HomeMy WebLinkAboutCC Resolution 9867 (Traffic Signal Installation)RESOLUTION NO. 9867
RESOLUTION OF AWARD OF CONTRACT FOR TRAFFIC SIGNAL
INSTALLATION ON D STREET AT BAYVIEW STREET
TO REP.URLIC ELE.CTRT.0
WHEREAS, on the 10`" day of June, 1997, 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:
"TRAFFIC SIGNAL INSTALLATION ON D STREET AT BAYVIEW STREET"
PROJECT NO. 006-4069-649-8000
in accordance with the plans and specifications therefor on file in the office of said City
Clerk; and
WHEREAS, the bid of REPUBLIC ELECTRIC 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.
NOW, THEREFORE, IT IS HEREBY ORDERED AND RESOLVED
that the bid of REPUBLIC ELECTRIC 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 REPUBLIC ELECTRIC at the unit prices mentioned in said bid.
IT IS FURTHER ORDERED AND RESOLVED that the City Engineer
is hereby authorized to extend the time for completion of the contract as set forth herein
upon showing of good cause by the Contractor.
rM � r
R 7 1 & .. a A
t N'� A I �oo
t: IQ -
IT IS FURTHER ORDERED AND RESOLVED that the Mayor and the
City Clerk of said City be authorized and directed to execute a contract with REPUBLIC
ELECTRIC for said work and to return the bidders bond upon the execution of said
contract.
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 Monday, the 16". day of June, 1997, by the
following vote, to wit:
AYES: COUNCILMEMBERS: Cohen, Heller, Miller and Mayor Boro
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Phillips
JF,)(*—NrF, M. LEONCI_ I, City Clerk
I
'o O O o 0 0 0 0 0 o o 0 o 00 0
us o o o 0 0 0 0 0 0 0 0 0 0 0 0 0
:= O O= 0 0 7 N 7 7 0 0 0 C.
�j : M 00 O N N Cl M In N Cl)— 0 0 0 0 N
rl C 0— In N In 7 N 7 0 In lD O '1
F F-. ::M O M— — 10 N T N 7
O
0 O o 0 0 Cl 0 0 0 0 0 0 0 0 0
ss 0 0 0 0 0 o In o 0 0 0 0 0 0 0
:0o r o 0 0 0— M N N 0 0 0 0
F W: M In O M In O O O O
M—
. r O N — N
G M
0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 71
CD O O N O O m 00 b— 0 0 0 0 N
In N O r w O In DN r T ID O In O In
N T In D\ m MD In M m O N O n
Q: r vl 7 N In N ID N lD M r O 7
O:
F:
� �/"� O O O O M In 0 0 0 0 0 0 0
O O In O In In r't M M Cl 0 0 0 N
:In 00 N In D` r -- M N N �o O In O In
_F W: rl 'D 7 7 In 00 O N In In
�7 :1` W MM r N 7
M
C
O O O O O O O O O O O O O O O
O O O 7 O O O O O O O O O O O 7
O O O N O O 7 N 7 7 O O O O O .0
W,__I O 7 0 0 N O M In N M O O In O O In
¢; O lD lD a` v N In 7 N O O '7 ID OO 1
O 7 3
F
O Cl O O O O O O O O O O O O O
bq 0 0 0 0 0 0 In 0 0 0 0 0 0 0 0
O IO 0 C C. 0— M N N O o 0 0 0
F Cci :O 0 7 M In O o In o 0
z U; O D\ N O O 7 N m
C 7
O o O 0 O O 0 0 O M O O O O M
S a o 0 0 0 0 0 o rl ID �o .D 0 0 0 0 0
:0 O 0 ao ID D M 10 — 0 10 O O 10 O b
c j :O O= N In O N r 7 M D, O O— O Z
LQ ¢: O lc N— 7 M O O 10 Orq m In 10 M In 21
'+
O
F:
.`J 0 0 0 0 0 In M In O M 0 0 0 0
69 :O In O Cl 0 0 r 0 0 W ID 0 0 0 0
F 0 ri o 0 r r- — M rn 0 0 r- 0
U; O ONO O O O
G
i
F^.
o
7 N
W W
a i
Q >- Q Q L L u L n n w Q n
J -7 W U It] W -a V7 to v] _t _t W W _I
c0 �
� E
0
1 >
� n
C
� � a
c
C 1 n
m
c0
n R C
o C u u
U
W a CC i a U E E% en ;-- In
CO r,r4>
.0 0 0
n In > 0 0
W u > U > >
� n
o .D n 0 E 0 o
E s c. a E �v E E y c c o
ce U C 0o C a F cL C in U U
N 7 M In ID r W D\ 0 N 7 _ M In
LU
E- O I:�
O
U_
O
d
v—
O
C
a)
V—
co
0-
a) a)
0
Zu
m
ry
C
cu
U)
O
1�
-: O O O o 0 0 0 0 0 0 0 0 0 0 0
6s ;- O O o 0 0 0 0 0 0 0 0 O o o =!
: O O 10 •7 0 C. 7" 7 7 In 0 0 0 0 71
:O 10 L 7 N O M ,n NM oo O In O O T
Lo Q; O r— 7 tri /� ?
O
O o 0 0 0 C 0 0 0 0 0 0 0 0 0
69; O 0 0 0 0 0 ,n 0 0 0 0 0 0 0 0
F :O -S O, O O O— M N N In C. 0 0 0
W: O D\ In M ,n oo O In In O
O N 'O n r n
C 7
`O O O O O O O O O O M O O O O +1
Vf :O 0 0 0 0 0 0 Cl! 10 10 'O O O O O
O O O co 10 O M 10 — O 'O O O
:O O co N ,n O N r 7 M O, O O— O ?
:O lO N— 7 M 10 7 M N O O O ..
FF. N M M— — ^ 10 M ,n y
p
F:
:O O O O O O ,n In In O M 0 0 C. 0
Vi :O ,n O O O O r 0 C. w z O O O O
O[V C. 7 r M M a, O O r 0
z V; 0 CO M N C C O
C� N r
C
F o
F Sr, 7 N r
p
cn ¢ M 7
F-
cn u. 4 > ¢ ¢ c,. cz U- c cn cn rn G cn
cn
u
cu E
G U
1 >
C'.
C
C Y iy
U Cp
2
GE
W C > O .D U U E U V1 Q
F: a C� .D Fn n o c o
U
u u
u n u 3 u u n .E
O ` ` N
E n W n D o U E o o a
W U W cd W a F w ce in U U
!` Nm 7 In "O
F OZ
City of San Rafael ♦ California
Contract Agreement
for
TRAFFIC SIGNAL INSTALLATION ON
D STREET AT BAYVIEW STREET
This Agreement is made and entered into this 16th day of June, 1997 by and between the
City of San Rafael (hereinafter called City) and Republic Electric (hereinafter called
Contractor). Witnesseth, that the City and the Contractor, for the considerations
hereinafter named, agree as follows:
lI - 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: Traffic Signal Installation on D Street at Bayview
Street, 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 120
calendar days after the date of written notice by the City to the Contractor to
proceed.
(b) The work shall be completed within 35 working days after the date of such notice
and with such extensions of time as are provided for in the General Conditions.
1111- 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.
1V - 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 0 1
PROJECT SCHEDULE
ITEM 1
NO. ITEM
1 Demolition
2 Roadway Repair
3 Case E Curb Ramp
4 Replace Sidewalk
5 Roadway Sign
6 Remove Roadside Sign
7 Paint Curb (2 Coat)
8 Thermoplastic Pavement
Marking
9 Remove Pavement
Marking
10 Remove Traffic Stripe
and Pavement Marking
11 Signal and Lighting
12 Maintain Traffic
13 Construction Staking
14 Construction Area Signs
15 Mobilization
V - Progress Payments
UNIT
UNIT
QUANTITY
PRICE, $
L
LS
1
5,000.00
SF
1,440
6.00
EA
4
900.00
CY
4
240.00
EA
4
130.00
EA
4
50.00
LF
356
1.50
SF
484
3.00
SF 112
SF 17
LS
LS
LS
EA
LS
1
1
1
8
1
Grand Total
ITEM
TOTAL, $
5,000.00
8,640.00
3,600.00
902.40
520.00
200.00
534.00
1,452.00
2.00 224.00
2.00 34.00
41,000.00
1,000.00
450.00
200.00
4,800.00
41,000.00
1,000.00
450.00
1,600.00
4,800.00
69,956.40
(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 Contractor, 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.
ATTEST:
d e M. Leoncini
City Clerk
City Attorney
CITY OF SAN RAFAEL:
fiv�2
Albert $oro
Mayor
CONTRACTOR:
PUBLIC EL CTRIC
AGREEMENT 9 3
CBIC
CONTRACTORS BONDING
AND INSURANCE COMPANY
Fxecuted in 9unlicate
PERFORMANCE BOND
California Public Works
California:
875 Mahler Road
Suite 218
Burlingame, CA 94010
(415) 692-6180
(800) 945-CBIC National
(415) 692-6182 FAX
B4 1474
Premium: $
�l ,399
KNOW ALL MEN BY THESE PRESENTS, That we, penubl i c Electric
, called the Principal, and CONTRACTORS BONDING AND INSURANCE COMPANY,
a Washington corporation authorized to do business as surety in the State of California, called the Surety, are held and firmly
bound unto
City of San Rafael, C4
called the Obligee, in the sum of Sixty-nine thousand, nine hundred fiftv-si„ and 40/100
Dollars (S 69,956.40 ) for the payment whereof said Principal and Surety bind themselves firmly by these presents.
WHEREAS, the Principal has entered into a contract, dated the 16th day of June . 1997 . with the Obligee to do
and perform the following work, to -wit:
Traffic signal installation on D Street at Bayview Street
ger file #18,01 ,51
("Contract"):
NOW, THEREFORE, the condition of this obligation is such that if the Principal shall well and truly perform the construction work
called for under the Contract then this obligation shall be void; otherwise to remain in full force and effect.
C.
PROVIDED, however, that this bond is for the benefit of the named Obligee only. and no other person or entity has any ri ghts against
this bond: and
PROVIDED, FURTHER, that any suit under this bond must be instituted before the expiration of one (1) year from the date on which
the Principal last performed work under the Contract or from the date of substantial completion of the Contract, whichever is earlier;
and
PROVIDED, FURTHER, that this bond shall not be liable for any liability of the Principal for tortious actions or inactions, whether
or not said Iiability is imposed by statute, common law, or is imposed by the Contract. It is the intent of all parties that this bond shall
not be a substitute for or supplemental to any liability or other insurance required by the Contract.
Signed and sealed this 16th day of June
Principal: Republic Electric
By:
.19 97
CONTRACTORS BONDING AND INSURANCE COMPANY
By:
Attorney -in -Fact
^9. R. Stewart
B ndSFPP.02-CA022593
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
State of CALIFORNIA
County of SONOMA
On .11Ina 1 A 1 nal before me,
DATE
personally appeared
NANCY G. SPITZER, NOTARY PUBLIC
NAME, TITLE OR OFFICER-E.G. "JANE DOE, NOTARY PUBLIC'
M.R. Stewart
NAMES 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 acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf
of which the person(s) acted, executed the instrument.
- ( -,!A_ oEAi - 1 : 75'
71
WIT ESS my han and official
RE seal.
IGNATUO T
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could
prevent fraudulent removal and reattachment of this form to another document.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TITLES)
❑ PARTNERS ❑ LIMITED
❑ GENERAL
® ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
Contractors Bonding and Insurance Comranv, SIGNER(S) OTHER THAN NAMED ABOVE
CBIC
CONTRACTORS BONDING
AND INSURANCE COMPANY
Executed in Duplicate
PAYMENT BOND
California Public Works
Bond No. BA 1174
Charge for this bond is included in premium for Periormance Bond.
KNOW ALL MEN BY THESE PRESENTS, That we, Republic Electric
California:
875 Mahler Road
Suite 218
liurlingame, CA 94010
(415)692-6180
(ROO) 94.5-CBIC National
(415) 692-6182 FAX
, called the Principal, and CONTRACTORS BONDING AND INSURANCE COMPANY,
a Washington corporation authorized to do business as surety in the State of California, called the Surety, are held and firmly bound
unto Cita of San Rafael, CA
called the Oblieee, in the sum of Sixty-nine thousand, nine hundred fifty-six and 40; 10n
Dollars (S 69,956.40 ) (penal sum) for the payment whereof said Principal and Surety bind themselves firmly by these
presents.
WHEREAS, the Principal has entered into a contract dated thel fitL day of ,lima . 199_ with the Obligee,
for
Traffic signal installation On D Street at Bayview Street per
file #18,01.51
( "Contract");
NOW, THEREFORE, if the Principal or its direct subcontractor shall pay all of the persons named in Civil Code Section 3181,
oramounts due under the Unemployment Insurance Code with respect to work or labor performed under the Contract. orany amounts
required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the
contractor and subcontractors pursuant to Section 13020 of the Unemployment Insurance Code, with respect to such work and labor,
then this obli-ation shall be void, otherwise to remain in full force and effect, subject however to the following conditions:
1. That this bond is only for the benefit of persons named in Civil Code Section 3181 (and their assigns) who have contracts with
the Principal or its subcontractor(s), and no other party shall have any right of action against this bond.
2. It is a condition precedent to claim upon this bond that claimant has -iven the 90 -day public works preliminary bond notice
as provided in Civil Code Section 3091.
3. No suit maybe brought on this bond unless commenced before the expiration of six months after the period in which stop notices
may be filed as provided in Civil Code Section 3184.
4. If suit is brought upon the bond, a reasonable attorney fee shall be paid to the prevailing party, but no attorney fee shall be paid
from the bond unless such suit has been filed prior to payment by the Surety of the claim.
5. The Surety's liability hereunder is limited, singly or in the aggregate, to the penal sum of the bond set forth herein, and any
payment by the Surety to a claimant or claimants hereunder reduces and exonerates the bond to the full extent paid.
Signed and sealed thi16th day of June . 1997
Principal: Republic Electric CONTRACTORS BONDING AND INSURANCE COMPANY
Attorney -in -Fact
P1. R. Stewart
BndSFN P.U2-CA022593
CBIC BONDING
AND INSURANCE COMPANY
Not Valid for Bonds
Executed On or After:
LIMITED POWER OF ATTORNEY
March 31, 1998
Power of Attorney
Number: 514506
A valid oriainal of this document must be printed on security paper with black, blue, and red ink, and
must bear the raised seal of Contractors Bonding and Insurance Company ( the "Company"). Only an
unaltered original of this power of attorney is valid. if a photocopy, the word "VOID" should appear
clearly in two places. This Power of Attorney is valid solely in connection with the execution and deliv-
ery of the bond bearing the number indicated below, piuvided the bond is of the type indicated below,
and is valid only if the bond is executed on or before the date indicated above.
KNOW ALL DAN BY TBESE PRESENTS, that the Company does hereby make, constitute
and appoint the following: M. R. STEWART, PAUL RAMATICI and JAMES A. VICK its
true and lawful Attorney(s)-in-Fact, with full power and authority harshy
conferred in its name, place and stead, to execute, acknowledge and deliver:
(1) SSA guaranteed performance and payment bonds not exceeding the penal sum of
$1■250,000; (2) 'bid bonds for jabs where, if the contract is awarded, the SBA
guaranteed performance and/or payment boad(s) will, not exceed $1■250,000; (3)
all other bonds coded or classified by the Surety Association of America Manual
of Rules, Procedures and Classification for Fidelity /Forgery and surety Bonds
(including future amendmenta thereto) as Judicial, Contract (excluding bid
bands), Miacellanecus, License and Permit, and Federal not exceeding the penal
sum of $3,500,004; (4) bid bonds for jobs written pursuant to the authority in
clause (3) above where, if the contract is awarded, the performance and/or
payment bond(a) will not exceed $3,500,000; (5) all other bonds not exceeding
the penal sum of $500,0.00; and (6) consents, releases and other similar
documents required by an obligee under a contract bonded by the Company. This
appointment is made under the authority of the Hoard of Directors of the
Company.------____-___-_---..___.------_------------------------_--..W„...... ------------------------------------------------------------------------------------
---------------------------------------------------------------------------------
--------------------------------------------------------------------------------
-
CERTIFICATE
I, the undersigned secretary of Contractors Bonding and Insurance Company, a
Washington corporation, DO HEREBY CERTIFY that this Power of Attorney remains in full
force and effect and has not been revoked, and, furthermore, that the resolutions of the
Board of Directors set forth on the reverse are now in full force and effect.
Bond Number BA 1474
Signed and sealed this 1 nth d-'aF, of Iijnp 199E
Kevin L. Lybeck,5ecretary
CBIC • 1213 Valley Street • RO ox 9271 • Seattle, WA 98109-0271
,• ; , r (206) 622-7053 • (800) 765-CBIC (National) ■ (206) 382-9623 FAX
PoaLPC7A.01-US013 ] 94
A CORP k
rr
PPODUCER
Diversified Risk Ins. Brokers
1335 Stanford Avenue
Suite 100
Emeryville, CA 94608
License#0529776 (510547-3203
INSURED
Harris and Associates Inc.
Attn: Holly Lauritsen
220 Mason Circle
Concord, CA 94520
i
YFF �.��. ::f `•x,::•5:;5:;5:.::
THIS *6ETI
R IS ISSI�IQR OF INFORMATION
ONLY AND CONFERS N GHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFIPAMEND, EXTEND OR
ALTER THE COVERAGE q f *4E POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A Royal Insurance Company
COMPANY
B Athena Assurance Company
COMPANY
C California Compensation
COMPANY
JM D
.....................................................................................................................................................
.
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.
CID I TYPE OF INSURANCE POLICY NUMBER
LTR
A GENERAL LIABILITY PSVO09942(97)
1 X COMMERCIAL GENERAL LIABILITY
PEOWNER'S
CLAIMS MADE �OCCUR
& CONTRACTOR'S PROT
t --
A I AUTOMOBILE LIABILITY
PST086752(97)
X ANY AUTO
ALL OWNED AUTOS
F_ SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
I
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
OTHER THAN AUTO ONLY:
DATE (MM/DD/YY)
DATE (MM/DD/YY)
E
$
08101197
08141/98
GENERAL AGGREGATE
$ 2,000,000
08/01/98 EACH OCCURRENCE
S
PRODUCTS - COMP/OP AGG
$ 2.000.000
S
2,000,000
PERSONAL & ADV INJURY
$ 1.000.000
WC STATU- 0TH -
08/01/98 X I TORY LIMITS ! ..m R _. _ .,
j EACH OCCURRENCE
$ 1.000.000
$
1.000.000
FIRE DAMAGE (Any one tire)
$ 50.000
1.000.000
EL DISEASE - EA EMPLOYEE
MED EXP (Any one person)
S 5.000
08/01/97
08/01/98
COMBINED SINGLE LIMIT
$ 1,000,000
GARAGE LIABILITY
i ANY AUTO
I I
B EXCESS LIABILITY 900BA4119 08/01/97
I X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
C EMPL E ERS' LIABILRS ITY ION AND W978161368 08/01/97
THE PROPRIETOR/ � INCL
PARTNERS/EXECUTIVE F X
OFFICERS ARE: EXCL.
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Harris project 96012 - "A", 2nd & 3rd Streets Underground Utility District
BODILY INJURY S
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
08/01/98 EACH OCCURRENCE
S
2,000,000
AGGREGATE
S
2,000,000
S
WC STATU- 0TH -
08/01/98 X I TORY LIMITS ! ..m R _. _ .,
EL EACH ACCIDENT
$
1.000.000
EL DISEASE - POLICY L MIT
$
1.000.000
EL DISEASE - EA EMPLOYEE
$
1.000.000
POLICY NUMBER: PST086752(97)
BUSINESS AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
It is agreed that the "Who Is An Insured" provision is amended to include as an insured the person
or organization designated below as an additional insured, subject to the following provisions:
(1). This insurance applies only with respect to any Liability arising out of the operation of
covered autos on the additional insureds premises described below;
(2). The Named Insured is authorized to act for such additional insured in all matters pertaining
to this insurance, including receipt of notice of cancellation;
(3). Return premium, if any, shall be paid to the Named Insured;
(4). Nothing contained herein shall affect any right of recovery as a claimant which the
additional insured would have if not designated as such.
San Rafael Redevelopment
Agency, its officer, employees
& agents. ATTN:David Bernardi
P.O. Box 151560
San Rafael, Ca 94915
Subject to all other terms and provisions of the policy, such insurance as provided by this
endorsement shall be deemed primary, but only with respect to work performed by or for the
Named Insured in connection with the above described contract.
POLICY NUMBER: PSV009942(91)
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:
San Rafael Redevelopment
Agency, its officer, employees
& agents. ATTN:David Bernardi
P.O. Box 151560
San Rafael, Ca 94915
(If 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.
Harris project 96012 - "A", 2nd & 3rd Streets Underground Utility District
Subject to all other terms and provisions of the policy, such insurance as provided by this
endorsement shall be deemed primary, but only with respect to work performed by or for the
Named Insured in connection with the above described contract.
CG 2010 11 85 Copyright, Insurance Service Office, Inc., 1984