO IS AN INSURED — (Section II) is amended
to Include any person or organization you are re-
quired to include as an additional insured on this
policy by a written contract or written agreement
in effect during this policy period and executed
prior to the occurrence of any loss.
2. The insurance provided to the additional insured
is limited as follows:
a) The person or organization is only an addi-
tional insured with respect to liability arising
out of "your work" for that additional Insured.
b) In the event that the limits of liability stated In
the policy exceed the limits of liability re-
quired by the written contract or written
agreement, the insurance provided by this
endorsement shall be limited to the limits of
liability required by the written contract. This
endorsement shall not increase the limits
stated in Section III — LIMITS OF
INSURANCE.
c) The Insurance provided to the additional in-
sured does not apply to "bodily Injury",
"property damage", "personal injury" or
"advertising Injury" arising out of an archi-
tect's, engineer's or surveyor's rendering of or
failure to render any professional services
including:
1. The preparing, approving or failing to 4.
prepare or approve maps, shop drawings,
opinions, reports, surveys, field orders,
change orders, or drawings and specifi-
cations; and
tion with the general supervision of "your
work".
e) This insurance does not apply to "bodily in-
jury" or "property damage" arising out of
"your work" included In the "products -
completed operation's hazard" unless you are
required to provide such coverage by written
contract or written agreement and then only
for the period of time required by the contract
and In no event beyond the expiration date of
the policy.
Q This Insurance does not apply to any person
or organization for whom you have procured
separate liability insurance while such Insur-
ance is in effect, regardless of whether the
scope or limits of Insurance in this policy ex-
ceed those of such other insurance or
whether such other insurance is valid or col-
lectable.
3. Subpart (1)(a) of the Pollution exclusion under
Paragraph 2., Exclusions of Bodily injury and
Property Damage Liability Coverage (Section i —
Coverages) does not apply to you If the "bodily
injury" or "property damage" arises out of "your
work" performed on premises which are owned or
rented by the additional Insured at the time "your
work" is performed.
Il. Supervisory or inspection activities per-
formed as part of any related architec-
tural or engineering activities.
d) Except when required by written contract or
written agreement, the coverage provided to
the additional insured by this endorsement
does not apply to "bodily injury" or "property
damage" arising out of acts or omissions of
the additional insured other than in connec-
Any coverage provided by this endorsement to an
additional insured shall be excess over any other
valid and collectible insurance available to the
additional insured whether primary, excess, con-
tingent or on any other basis unless a written
contract or agreement specifically requires that
this Insurance apply on a primary or contributory
basis.
5. As soon as practicable, each additional insured
must give us prompt notice of any "occurrence"
which may result in a claim, forward all legal pa-
pers to us, cooperate in the defense of any ac-
tions, and otherwise comply with policy condi-
tions.
CG D2 09 07 98 Copyright, The Travelers Indemnity Company, 1998 Page 1 of 1
ACORD CERTIFICAT- OF LIABILITY INSUR. ACEAGR.
1 D02/25/ 0
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Don Ramatici Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 551 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Petaluma CA 94953 I COMPANIES AFFORDING COVERAGE
Paul Ramatici
Phone No. 707-782-9200 Fax No 707-782-9300
INSURED
Maggiora & Ghilotti, Inc.
555 Dubois Street
San Rafael CA 94901
COMPANY
A State Compensation Ins. Fund
COMPANY
B
COMPANY
C
COMPANY
D
COVERAGES
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.
CO TYPE OF INSURANCE
LTR
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
-�] CLAIMS MADE ❑ OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
LIMITS
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL 6 ADV INJURY S
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) S
MED EXP (Any one person) $
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY
I AUTO ONLY - EA ACCIDENT
$
ANY AUTO
I OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
I EACH OCCURRENCE
$
UMBRELLA FORM
(AGGREGATE
$
OTHER THAN UMBRELLA FORM
I
$
WORKERS COMPENSATION ANDI
LATU- I IOER
X I
EMPLOYERS' LIABILITY
TORY
I EL EACH ACCIDENT
$1,000,000
A THEPROPRIETORI I
}L
I INCL 4307399
10 O1
/01 10/O1/OO I EL DISEASE
/ /99
__ it
-POLICY LIMIT
$1,000,000
OFFICERS ARE li
EXCL
I EL DISEASE - EA EMPLOYEE
$1,000,000
OTHER
DESCRIPTION OF OPERAT:ONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: Operations of the Named Insured for the Certificate Holder.
Job: Oakwood Drive Slide Repair Project No. 110-4421-656-8000 M&G #4803
*Ten day notice would be sent on non payment.
30*X
CERTIFICATE HOLDER CANCELLATION
SAN14AI3 SHOULD ANY OF THE ABOVE DESCRIBED POLICrES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENBEAYEIR-ifi MAIL
City of San Rafael, its 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
officers, agents & employees zed i.o me -do, -ma, I EIR HINBR#
Dept. of Public Works
P.O. Box 151560
San Rafael, CA 94915-1560 AUTHD EPRESENTATI
ACORD 25-S (1/95) MAAn (F#4QR,.0 dORPORATION 1988