HomeMy WebLinkAboutCC Resolution 13583 (Street Resurfacing)RESOLUTION NO. 13583
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
AWARDING A CONTRACT FOR THE STREET RESURFACING 2012 -2013, CITY
PROJECT NO. 11185, TO GHILOTTI CONSTRUCTION COMPANY, INC. IN THE
AMOUNT OF $1,067,515.50.
WHEREAS, on the 16`h day of July, 2013, 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:
"Street Resurfacing 2012-2013"
City Project No. 11185
In accordance with the plans and specifications therefore on file in the office of said City Clerk.
and
WHEREAS, the bid of Ghilotti Construction Company, 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.
NOW, THEREFORE, BE IT RESOLVED by the Council of the City of San Rafael,
that the bid of Ghilotti Construction Company, Inc. is hereby accepted at said unit prices and that
the contract for said work and improvements is hereby awarded to Ghilotti Construction
Company at the unit prices mentioned in said bid.
IT IS FURTHER ORDERED AND RESOLVED that the Public Works Director and
the City Clerk of said City be authorized and directed to execute a contract with Ghilotti
Construction Company, Inc. in a form approved by the City attorney, for said work and to return
the bidder's bond upon the execution of said contract.
RESOLVED, FURTHER, that the Public Works Director is hereby authorized to take
any and all such actions and make changes as may be necessarN, to accomplish the purpose of this
resolution.
I, ESTHER C. BEIRNE, 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 5"' day of August, 2013 by the following vote, to wit:
AYES: COUNCILMEMBERS: Colin, Connolly & Vice -Mayor Heller
NOES: COLINCILMEMBERS: None
ABSENT: COLINCILMEMBERS: McCullough & Mayor Phillips
ESTHER C. BEIRNE, City Clerk
File No.: 16,06.76
City of San Rafael ♦ California
Form of Contract Agreement
for
Street Resurfacing 2012-2013,
Citv Proiect No. 11185
This Agreement is made and entered into this 5th day of August 2013 by and between the City of San
Rafael (hereinafter called City) and Ghilotti Construction Company, Inc. (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 described in the specifications for the project entitled: Street Resurfacing
2012-2013, City Project No. 11185, 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. The
liability insurance provided to City by Contractor under this contract shall be primary and excess of any
other insurance available to the City.
11- Time of Completion
(a) The work to be performed under this Contract shall be commenced within FIVE (5) WORKING
DAYS after the date of written notice by the City to the Contractor to proceed.
(b) All work shall be completed, including all punchlist work, within FORTY (40) WORKING DAYS
and with such extensions of time as are provided for in the General Provisions.
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 S1,900 for each and every working days 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.
ESTIMATED j T OT'AL
ITEM E DESCRIPTION ! UNIT KNIT PRICE
-- - QUANTIT4 -.._ PRICE
1. i ;Mobilization (Not to Exceed 3°t; of Bid) 1 ; LS ! u': 531,000.00 - I `x31,000.00 {
".j "I on
ra fftc Ctrol - - - --_ V LS ! i. i 139,000.00 $ 139,000.00
- - - - C n L ---
i
-
Ful Width t;rincli�� �:" 250,000 ! Sl tr: $0.30 = 5,000.00
-7-
4.
- -----
----------
4 Cold Planing
a. 6' Ed,,Ye Grind i 4,500 i I.1' ,7.00 = X31.500.00
t t
ITE1t DESCRIPTION
f--
,
ESTIMATED
QUANT ITY
UNIT
I
UNITPRICE 1
i
TOTAL
PRICE
b. 15' Conform Grind
400
i LF
iii;
$9.00 =
S3,600.00
5.
Deep Lift Patching
5,900
SF
ti
57.00 = ;
$41,300.00
i
+
V.
Hot Mix Asphalt
4,700
TON
f-,
$109.00 =
$512,300.00
7.
j Slurry Seal**
56,700
SY
a;
$1.44 =
$81,648.00
{ 8.
i
! Micro Surfacing**
38,000
1 S
Ov
$1.51 =
557,380.00 j
9.
1 Adjust Existing Facility to Grade
1
l j
a. Adjust Manhole Casting to Grade
50
EA
ii
$672.50 i -= j
$33,625.00
b. Adjust Water Valve Cover to Grade
( 100
EA
:«?
$85.00 =
$8,500.00
t
c, Adjust Gas Valve Cover to Grade
5
EA
%cg
$295.00 =
'
$1,475.00 j
d. Adjust Monument to Grade
30
EA
$335.00 =
$10,050.00
e. Adjust Rodhole to Grade
10
EA
;fie'
_I
$295.00 =
$2,950.00
f. Adjust Utility Box /Vault To Grade
2
EA
u I
$535.00 =
$1,070.00
10
Install Traffic Striping
I
a. Install Detail 9 Striping
400
LF
;hj
$0.40 ; _
$160.00 ,
b. Install Detail 22 Striping
1,100
LF
;c%
$0.80 =
$880.00
c. Install Detail 25A Striping
9,500
I
1 LF
$0.50 =
S4,750.00
d. Install Detail 27B Striping
9,000
1 LF
d,
$0.35 =
$3,150.00
j
e. Install Detail 27C Striping _
150
_; LF
,
; !c i
I
$0.35 = i
$52.50
1
f. Install Detail 38 Striping
1.000
LE_
tai
$0.70 1 = i,
x+700_00
r-- ---
i---
1 -
- f g, Install Detail 39x1 Striping
j 1,200
LF
�7
+=
50.50 I
560(?.00
--
! h, Install Detail 39 Stri In
x,300
f LF
a
$0.501 — !
51,650.00 i
i
11
Install Pavement Markings
6,700
SF
(u; !
S3.25 ; _
$21,775,00
i
1
LL!
Traffic, Signal Loops
I a. Tv e A
4
FA
'tr ;
5500.00 I
2,000.00
D
2
Fry
R ,ii- j
$ i 00.00 j 1
S1,400.00
"This
bid ;teen shall be a final pay item
GPAND
TOTAL, BID S
1.067.-5155.50
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) As soon as possible after the preparation of the estimate, the City shall, after deducting previous
payments made, pay to the Contractor 95°,0 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 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) Contractor shall provide a "Defective ivlaterial and Workmanship Bond" for 50% of the Contract
Price, before the final payment will be made.
(d) 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.
(e) 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.
0 1 ",
fN WITNESS WHEREOF, City and Contractor have caused th6r authorized representatives to
execute this Agreement the day and year first written above.
Z�
ATTEST:
Esther C. Beirne
City Clerk
APPROVED AS TO/FORM:
Robert F. Epstein
City Attorney
File No.: 16.06.76
CITY OF SAN RAFAEL:
Nader illcinsourian
Public Works Director
GIIILOTTI CONSTRUCTION COMPANY, INC.:
Brim Onaaro
Vice pramdent
for
sta6 L
SUBJECT:
C'I'TY OF _SA.N_RAFAEL
Department of
Public Works
MAYOR
Canj (. Phillip-,
VICE MAYOR
Barbara Heller
COUNCIL MEMBERS
Damon Connolly
Kate Colin
Andrew Cuyugan McCullough
INSURANCE REQUIREMENTS SHEET
WORKERS' COMPENSATION AND PUBLIC LIABILITY
PROPERTY DAMAGE INSURANCE (PUBLIC WORKS CONTRACTS)
The City of San Rafael requires that all Contractors and Subcontractors performing work under a Public
Works contract with the City, carry workers' compensation insurance, public liability- insurance and
property damage insurance. The public liability insurance and property damage insurance shall insure the
City, its elective and appointive Boards, Commissions, Officers, Agents and Employees, as follows:
Public Liability: Not less than $500,000.00 per person and
$1,000,000.00 for one occurrence.
Property Damage: Not less than $500,000.00 for one occurrence.
The required insurance may be provided by a separate policy insuring the City, its elective and appointive
Boards, Commissions, Officers, Agents and Employees or, if the Contractor already has insurance, he
may provide the City with the required insurance by submitting a certificate of insurance and a standard
form of additional insured endorsement. For this latter purpose, the City will accept the following:
"IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CITY OF SAN
RAFAEL AND MARIN COUNTY, its officers, agents and employees, are additional
insureds hereunder but only as respects liability arising out of the land and/or property,
and/or work described in the Public Works contract for the project entitled, Street
Resurfacing 2012-2013; City Project No. 11185 between the City of San Rafael and
Ghilotti Construction Co., Inc., for the work and the improvements described therein."
The Contractor shall provide satisfactory evidence to the City that the required liability insurance is
primary and excess of any other insurance available to the City.
Evidence of satisfactory insurance must be furnished to the City prior to commencement of work together
with evidence that the insurance carrier will not cancel or reduce the coverage of the policy without first
giving the City at least thirty (30) days prior notice. Such notice shall be sent to:
CITY OF SAN RAFAEL,
DEPARIA/l ENT OF PI.: BLIC WORKS
I I 1 NIORPIIEW STREET
SAN RAFAEL, CA 94915-1560
STILI -1l RESURFAC NG 21012-2013
f
Premium is for Contract Term
L i be rt -j and is Subject to Adjustment
/" utuala based on Final Contract Price.
Executed in Duplicate
PP,RFORM, ANCE BOND Bond 070016416
Premium $5,254.00
KNOW ALL; BYTHESE PRESI NTS, That we, Ghilotti Construction Company, Inc.
(hereinafter called the Principal), as Principal, and Liberty Mutual Insurance Company , a corporation
duly organized under the laws of the State of Massachusetts (hereinafter called the Surety), as Surety, are held and firmly
bound unto City of San Rafael
-- _ (hereinafter called the Obligee),
in the sutra of One Million Sixty-seven Thousand Five Hundred Fifteen Dollars And Fifty Cents
( $1,0_67,515.50 _ j Dollars, for the payment of which sum well and truly
to be made, we, the said Principal and the said Surety, bind ourselves, our heirs. executors, administrators, successors and assigns,
Jointly and severally, firmly by these presents.
i
Sigrned and sealed this 9th day of August , 2013
I
WHEREAS.:,aid Principal has entered into a written Contract with said Obligee, dated August 5, 2013
for Street Resurfacing 2012-2013, Project No. 11185
in accordance with the terms and conditions of said Contract, which is hereby referred to and made a part hereof as if fully set forth
herein:
NOLO`, 'I'I IEREFORE, "I"i_IE CONDI IION OF THIS OBLIGATION IS SUCII, 'That if the above bounden Principal shall well and truly
keep, do and perform each and every, all and singular, the matters and things in said contract sei: forth and specified to be by said
Principal kept, done and perflortned., at the times and in the manner in said contract specified, or shall pay over, make good and
reimburse to the above narncc:l Obligee, all lass and damage which said Obligee may sustain by reason of failure or default on the part
of said Principal so to do, then this obligation shall be null and void; otherwise ;.hall remain in full force and effect.
I NO SUIT, AC"1'IUNT OR PROCFEDING by the Obligee to recover on this bond shall be sustained unless the same be commenced i
witlrin trio (2) vears followitu) the date on which Principal ceased work on said Contract.
I i
Ghilotti Construction Company, Inc
Principal
By
�19f�
> 3 ° Liberty Mutual insurance Company I
Kathy RaVg 'fa "a" lttorney- in- Fact
i
i
ACKNOWLEDGMENT
State of California
County of Placer
On August 9, 2013 before me, Jana B. Pilgard, Notary Public
(insert name and title of the officer)
personally appeared Kathy Rangel
who 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.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature `r.:-'� y`r,... ',,::.,.•:
'-v4' 0 JAIA S. PtLAD
OMM. # 2007077
PLACER COUNT V
"Icomm. Exp. MARCH 8, 201?t
(Seal)�u
Premium is for. Contract Term
and is Subject to Adjustment
based on Final Contract Price.
Executed in Duplicate
KNOW ALL BY TI HESE PRESENTS, That we, Ghilotti Construction Company, Inc.
Bond 070016416
Premium Included
and the Liberty Mutual Insurance Company a corporation organized and existing under the laws of the State of
Massachusetts _ and authorized to transact surety business in the State of California, as Surety, are held and firmly bound unto
City of San Rafael
_ as Obligee,
in the sum of One Million Sixty-seven Thousand Five Hundred Fifteen Dollars And Fifty Cents
Dollars ( $1,067,515.50 1,
for the payment whereof, well and truly to be made, said Principal and Surety bind themselves, their heirs, administrators, successors
and assigns, jointly and severally, firmly by these presents.
RE CUNDIT'ION OF THE FOREGOING OBLIGATION IS SUCH, 'That WHEREAS, the above -bounden Principal has entered into a
contract, dated 5th day of August 2013 with the Obligee to do and perform the following
work, to -wit: Street Resurfacing 2012-2013, Project No. 11185
NOW. THEREFORE., if the above -bounden Principal or his, her subcontractors fail to pay any of the persons named in Section i 181 of
the Civil Code of the State of California, or amounts due tinder the Unemployment Insurance Code with respect to work or labor
performed under the Contract, or any amounts required to be deducted, withheld and paid over to the Franchise Fax Board from the
wages of employees of the Principal or hislier subcontractors pursuant to Section 18806 of the Revenue and Taxation Code, with
respect to such work and labor, Surety will pay for the same, in an amount not exceeding the amount specified in this bond. and also, in
case suit is brought upon this bond. a reasonable attorney's fee, to be fixed by the court.
This bond tihall inure to the benefit of any and all persons, companies or corporations entitled to file claims under Section 3181 of the
Civil Code of the Slate of California, so as to give a right of action to them or their assigns in any suit brought upon this bond.
Sic„ried. sealed and dated this 9th day of August
if
I
State of California
County of Placer
On August 9, 2013
ACKNOWLEDGMENT
1
before me, Jana B. Pilgard, Notary Public
(insert name and title of the officer)
personally appeared Kathy Rangel
who 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.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS m hand and official seal.
y JA A S. PIt OARD
COMM'. <o€`7
PLACER COUNT(
Comm Exp MARCH 8. 2017
(Seal)
M THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No. 6085583
American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of
the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West Amedcan Insurance Company
IN TESTIMONY WHEREOF, i have hereunto set my hard and affixed 'he seals of said r ar es ti, 9 t h,jay of
LMS_12673 992012
Aug us t 20 13
By:
David M. Carey Assistant Secretary
156 of 200;
is a corporation duly organized under the laws of the State of Indiana (herein collectively called the 'Companies"), pursuant to and by authorlty herein set forth, does hereby name, constitute
i�
and appoint, Dona Lisa Buschmann; J. Buschmann; Jana B. Pilgard; Kathy Rangel; Robert D. Laux; Susan Fournier
I
"s
all of the city of Roseville state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge
and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall
j
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
V
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 18th day of April 2013
American Fire and Casualty Company
The Ohio Casualty Insurance Company
O
Liberty Mutual Insurance Company
m
WestAmerican Insurance Company
O d
By:
C
STATE OF WASHINGTON ss Gregory tiV. Davenport, Assistant Secretary
.; i
COUNTY OF KING
tts
=
O
d ED
On this 18th day of April 2013 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American
v lo—
Fire and Casualty Company, Liberty Mutual Insurance Company. The Ohio Casualty Company, and West American Insurance Company, and that he, as such. being authorized so to do,
Fire
9,U)
O.
purposes therein contained b signing on behalf of the corporations p himself as a dui authorized officer.
execute the foregoing instrument for the p y g g p y y
d W
O
tv
a
>
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written.
O a
+• o
I�JL>i/L l
o
By:
KD Riley Not44 Public
Oi
,
3
do
OE
owa
This Power of Attorney is made and executed pursuant to and by authority of the following By -lavas and Authorizations of American Fare and Casualty Company, The Ohio Casualty Insurance
rA c
m
Company. Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
e
�
mrn
w
ARTICLE IV - OFFICERS - Section 12. Power of Attorney, Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject
p
fl;
to such limitation as the Chairman or the President may prescribe. shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal,
>
O C
acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective
:a 3
E
powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so
as
executed, such, instruments shall be as binding as if signed by the President and attested to by the Secreta; y Any power or authority granted to any representative or attorney-in-fact under
> =
`a ithe
provisions of this article may be revoked at any time oy the Board, the Chairman, the President or by the officer or officers granting such power or authority.
d
A
ARTICLE XIII - Execution of Contracts - SECTION 5. Surety Bonds and Undertakings, Any officer of the Company authorized for that purpose in writing by the chairman or the president,
� 00
> i
and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in. fact, as may be necessary to act in behalf of the Company to make; execute,
_ M
p 3
seal, acknowledge and deliver as surety any and all undertakings. bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their
C o®
Z ra
respective powers of attorney, shall nave full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so
040
such instruments shall be as binding as ;f signed by the president and attested by the secretary.
O
Lexecuted
Certificate of Designation -'rhe Presicen, of the Company, act ng pursuant to the Bylaws of the Company, authcrizes Gregory W. Davenport, Assistant Secretary to appoint such
F' r
:attorneys -gin fact as may be necessary to act on behalf of the Company t�, make. execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and
oilier surety oblgatii•:ns.—
i
Authorization -- By �.nan;mous conserit ^f the Comuany's c2oard cf 0 rec`or:s, 'hie'.crrrpany consents tra. fac�lmiie ^r nsechanicall r reproduced signal„re cf any assistant secaetary of the
Cornpary 'ovnarevez., appearing ur,-Oln a cef!if!eg copy orf r"a w power c -f int' rrev ssuad by !he C:_;i>,,.p3ny in, con nec€i,7, soref�j�')ori,is, shall be 40 aria hiri&rg upon, Vie C,;impany rh' h
the Sarre force, and effect as fiougrf ,nal"wally affixed.
I
i, Dav,d M Carey, tne :Marsigined Assistant Sf cr eta -y, 1Amenr;ari Fire and Casualty C;G?: pall. I he Ohio C3 ilalt'y` irrsv ance Ccnpar;y, Liberty Mutual' insunaride Company, arc V"west
f
America;t insilra G Cnmpany no hereby certify that the original power of attorney of which the foreooing is a fjii. trt ie ana correct copy of the Power ofAttcrney executed toy said Companies,
a
is it r foil force and effect aro has not been revoked.
IN TESTIMONY WHEREOF, i have hereunto set my hard and affixed 'he seals of said r ar es ti, 9 t h,jay of
LMS_12673 992012
Aug us t 20 13
By:
David M. Carey Assistant Secretary
156 of 200;
r @� I DATE (MM/DD(YYYY)
ACC N?" CERTIFICATE OF LIABILITY INSURANCE 8/9/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.- THISCERTIFICATEOF-INSURANCE DOES- NOT CONSTI-TUTF-A CONTRACT BETWEEN THE -ISSUING 1NSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
! PRODUCER CUNIANAME: Lt Valerie Porter -Browne
Woodruff -Sawyer & Co. PHONE alc.No1A15-989-9923
Y [A/C. yo. EXtIA 15-391-2141
50 California Street, Floor 12 E-MAIL
San Francisco CA 94111 I ADDRESS :voorter-browne6wsandCo. com
INSURER(S) AFFORDING COVERAGE NAIC 8
INSURERA:OId Reoublic General Insurance Coro 4139
INSURED GHILCON-01 INSURERB:
Ghilotti Construction Company, Inc. I INSURERC: '
246 Ghilotti Avenue I INSURERD:
Santa Rosa CA 95407
INSURER E
INSURER F;
COVERAGES CERTIFICATE NUMBER: 1704472319 REVISION NUMBER:
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,
j EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR ADDL SUBR POLICY EFF POLICY EXP '
TYPE OF INSURANCE
LTR INSR WVD POLICY NUMBER IMMIDDIYYYY) (MMIDDrY) LIMITS
A GENERAL LIABILITY Y 41CG37541309 3/31/2013 3/31/2014 EACH OCCURRENCE $2,000,000
X DAMAGE TO RENTED
— --
COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurtence) $100,000
CLAIMS -MADE LAJ OCCUR I MED EXP (Any one person) $5,000
PERSONAL & ADV INJURY $2,000,000
GENERAL AGGREGATE $4,000,000
GEN'LAGGREGATELIMIT APPLIES PER PRODUCTS -COMP/OPAGG $2,000,000
I� PRO- LOC $
POLICY JFCT
A AUTOMOBILE LIABILITY A1CA37541309
3/31/2013 3/31/2014 COMBINEU SINGLE LIMI I
Ea accident
$1,000,000 —
X ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED SCHEDULED
BODILY INJURY (Per accident)
$
AUTOSNONOOWNED
X
PROPERTY DAMAGE
$
X HIRED AUTOS AUTOS
— -
_ (Per accident) _
$
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
EXCESS LIAB CLAIMS -MADE
AGGREGATE
$
DED I ' RET ENTtON$
$
WORKERS COMPENSATION
A 41CW94681310
4/2/2013 4/2/2014 X I WCSTATU- I lOTH-
TORY LIMITS
—
AND EMPLOYERS' LIABILITY
-- --,_.E.R_,
AN`' PROPRIETOR/PARTNERiEXECUTIVE
E.L. EACH ACCID_E_N7
OFF ICER/MEMBER EXCLUDED ^ NIA
_ __$_1_,000,000
(Mandatory in NH)
E.L DISEASE - EA EMPLOYEE
$1,000,000
If yes. describe under
DESCRIPTION OF OPERATIONS below
E.L DISEASE - POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
GCC job #5524, Project No. 11185; Street Resurfacing 2012-2013. It is herby understood and agreed that the City of San Rafael & Marin
County, its officers, agents and employees are additional insureds hereunder but only as respects liability arising out of the land &tor property
&/or work described in the Public Works contract for the project entitled, Street Resurfacing 2012-2013; City Project No. 11185 between the
City of San Rafael & Ghilotti Construction Co., Inc. for the work and the Improvements described therein. Endorsements CG 2037 07 04, CG
2010 07 04 attached. Coverage is Primary & Non -Contributory per form CG EN GN 0029 09 06 attached.
Policies contain a 30 day notice of cancellation, and a 10 day notice of cancellation for non-payment of premium.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of San Rafael, Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS.
111 Morphew Street
San Rafael CA 94915-1560
AUTHORIZED REPRESENTATIVE
anr
1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
i
NAMED INSURED: Ghilotti Construction Company, Inc.
POLICY NUMBER: AtCG37541309 COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization (s): Location(s) Of Covered Operations
Where required by written contract Where required by written contract
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig-
nated above.
CG 20 10 07 04
B. With respect to the insurance afforded to these
additional insureds, the following additional exclu-
sions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or equip-
ment furnished in connection with such work,
on the project (other than service, maintenance
or repairs) to be performed by or on behalf of
the additional insured(s) at the location of the
covered operations has been completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization other
than another contractor or subcontractor en-
gaged in performing operations for a principal
as a part of the sante project,
C., iSO Properties, Inc., 2004
Page 1 of 1 13
Ei
NAMED INSURED: Ghilotti Construction Company, tnc
POLICY NUMBER: AtCG37i41309 COMMERCIAL GENERAL LIABILITY
CG 20 37 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name Of Additional Insured Person(s)
Or Orcianization(s):
Where required by written contract
SCHEDULE
Location And Description Of Completed Operations
Where required by written contract
Information required to complete this Schedule. if not shown above, will be shown in the Declarations
Section II — Who Is An Insured is amended to in- at the location designated and described in the
clude as an additional insured the person(s) or or- schedule of this endorsement performed for that ad-
ganization(s) shown in the Schedule, but only with ditional insured and included in the "products-com-
respect to liability for "bodily injury" or "property pleted operations hazard".
damage" caused, in whole or in part, by "your work"
CG 20 37 07 04 Copyright, ISO Properties, Mr- 2004 Page 1 of t
UNIFORM
0
OLD REPUBLIC GENERAL INSURANCE CORPORATION
CHANGES ADDITIONAL INSURED PRIMARY WORDING SCHEDULE
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Name of Additional Insured Person(s)
Or Organization(s):
As required by written contract
Location(s) of Covered Operations
where required by written contract
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The insurance provided by this endorsement is primary insurance and we will not seek contribution from
any other insurance of a like kind available to the person or organization shown in the schedule above
unless the other insurance is provided by a contractor other than the person or organization shown in the
schedule above for the same operation and job location. If so, we will share with that other insurance by
the method described in paragraph 4.c. of Section IV -- Commercial General Liability Conditions.
All other terms and conditions remain unchanged.
Named Insured-
Ghilotti Constriction Company, Inc.
Policy Number AICG37541309 Endorsement No ----
Policy
— Policy Period 03/3112013 to Endorsement Effective Date:
Q3131,'2�14
-- • •- ---------___._.. - - - -------------
Producer's Name: j
Producer Number:
3J3 tit3
AUTHORIZED REPRESENTATIVE DATE
CG EN GN 0029 09 06