HomeMy WebLinkAboutCC Resolution 10708 (East SR Drainage Pond Improvement)RESOLUTION NO. 10703
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN
RAFAEL AWARDING CONTRACT FOR EAST SAN RAFAEL
DRAINAGE POND IMPROVEMENT TO MAGGIORA &
GHILOTTI, INC. IN THE AMOUNT OF $107,720.
BE IT RESOLVED by the Council of the City of San Rafael as follows:
WHEREAS, on the 13t" day of September, 2000, pursuant to due and legal
notice published in the manner provided by law, inviting sealing 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:
EAST SAN RAFAEL DRAINAGE POND IMPROVEMENTS
PROJECT NO. 650-1720-8219
In accordance with the plans and specifications therefor on file in the office of said City
Clerk; and
WHEREAS, the bid of MAGGIORA & GHILOTTI, INC. 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;
NOW, THEREFORE, BE IT RESOLVED by the Council of the City of
San Rafael that the bid of MAGGIORA & 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 & GHILOTTI, INC. at the unit prices
mentioned in said bid.
�b�
RESOLVED, FURTHER, that the Mayor and the City Clerk of said City
be authorized and directed to execute a contract with MAGGIORA & GHILOTTI, INC.
for said work and to return the bidders bond upon the execution of said contract.
RESOLVED, FURTHER, 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 18" day of September, 2000, by the following vote, to wit:
AYES: COUNCILMEMBERS: Cohen, Heller, Phillips and Mayor Boro
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Miller
JEA E M. LEONCINI, City Clerk
File No.: 08.02.197
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City of San Rafael ♦ California
Form of Contract Agreement
For
EAST SAN RAFAEL DRAINAGE POND IMPROVEMENTS
This Agreement is made and entered into this 18th day of September, 2000 by and
between the City of San Rafael (hereinafter called City) and Maggiora & Ghilotti
(hereinafter called Contractor). Witnesseth, that the City and the Contractor, for the
considerations hereinafter named, agree as follows:
I- 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: East San Rafael Drainage Pond
Improvements , 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.
II- Time of Completion
(a) The work to be performed under this Contract shall be commenced within five (51
calendar days after the date of written notice by. the City to the Contractor to
proceed.
(b) The work shall be completed as specified in the Price of Items. Bid Items 1 & 2 - No
later than October 15, 2000. Bid Item 3 - No later than December 1, 2000.
Bid Items 4 & 5 - No later, than September 15, 2001.
III - 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
ST
UNIT ITEM
ITEM
NO. I ITEM I UNIT I QTY I PRICE, $ I TOTAL, $
Al
Excavate channel and place
uncompacted fill prior to October
15th, 2000
LS
1 42,000.00 42,000.00
A2
Provide and install erosion control
measures prior to October 15th, 2000
LS
1 14,200.00 14,200.00
A3
Provide and install 600 GPM pump in
existing pump station and all
associated electrical work to furnish
a complete and operating system
prior to December 1, 2000
LS
1 20,720.00 20,720.00
A4
Moisture condition and compact fill
and install drainage facilities prior to
September 15th, 2001
LS
1 23,800.00 23,800.00
A5
Provide and install quarry waste/a.c.
grindings all weather surface and set
manholes to grade prior to September
15th, 2001.
LS
1 7,000.00 7,000.00
Grand Total 107,720.00
V — Progress Payments
(a) On not later than the 6f 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
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
AGREEMENT • 2
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:
Aze.�, A
Je ne M. Leoncini
City Clerk
Gary T.
City Attc
CITY OF SAP RAFAEL:
Al �ert 4oro
Mayor
CONTRA
45" Ohm
for�' ,•
File No: 08.02.197
AGREEMENT • 3
CONTRACTOR'S BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
FOR FAITHFUL PERFORMANCE Hartford, Connecticut 06183
"BOND ISSUED IN DUPLICATE" BOND NO. 005SB103370441BCM
KNOW ALL AMEN BY THESE PRESENTS: PREMIUM: $485.00
That we, MAGGIORA AND GHILOTTI, INC.
as Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, a corporation organized
under the laws of the State of Connecticut and duly authorized under the laws of the State of California to become
sole surety on bonds and undertakings, as Surety, are held and firmly bound unto
CITY OF SAN RAFAEL
as Obligee,
in the full and just sum of ONE HUNDRED SEVEN THOUSAND SEVEN HUNDRED 'TWENTY .AND NO/100ths------
Dollars, ($ 107,720.00 ), 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 18th day of SEFTENBBER ,-M 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
EAST SAN RAFAEL DRAINAGE POND IMPROVEMENTS
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.
CASUALTYTRAVELERS DQTy1&C08MWPANY* OF
By /il f
LAWRENCE C0fiE Attorney -in -Fact
8-2359-1(07.97)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGIMEUT
A State of CALIFORNIA -
k
X County of SONOMA
On 9-18-00 before me, BONNIE K. FRY=, NOTARY PUBLIC
BATE NAMF, TITLE or ornom - III JANE tiorz. Not AnY PLOO—
L—
personally appeared A%UNCE J. COYNE
NAME($) Of sioNII
iCxl personally known to me - OR - 1-1 proved to mo on (lie basis of satisfactory* evidence
-whose namejx) is/
to be the pd.rsonoM
subscribed to the within instrument and ac-
knowledged to -me that he/mbabbMW executed
the same In his/ hEaftbak a.uIllorized
capacity(Ung, and that by hishima2buk
!Ih
III 1141161111bi 1, 1 sjgnalure(�) on the Instrument the person(k),
OFFICIAL SEAL - 1217287 1 or the entity Upon behalf of 'Which the
BONNIE K. FRYMIRE 0 Z person(v) 'acted, executed the 'Instrument. A
NOTARY PUBLIC - CALIF, X
z
COUNTYOFSONOMA
"yCoIIIi'M- EXP, APrII 28,20()31
SIT PESS my hand and official seal.
A
Though the data below is not required by law, It may prove valuable to persons relying on the document and could prevent
fraudulen(teallachment.of Ifils roan.
CAPACITY CLAIMED BY SIGNE11
0 INDIVIDUAL
0 CORPORATE OFFICEF!
0 PARTNER(S) 0 LIMITED
UGENERAL
ATTORNEY -w -FACT
❑ TnUSTEE(S)
0 GUAnDIAN/CONSEIRVATOR
❑ OTHER:
. DESGIIIPTIONUFATTACHED DOCUMENT
ONE
NUMBER OF PAGES
SEPTEMBER 18th, 2000
DATE OF DOCUMENT
SIGNER 18 REPRESENTING:
NAME 4F PEnSWI On ENTffY(IES) NIS
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA SIGNER(S) OTHER THAN NAMED ABOVE
01993 t.IA7 10NAL NOTAW ASSOCIATION - 8238 tierntnei Ave., 117.0- box 7104 -Canoga VakCA9130FI-711134
i nuivu - VUULIC WORK
SECTIONS 3247 - 3252, CIVIL CODE
(CALIFORNIA)
KNOW ALL MEN BY THESE PRESENTS:
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
Hartford, Connecticut 06183
Bond No. 005SB1033704418CM
Premium $ INCLUDED
THAT WHEREAS, The State of California, acting by and through the CITY OF SAN RAFAEL
has awarded to. mAGGICRA AND GBILOTTI, INC.
as Contractor, a contract for the work described as follows:
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 SWR6 ia in
the amount required by law, the sum ofONE HUNDRED SEVEN THOUSAND SEVEN EtiNDFED TWENTY - �14
($ 107,720.00 ) 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, (2T 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 ' m
wages of the employees of Contractor and his sub -contractors with respect,to such work and la the
pursuant to 8edtion
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 18thday of ' SEPTEMEER . 20 00-
Y"IC.Rk AND GHJJOTTI, INC. -
BY: A 11
Contractor
any Ghft" 0,
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
—2a Attorney -in -Fact
LAWRENCE J. I�OYN]e
5-2061-8 (07-97)
CALIFOnNIA ALL-PUnPOSE ACIENOWLEDGMEHT N,%-9907
State of CALIFORNIA -
County of SONOMA
On 9-18-00 before me, BONNIE K. FR)ZIR-t, -NOTARY PUBLIC
oAtar NAME, -rrme or orricen - F_nN-J,"S DW4 HOTAny Pumti7
personally appeared -
LAWRENCE J. COYNE"
.1
NAME(% OF SIGNS"(8)
Axl personallyknown to me - On - proved to me on the basis of satisfactory evidence
to .be the pd.rsonM'whose nameXx) Is/mm
subscribed to the -within instrument and ac-
knowledged to me that he/idmMbn executed
the same In his/ jm),%ktm& authorized
Capacity(, and that by hishbMaMIM
signature(§O. on the Instrument the person(F)'
OFFICIAL SEAL - 12172137 11
or the entity upon* behall of Which the
BONNIE K FRYMIRE Z
NOTARY PUBLIC - CALIF, 0
::6 person(g) acted, executed the instrument.
z .1 COUNTY OF SONOMA 2
I My Comm. Exp. Andt 28 20031
WITNESS my hand and official seat.
A
SIGNAiuneoF y
OR
A Though the data below Is not required by law, It may prove valuable to persons relying on the document and could prevent
fraudulent reallacliment.ol INS form.
CAPACITY CLAIMED BY SIGNET{
F1 INDIVIDUAL
El conpoRATE or-rtcEri
V
111 Le(s)
0 PARTNER(S) ❑ LIM11.1a)
GENERAL
ATTORNEY-IN-FACT
0 TRUSTEES)
0 GUARDIANICONSERVATOR
1 0 OTHER:
SIGNER IS REPRESENTING:
tmmr; oF nnsomisi on Erottyoss)
%'TRAVELMS CASUALTY AND K= COMPANY OF AMERICA
DESCRIPTION OF ATTACHED DOCUMENT
PAYMENT BOND
TI TLE OR TYPE OF DOCUMENT
. ONE
NUMBER OF PAGES
SEPI 18th,. 2000
DATE OF DOCUMENT
NIS
SfGNER(S) OTHER THAN NAMED ABOVE
0103 HAVONAL NOTAnY ASSOCIAI ION '+ 8236 nemn4l Ave., r.O. Box 7104 - CA110UM Pork. CA91309-7194
IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS
CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and TRAVELERS CASUALTY AND
SURETY COMPANY OF ILLINOIS have caused this instrument to be signed by their Senior Vice President, and their corporate
seals to be hereto affixed this 3rd day of December, 1999.
STATE OF CONNECTICUT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
)SS. Hartford TRAVELERS CASUALTY AND SURETY COMPANY
FARXWGTON CASUALTY COMPANY
COUNTY OF HARTFORD TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS
+�Np SUllft" gJr�,TY AA'0 SG GASU4 �i9 �RETY
o
,{AHTfORD, �` a HARTFORD, n 19 8 2
1� a o SEAL r By
CONN.
N. Z * ; 1871 0
George W. Thompson
Senior Vice President
On this 3rd day of December, 1999 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly
sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and
TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, the corporations described in and which executed the
above instrument; that he/she knows the seals of said corporations; that the seals affixed to the said instrument are such corporate
seals; and that he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing
Resolutions thereof.
G•Y�,
My commission expires June 30, 2001 Notary Public
Marie C. Tetreault
CERTIFICATE
I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,
TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, stock corporations of
the State of Connecticut, and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, stock corporation of the
State of Illinois, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in
full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards 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 18th- day of
91 a1' 2MORNMENEW00011
8
+�Wp SUR(�,G, yJ,,VTY ANps GASU,1p sugF—
POR,y���
HARTFORD, < v' 1982 c SEAL 13y /
CONN. CONN. n Z * ; 1871
Deo �eb,a • Kori M. Johanson
Assistant Secretary, Bond
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
TRAVELERS CASUALTY AND SURETY COMPANY
FARMINGTON CASUALTY COMPANY
Hartford, Connecticut 06183-9062
TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS
Naperville, Illinois 60563-8458
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYS) -IN -FACT
KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY,
corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford,
County of Hartford, State of Connecticut, and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, a
corporation duly organized under the laws of the State of Illinois, and having its principal office in the City of Naperville, County of
DuPage, State of Illinois, (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make,
constitute and appoint: Lawrence J. Coyne, Goran G. E. Ryn, Kelly Holtemann, Bonnie K. Frymire or Thomas Hughes * *
of Petaluma, CA, their true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred to sign, execute and
acknowledge, at any place within the United States, or, if the following line be filled in, within the area there designated
the following instrument(s):
by his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the
nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto
and to bind the Companies, thereby as fully and to the same extent as if the same were signed by the duly authorized officers
of the Companies, and all the acts of said Attorneys) -in -Fact, pursuant to the authority herein given, are hereby ratified and
confirmed.
This appointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are
now in full force and effect:
VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact
and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe
to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in
the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such
appointee and revoke the power given him or her.
VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President
may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is
in writing and a copy thereof is filed in the office of the Secretary.
VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any
Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if
required) by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their. certificates of authority or
by one or more Company officers pursuant to a written delegation of authority.
This Power of Attorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the following
Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and
TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, which Resolution is now in full force and effect:
VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any
power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for
purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney
or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and
certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is attached
($'97)
ACORD CERTIFIC/ 'E OF
LIABILITY INSU, ANC�MSR SD
I DATE(MM/DD/YY)
GGI-1
09/25/00
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.O. Box 551
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Petaluma CA 94953
Phone: 707-782-9200 Fax: 707-782-9300
INSURERS AFFORDING COVERAGE
INSURED
I INSURER A: Legion Insurance Co
INSURER B: Nationwide Mutual (Allied)
Maggiora & Ghilotti, Inc.
INSURER C: Nat'l Union Fire Insurance Co.
555 Dubois Street
San Rafael CA 94901
INSURER D: of Pittsburgh, PA
INSURER E:
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
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YYI DATE (MM/DD/YYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY GL20990442
09/01/00 09/01/01 FIRE DAMAGE (Any one fire) $ 50,000
CLAIMS MADE Fx_1 OCCUR
I MED EXP (Any one person) $ 5,000
X XCU Included BROAD FORM PROP. DAMAGE
I PERSONAL&ADV INJURY $ 1,000,000
INDEPENDENT CONTRACTORS
I GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
I PRODUCTS - COMP/OP AGG $ 1,000,000
POLICY I X I JE O n LOC
AUTOMOBILE LIABILITY
B X ANY AUTO ACP7800669802
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
C 7 OCCUR FICLAIMSMADE BE7403503
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
COMBINED SINGLE LIMIT
09/01/00 09/01/01 (Ea accident)
09/01/00 09/01/01
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMEi4T1SPECIAL PROVISIONS
RE: Operations of the Named Insured for the Certificate Holder
* 10 days notice will be sent on nonpayment
JOB: East San Rafael Drainage Pond Improvements, M&G #7349
30*XCG2010 11/85
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER:
SANRAI3
City of San Rafael, its agents
officers, officials, employees
& volunteers
P.O. Box 151560
San Rafael, CA 94915-1560
ACORD 25S (7/97)
BODILY INJURY
(Per person)
$1,000,000
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY- EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $
(AGGREGATE $
$
$
$
TORY USIM TS I I ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE -POLICY LIMIT $
9,000,000
9,000,000
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 * DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,QR2
JA�n ee r n nei inenONOF ANY _a W IS__
QA/1/�Cl9_ ORPORATION 1988
Policy Number: GL20990442 Commercial General Liability
THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization - Additionally Insured's:
City of San Rafael, , its agents, officers, officials, employees & volunteers
P.O. Box 151560
San Rafael, CA 94915-1560
f no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization
shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or
for you.
CG 20 10 11 85 Copyright Insurance Services Office, Inc. 1984
ACORD CERTIFIC/ 'E OF
LIABILITY INSU, ANC�R SD
DATE(MM/DD/YY)
GGI-1
09/25/00
PRbDUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BODILY INJURY
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
Phone : 707-782-9200 Fax: 707-782-9300
INSURERS AFFORDING COVERAGE
INSURED
I INSURER A: State Compensation Ins. Fund
AUTO ONLY: AGG
INSURER B:
Ma giora & Ghilotti, Inc.
INSURER C:
555 Dubois Street
INSURER D:
San Rafael CA 94901
I
INSURER E:
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
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
GATE (MM/DD1VY) DATE fMM/DD/YYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
I FIRE DAMAGE (Any one fire) $
—1 CLAIMS MADE F—] OCCUR
I MED EXP (Anyone person) $
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYF—] JET n LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
OCCUR FICLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
A EMPLOYERS' LIABILITY
OTHER
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
.N
COMBINED SINGLE LIMIT
$
(Ea accident)
BODILY INJURY
$
(Per person)
BODILY INJURY
$
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
IH -
TORY LIMITS TS I I
X I ER
4307399 10/01/99 10/01/00 I E.L.EACHACCIDENT
$ 1,000,000
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Operations of the Named Insured for the Certificate Holder
* 10 days notice will be sent on nonpayment
JOB: East San Rafael Drainage Pond Improvements, M&G #7349
30*X
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER:
SANM13
City of San Rafael, its agents
officers, officials, employees
& volunteers
P.O. Box 151560
San Rafael, CA 94915-1560
I
ACORD 2" (7/97)
E.L. DISEASE- EA EMPLOYEE $ 1 , 000 , 000
E.L. DISEASE -POLICY LIMIT $ 1,000,000
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENSEA EIR IF MAIL 30* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
010 0�1 Wok*"111 OR 61 N3AT` , 3
13MMRP ORPORATION 1988