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HomeMy WebLinkAboutCC Resolution 11502 (Traffic Signal Mgmt. System Project)RESOLUTION NO. 11502 RESOLUTION AWARDING CONTRACT TO REPUBLIC ELECTRIC IN THE AMOUNT OF $120,750.00 FOR TRAFFIC SIGNAL MANAGEMENT SYSTEM - STIP, PROJECT NO. 10751 (BID OPENING HELD ON TUESDAY, JANUARY 20, 2004). WHEREAS, on the 201h day of January, 2004, pursuant to due and legal notice published in the manner provided by law, inviting sealed bids for proposals for the work hereinafter mentioned, as more 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 MANAGEMENT SYSTEM - STIP" PROJECT NO. 10751 in accordance with the plans and specifications therefore 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 therefor; 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 Mayor 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. BE IT FURTHER RESOLVED that the Director of Public Works is hereby authorized to take any and all such actions and make changes as may be necessary to accomplish the purpose of this resolution. I, JEANNE M. LEONCINI, City Clerk of the City of San Rafael, hereby certify that the foregoing resolution was duly and regularly introduced and adopted at a regular meeting of the Council of said City held on the 17`h day of February, 2004, by the following vote, to wit: AYES: COUNCIL MEMBERS: Cohen, Heller, Miller, Phillips & Mayor Boro NOES: COUNCIL MEMBERS: None ABSENT: COUNCIL MEMBERS:None JEANNE LEO�,� NCINI; City Clerk File No.: 18.01.61 ;l G U y o U w w Z U of 1S k `o Z ►'- 8 S e S g o 8- 8 y $ n o z e E .. N N 7 V='_ O a'a< �o �W os$ W m=P arv----V�cL tea_ 3 a z' u S. S - g w ='S= 8 SS= w $ggo m UF U =$ $ - 3 U S h f h U w$$ $ 8 w S S 8 w� rv_rv. d Nm ;to � m c o o 5 E='a a ry-gr ry _ry n a n Z S 8 S S S S S S S w$$ 8 r d o h H wo 1.1—li 6 �a g�_ Ea �a a c w o= S=IR qS 8 S 8 8 F ui 9, o S $ z ucr -----_-_ a-------- a -m N F. m � W d 9 N B S e m c m j < e 'm e 2 e g Eg e e 9 E u ZQ e h < EE g Eg Egg 6 EEg E 6 µCI gE E a 6 r m N C_ •• a C N N N N , p yz.� iry e2EE g� F. — F i m F z y z HLUD ► E B 2 3 2004 City of San Rafael • California Form of Contract Agreement For TRAFFIC SIGNAL MANAGEMENT SYSTEM - STIP CITY PROJECT NO. 10751 FEDERAL PROJECT NO. CML -5043 (016) This Agreement is made and entered into this 17th day of February, 2004 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 Management System - STIP 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 5 calendar days after the date of written notice by the City to the Contractor to proceed. However, no field construction shall occur until all traffic signal hardware, including poles, mast arms, signal heads, and controller are within the possession of the contractor, and all City furnished materials are provided. (b) The work shall be completed within 30 working days after the date of such notice, and after 20 week lead time for acquisition of materials, and with such extensions of time as are provided for in the General Conditions. 111I - 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 $500.00 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 • 1 ITEM EST UNIT UNIT ITEM NO. BASE BID ITEMS QTY PRICE, $ TOTAL, $ 1 Mobilization 1 LS 7,000.00 7,000.00 2 Traffic Signal Modification at 2°d/C 1 LS 20,500.00 20,500.00 3 Traffic Signal Modification at 2°d/D 1 LS 13,000.00 13,000.00 4 Traffic Signal Modification at 2°d/E 1 LS 20,000.00 20,000.00 5 Traffic Signal Modification at 2°d/Shaver 1 LS 8,250.00 8,250.00 6 Traffic Signal Modification at 2°d/G 1 LS 13,250.00 13,250.00 7 Traffic Signal Modification at P/E 1 LS 22,000.00 22,000.00 8 Traffic Signal Modification at 3`d/Shaver 1 LS 8,750.00 8,750.00 Total Base Bid $112,750.00 ITEM EST UNIT UNIT ITEM NO. ALTERNATE BID ITEM QTY PRICE, $ TOTAL, $ 1 Traffic Signal Modification at 2°dB 1 LS 8,000.00 8,000.00 Total Alternate Bid $8,000.00 V - Progress Payments (a). On not later than the 6th day of every month the Public Works Department shall prepare and submit an estimate covering the total quantities under each item of work that have been completed from the start of the job up to and including the 25th day of the preceding month, and the value of the work so completed determined in accordance with the schedule of unit prices for such items together with such supporting evidence as may be required by the City and/or Contractor. (b). On not later than the 15th day of the month, the City shall, after deducting previous payments made, pay to the Contractor 90% of the amount of the estimate as approved by the Public Works Department. (c). Final payment of all moneys due shall be made within 15 days after the expiration of 35 days following the filing of the notice of completion and acceptance of the work by the Public Works Department. (d). The Contractor may elect to receive 100% of payments due under the contract from time to time, without retention of any portion of the payment by the public agency, by depositing securities of equivalent value with the public agency in accordance with the provisions of Section 4590 of the Government Code. Such securities, if deposited by the Contractr, shall be valued by the City's Finance Director, whose decision on valuation of the securities shall be final. 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, AGREEMENT • 2 including the retained percentage, shall be paid to the Conu actor 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 Contractor shall provide a "Defective Material 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. IN WITNESS WHEREOF, City and Contractor have caused their authorized representatives to execute this Agreement the day and year first written above. ATTEST: CITY OF SAN RAFAEL: 40— Wa-nne M. Leonc ni A ert BIr o City Clerk Mayor APPRQ ORM: REPUBLIC ELECTRIC &ary T. Ragghianti 1, City Attorney for AGREEMENT • 3 Contract Bond Public Work — California THE. -HARTFORD Hartford Plaza, Hartford, Connecticut 06115 (BOND ISSUED IN TRIPLICATE) PERFORMANCE BOND KNOW.ALL MEN BY THESE PRESENTS: bond No._.._.r?..7BCSCK6129 ...... 'Premium Charge_. _1.!.238 - 00 i i L 111 VE i n 0001x L 005LIC UJO;�KS DEPT. CITY OF G That we, REPUBLIC ELECTRIC _ �_.„ as Principal, .................... .... _._._...»._._._._..__........._.......... '.»__... .P _............._.a_....._»....__ .�......_... ._...._. and the: D FIRE � =ANY a Corporation organized and existingundarthe laws ofthe State of Connecticut and authorized to transact surety business In the State of California, as Surety, are held and firmly bound unto..: . ....... _._. _.._...___C�._QF...SAN ....FSP.F.AM...._.._.._.__.__...__.................. _._..»_____..._.._..._...._.._._......... _.__ _q._.._._......�_.n... _.__. in the sum of....ONE ...EUX�._T.W=_ ..THQUSM...,SEM. —HU.MR ......_...Ootlars (5......1�.i.�.�u lawful money ofthe United States of America,far the paymentwhereof, well and truly to be made, we hereby bind ourselves, our heirs, exec- utors, administrators, successors and assigns, jointly and severally, firmly by these presents. SIGNED, sealed with our seals, and dated this.__..._..._ _.._.. —..day. of._ ...... _.... MARCH Nc_2004 The condition ofthe foregoing obligation Is such that; whereas -the above bounden Principal has entered Into a contract dated_ > ?=4vith said......__.._ .._. CITY OF SAN. RAFAEL do and perform the following work, to -wit: TRAFFIC SIGNAL MANAGEMENT SYSTEM – STIP CITY PROJECT NO. 10751, FEDERAL PROJECT NO. CML 5043(016) -FIFTY AND NO/10OTHS----------------------------- NOW, THEREFORE, Ifthe above -bounden Principal she II well and trulyperform, orcause to beperformed, each and all ofthe requirements and.abiigations of said contractto be performed by said Principal, as Insald contract set forth, then this bond shall be null and void; other- wise it shall remain in full force and effect 1:10-140 We al I11�i�4:il�i7 . r tn6ol p)al' HARTFORD FI4 I;Sr CE COMPANY ay._.._........_ .... ... ..................`�_'_.......................'1£SEAL) Attorney-in-fact y HOLTirN1ANN Form 5.3665-1 Printed in U. S. R. CALIFORNIA ALL"'PURPOSE ACKNOWLEDGMENT State of California County of SONOMA ss. On 3/3/04 before me, LAWRENCE J. COYIITE, NOTARY PUBLIC Date Name and Title of Officer (e.g., "Jane Doe, Notary Public") personally appeared -------KELLY HOLTEMANN--------------------- —_—_—_—_ Name(s) of Signer(s) ZZ7 LAWRENCE J. COYNE Commission # 128111.3 Notary Public - Cotifornk3 _ Sonoma County NN Comm. Oct2Q, 20[04 Place Notary Seal Above ® personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(x) whose name(m) is/mm subscribed to the within instrument and acknowledged to me thatimishe&mW executed the same in )bbifher/R authorized capacity, and that by iii&er/fbe€ c signature(j) on the instrument the person(,$), or the entity upon behalf of which the person* acted, executed the instrument. WITNESS my hand and official seal. +J Sign re of Nota Public OPTIONAL Though the information below is not required by law, if may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: MARCH 3, 2004 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General CX Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: N/A SLY HOLTEMANN Number of Pages: EEO Top of thumb here O 1999 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chalsworth, CA 91313.2402 • mmnationalnotary.org Prod. No. 5907 Reorder. Call Toll -Free 1.800.976.6927 It Send No. 57BCSCK6129_.._.... Contract Bond Premium Charge Included In Premium Public Work — California n A til'FORD Charged for Performance Bond (BOND ISSUED IN TRIPLICATE) LABOR AND MATERIAL PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That we, REPUBLIC ELECTRIC .tp_..........�......_._L�T.»D.........T....�»_C..�_Tp_��.I.�..L.� _.(_l.1.7.�If_p. QOMPANY ............ ...........». _..._...... ...._....................... »_ »__. as Principal, and.A,+hl+.hT' -9M. ...k:.,l R?L dr,4At t.N,4.tAk:LS!h t...NN.I:J.I loh ld.............._ , a Corporation organlzad and existing under the laws of the Sune of CONNECTICUT and authorized to transact surety business in the State of California, as Surety, are held and firmly bound unto the State of California for the use and benefit of the State Treasurer as ex officio treasurer and custodian of the Unemp'oyment Fund and any and ail materialmen, persons, companies or corporations furnishing materials, provisions, provender or other supplies used in, upon, for or about the perform - once of the work contacted to be executed or performed under the contract hereinafter mentioned, and all persons, companies or corporations rearing or hiring teams, or implements or machinery, for or contributing to said work to be done'p�7dd�7aal7�ll��je7��sons codrr{�°r I /�'��n the same and all persons supplying both work and materials as aforesaid, In the sum of..D..�'_�"�!�:� :t11� �� �y�C� �' SEVEN HUNDRED FIFTY AND NO/10OTBS--------- ----• »oouars is 120, 750.00 lawful money of the United States of America, for the payment whereat wel; and truly to be made, we hereby bind ourselves, our halls, executors, admrnlslostors, successors and assigns, jointly and severally, firmly by these presents. CB SIGNED, sealed with our seals and dated this ........ ................. _. _._. day df___...............MAR.........,....____....__._., 7...2004 The condition of the foregoing obligation Is such that, whereas the above -bounden Principal has entered Into a contract, dated -FEBRUARY„ 7 0011h ---CITY . OF SAN RAFAEL .� �..... ._.................. _ . .............. »_.._.._ ID do and parform the following work, to wit: TRAFFIC SIGNAL MANAGE= SYSTEM — STIP CITY PROJECT NO. 10751, FEDERAL PROJECT NO. CML 5043(016) NOW THEREFORE, Ifthe above -bounden Principal dr ........ ...REPUBLIC ELECTRIC._._._.._._.._... ........................._.._ sub -contractor, fails to pay for any materials, pmvislons, provender or other supplies or teams, used in, upon, for or about the performance- or the work contracted to be done under said contract, or for any work or labor done thereon of any kind, or for amounts duo under the Unemployment Insurance Act with respect to such work, the Surety on this bond ydll pay the same, in an amount not exceeding the sum 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 and to be taxed as costs and to be included in the judgment therein randamd; PROVIDED that this bond is filed by the Principal to comply with the provisions at Chapter 7, ixlle XV of the Civil Gode of California and other applicable.provisions of said Tile XV relating to Public Work and liability hereunder is subject to the provisions of said section and acts amendatory thereof, and sections or other codes of the State of California referred to therein and acts amendatory thereof, REPUBLIC ELECTRIC ••••.•..—.-•-.--__........ ........... .......... ... (SEAL) Principal i RD FIa INSURANO COMPANY By Attorney -in -fad. Y HOLTEMANN CALIFORNIA ALL -'PURPOSE ACKNOWLEDGMENT State of California County of SONOMA ss. On 3/3/04 before me, LAWRENCE J. COYNE, NOTARY PUBLIC Date Name and Title of Officer (e.g., "Jane Doe, Notary Public") personally eared KELLY HOLTEMANN--- ---------------------------, p y a pp Name(s) of Signer(s) ..a.� ,fit^„a+14'_ca, —'..6%—.2k, LAWRENCE J. COYNE Commission # 1281143 Z Z <t� Notary Pubic - Carfarnia Sonoma County ..,,y.-�....�,. w����,��iim,C..�OyM.:n..�.M.yui�,Y.mj.w\•h�•.'v`WtW,,..s... Place Notary Seal Above M personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(x) whose name(m) is/meic -subscribed to the within instrument and acknowledged to me that±x9bhe executed the same in )bWher/1bv3dK authorized capacity(ies�, and that by kisther/lbebx signature(a) on the instrument the person(r,), or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. sig arure of Notary Public OPTIONAL Though the information below is not required by law, if may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document PA)= BOND Title or Type of Document: Document Date: MARCH 3, 2004 Signer(s) Other Than Named Above Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — O Limited ❑ General IX Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: N/A KELLY HOLTEMANN Number of Pages: Signer Is Representing: HARTFORD FIRE INSURANCE COMPANY I•a+lc •-a� Top of thumb_ here 0 1999 National Notary Associailon • 9350 De SDIO Ave., P.O. Box 2402 • Chatsworth, CA 91313.2402 • www.nafionalnotary.org Prod. No. 5907 Reorder. Cab TolFFree 1.600.976-6627 Obligee'sllnsured's Name CITY OF SAN RAFAEL Obligee'sllnsured's Mailing Address 1400 FIFTH AVENUE SAN RAFAEL, CA 94901 Bond/Policy Number IMPORTANT NOTICE TO N/A OBLIGEES/POLICYHOLDERS - TERRORISM RISK INSURANCE ACT OF 2002 You are hereby notified that, under the Terrorism Risk Insurance Act of 2002, effective November 26, 2002, we must make terrorism coverage available in your bond/policy. However, the actual coverage provided by your bond/policy for acts of terrorism, as is true for all coverages, is limited by the terms, conditions, exclusions, limits, other provisions of your bond/policy, any endorsements to the bond/policy and generally applicable rules of law. Any terrorism coverage provided by this bond/policy is partially reinsured by the United States of America under a formula established by Federal Law. Under this formula, the United States will pay 90% of covered terrorism losses exceeding a statutorily -established deductible paid by sureties/insurers until such time as insured losses under the program reach $100 billion. If that occurs, Congress will determine the procedures for, and the source of, any payments for losses in excess of $100 billion. The premium charge that has been established for terrorism coverage under this bond/policy is either shown on this form or elsewhere in the bond/policy. If there is no premium shown for terrorism on this form or elsewhere in the bond/policy, there is no premium for the coverage. Terrorism premium: 1 $0 Form B-3333-0 Page 1 of 1 © 2002, The Hartford hr-,RTF®FZD FIRE INSURANCE COMPANY Hartford, Connecticut POWER OF ATTORNEY Know all men by these Presents, That HARTFORD FIRE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Connecticut, and having its principal office in the City of Hartford, County of Hartford, State of Connecticut, does hereby make, constitute and appoint Lawrence J. Coyne, Goran G. E. Ryn, Bonnie K. Frymire, Kelly Holtemann Of Petaluma, CA its trueand lawful Attomey(s) in -Fact, with full power and authority to each of said Attomey(s}in-Fact, in their separate capacity if more than one is named above, to sign, execute and acknowledge any and all bonds and undertakings and other writings obligatory in the nature thereof on behalf of the Company in Its business of guaranteeing the fidelity of persons holding places of public or private trust; guaranteeing the performance of contracts other than insurance policies; guaranteeing the performance of insurance contracts where surety bonds are accepted by states and municipalities, and executing or guaranteeing bonds and undertakings required or permitted in all actions or proceedings or by law allowed, and to bind HARTFORD FIRE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of HARTFORD FIRE INSURANCE COMPANY and sealed and attested by one other of such Officers, and hereby ratifies and confirms all that its said Attomey(s�in-Fact may do in pursuance hereof. This Power of Attorney is granted under and by authority of the By -Laws of HARTFORD FIRE INSURANCE COMPANY, (`the Company") as amended by the Board of Directors at a meeting duly called and held on May 131h 1999, as follows: ARTICLE IV SECTION 7. The President or any Vice President or Assistant Vice President, acting with any Secretary or Assistant Secretary shall have power and authority to sign and execute and attach the seal of the Company to bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and such instruments so signed and executed, with or without the common seal, shall be valid and binding upon the Company. SECTION 8. The President or any Vice President or any Assistant Vice President acting with any Secretary or Assistant Secretary, shall have power and authority to appoint, for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, one or more resident Vice Presidents, resident Assistant Secretaries and Attomeys-in-Fact and at any time to remove any such resident Vice President, resident Assistant Secretary, or Attorney -in -Fact, and revoke the power and authority given to him. Resolved, that the signatures of such Officers and the seal of the Company may be affixed to any such power of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures 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. In Witness Whereof, HARTFORD FIRE INSURANCE COMPANY has caused these presents to be signed by its Assistant Vice President, and its corporate seal to be hereto affixed, duly attested by Its Assistant Secretary, this 14th day of May, 1999. Attest: HARTFORD FIRE INSURANCE COMPANY �FiRE ~Op Ck �'P°�NlTE9 Paul A. Bdrgenholtz, Assistant Secretary Robert L. Post, Assistant Vice President STATE OF CONNECTICUT SS. Hartford COUNTY OF HARTFORD On this 14th day of May. A.D. 1999, before me personally came Robert L. Post, to me known, who being by me duly swom, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Assistant Vice President of HARTFORD FIRE INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he knows the seal ofthe said corporation; that the seal affixed to the said instrument is such corporate seat; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order. QWnmr Jean IL Wozniak Notary Public CERTIFICATE My Commission Expires June 30, 2004 I, the undersigned, Assistant Vice President of HARTFORD FIRE INSURANCE COMPANY, a Connecticut Corporation, DO HEREBY CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force and has not been revoked; and furthermore, that Article N, Sections 7 and 8 of the By -Laws of HARTFORD FIRE INSURANCE COMPANY, set forth in the Power of Attorney, are now in force. Signed and sealed at the City of Hartford. Dated the 3RD day of MARCH 2004 9oF1RE SEAL J. Dennis Lane, Assistant Vice President orm S-4054--2 Printed in U.S.A. Client#: 19061 REPUBELE DATE ACOW. CERTIFICAI ..� OF LIABILITY INSUR.-„NCE 03/02104D/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Northern California ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1670 Corporate Circle, #201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 4409 Petaluma, CA 94955-4409 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Travelers Republic Electric INSURERS: State Compensation Insurance Fund of 7120 Redwood Blvd I INSURER C: Novato, CA 94945-4114 I INSURER D: 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 ADD'IJ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE LTR iNSR DATE IMM/DD/YYI POLICY EXPIRATION LIMITS DATE IMM/DD/YY1 A GENERAL LIABILITY DTEC0737X1065TIL03 04/21/03 04/21/04 EACH OCCURRENCE $1.000,000 X COMMERCIAL GENERAL LIABILITY I DAMAGE TO RENTED PREMISES (Ea occurrence/ $300,000 CLAIMS MADE 51OCCUR I MED EXP (Any one person) $5.000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS - COMP/OP AGG $2,000,000 POLICY n jFt° LOC A AUTOMOBILE LIABILITY DT810737X1065TIL03 04/21/03 04/21/04 COMBINED SINGLE LIMIT $1000000 X ANY AUTO (Ea accident) , r _ ALL OWNED AUTOS BODILY INJURY $ _ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) _ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY DTSMCUP365K4796TIL 04/21/03 04/21/04 EACH OCCURRENCE $4,000,000 7 OCCUR FICLAIMS MADE I AGGREGATE $4,000,000 $ DEDUCTIBLE I $ X RETENTION $ 10000 $ B WORKERS COMPENSATION AND 315140203 10/01/03 WC STATU- I OTH- 10/01/04 X ( TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT .$1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Cancellation: Except for ten day notice for non-payment of premium. RE: Job #10439, City Project #10751, Federal Project #CML 5043(016), Traffic Signal Management System -STIP. The City of San Rafael, County of Marin, its officers, agents and employees are named as Additional Insureds per the attached GL endorsement. CERTIFICATE HOLDER City of San Rafael Department of Public Works 1400 Fifth Avenue San Rafael, CA 94901 ACORD 25 (2001/08) 1 of 2 #S60285/M58867 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL XX7J) 1jJQItJ §t MAIL 3_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ji!)(j(Wxq=J 1QV)=D X)QX 7iNPAldRX9i7G18mJiXdi9GfC4iECXIR6pJC4�XJ3)iXDCdC1AIxOCxR909CiHExDL9�3fi�R7QR9�Ad3HFDC;ItiQ)Cxxx R xDj>sE9i)VRX•X AUTH IZED REPRE ENS" TIVE y A,nV J ��g Cir. c iJ R9S © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) 2 of 2 #S60285/M58867 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS OPERATIONS) This endorsement modifies insurance provided under the following-, COMNIERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY - CONTRACTORS COVERAGE PART 1. WHO IS AN INSURED - (Section II) is amended to include any person or organization you are required to include as an additional insured on this policy by a written contract or written. agreement in effect during .this policy period and signed and executed by you prior to the loss for which coverage is. sought. The person or organization does not qualify. as an additional insured with respect to the independent acts or omissions of such person or organization. The person or organization is only an additional insured with respect to liability- caused by "your work" for that additional insured. 2. The insurance,provided to*the additional insured is limited as follows: a) :In the event that -the limits of liability stated in the policy exceed the limits of liability -required -by a •writtenmcontract or written agreement in effect during this.policy period and signed and executed by you prior to the loss for which coverage is sought, this endorsement shall be limited to the limits of.liability required by such contract or. agreement. This -endorsement shall not increase the limits stated in Section III - LIMITS OF INSURANCE. b) • The insurance provided to the additional insured does not apply to "bodily injury", "property damage", "personal injury" or "advertising injury" arising out of an architect's, engineer's or surveyor's rendering of or failure to render any professional services. including: I. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and H. Supervisory or inspection activities performed as part of any related architectural or engineering activities. C) This insurance does not apply to "bodily injury" or "property damage" caused by "your work" included in the "products -completed operations hazard". 3. Subpart (1)(a) of the Pollution exclusion under Paragraph 2., Exclusions of Bodily Injury and Property Damage Liability Coverage (Section I - Coverages) does not apply to you if the "bodily injury" or "property damage" arises out of "your work" performed on premises which are owned or rented by the additional insured at the time "your work" is performed. Copyright, The Travelers Indemnity Company, 2002 Page 1 of 2 Company Profile Company Profile Pagel of 2 De aftme Of n Suran e HARTFORD FIRE INSURANCE COMPANY 55 FARMINGTON AVENUE, SUITE 100 HARTFORD, CT 06105-3725 800-243-5860 Agent for Service of Process JERE KEPRIOS, C/O CT CORPORATION SYSTEM 818 WEST SEVENTH STREET, 2ND FLOOR LOS ANGELES, CA 90017 Unable_ to Locate the Agent. for Service of Process? Reference Information NAIC #: 19682 NAIC Group #: 0091 California Company ID #: 0085-1 Date authorized in California: January 07, 1870 License Status: UNLIMITED -NORMAL Company Type: Property & Casualty State of Domicile: CONNECTICUT Dines of Insurance Authorized to Transact The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. I:1iZ '7m AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE LEGAL INSURANCE LIABILITY http:Hcdinswww.insurance.ca.gov/pls/wu_co_prof/idb_Co_prof utl.get_co_prof?p_EID= 03/08/2004 Company Profile MARINE MISCELLANEOUS PLATE GLASS SURETY TEAM AND VEHICLE WORKERS' COMPENSATION Company Complaint Information P �� Company__Enforcement_Actio_n Documents Company._ Performance & Comparison Data Composite Complaint Studies Want More? Help _Me Find a,Compaily Representative. in My Area Financial Rating Organizations Last Revised - February 18, 2004 03:13 PM Copyright © California Department of Insurance Disclaimer Page 2 of 2 http://cdinswww.insurance.ca.gov/pls/wu_co_prof/idb_co_prof utl.get co_prof?p_EID-... 03/08/2004 A.M. Best's Rating for Hartford Tire Insurance Company 02231 - Hartford Fire Insurance Company Member of Hartford Insurance Group A.M. Best #: 02231 NAIC #: 19682 View a list of arouo members or the orouq's ratino rb4Rtii1:s3=9ilfi Best's Rating M BE 01;11, A+ (Superior)* Financial Size Cateciory A+ Suparf°+f XV ($2 billion or more) 'Ratings as of 03/05/2004 04:49:26 PM E.S.T. Page 1 of 1 Rating Category (Superior): Assigned to companies that have, in our opinion, a superior ability to meet their ongoing obligations to policyholders. Important Notice: Best's Ratings reflect our opinion based on a comprehensive quantitative and qualitative evaluation of a company's balance sheet strength, operating performance and business profile. These ratings are not a warranty of an insurer's current or future ability to meet its contractual obligations. View our entire notice for a complete details. Companies interested in placing a Best's Security Icon on their web site to promote their financial strength may register online. Copyright © 2004 by A.M. Best Companv. Inc. ALL RIGHTS RESERVED No part of this information may be distributed in any electronic form or by any means, or stored in a database or retrieval system, without the prior written permission of the A.M. Best Company. Refer to our terms of use. for additional details. http://www3.ambest.com/ratings/rating.asp?AMBNum=02231 &Refnum=02231 &Site=ra... 03/08/2004 : Company Profiles CompanyList Pagel of 2 De c me°ntr"c Insurance For more information on any company, click the Company Name "Info" link. To view all companies in the same group, click the NAIC group number. http://cdinswww.insurance.ca.gov/pls/wu_co�rof/idb_co_list$co_list _mc.actionquery 03/08/2004 State of NAIC Group (Company Name �(Domicile I (Number INAIC Number (Name Type TRAVELERS AND SURETY CT 19038 3321 CASUALTY (COMPANY II II (Legal Name CASUALTY D SURETY II CT 31194 I 3321 IlLegal (COMPANY OF AMERICA. CmTRAVELERS ko) II Name TRAVELERS CASUALTY SURETY IL 19046 3321_ IlLegal COMPANY OF ILLINOIS IAND nfo) I II II Name TRAVELERS CASUALTY COMPANY OF CT 36170 I 3321 I Legal CONNECTICUT Info Name CASUALTY I CT II 40282 I 3321 IlLegal VOMPANYffTRAVELERS COMMERCIAL Name OMMERCIAL INSURANCE CT II 36137 3321 IlLegal (COMPANYTRAVELERS (Info) II I Name TRAVELERS NDEMNITY COMPANY CT II 25658 I) 3321 IlLegal I Name TRAVELERS INDEMNITY COMPANY OF CT I 25682 ( 3321 II ��Legal (CONNECTICUT (THE) Info Name INDEMNITY COMPANY OF IL II 25674 3321 Legal (TRAVELERS ILLINOIS (THE) Info Name INDEMNITY COMPANY OF I CT I 40282 II 3321 IIOld (TRAVELERS MISSOURI (THE)BnLo) Name TRAVELERS INDEMNITY OF II CT II 25682 II 3321 I101d ODE ISLAND (THE) (info) ISLAND Name N meDE INSURANCE COMPANY CT I I 39357 0041 I IlLegal (TRAVELERS (ACCIDENT DEPT) (Info) Name TRAVELERS INSURANCE COMPANY CT II 87726 II 0041 IlLegal I(THE)-(Lnfo I Name COMPANY OF IICT II79413 II0707 I101d (INOIS TINSURANCE LLIHE)Jinfo) Name TRAVELERS LIFE ANNUITY CT 80950 I 0041. �INamLegal COMPANY (THE) (ANoD I II e PROPERTY SUALTY I CT I 36161 I 3321 ILegal 0SU)VRANCE COMPANY (nfoELERS TRAVELERS ASSOCIATION I MO II 56006 II 0000 �(Legal E) CnfoVE 4 AMERICA (TPROTECTIVE Name http://cdinswww.insurance.ca.gov/pls/wu_co�rof/idb_co_list$co_list _mc.actionquery 03/08/2004 A.M. Best's Rating for Travele- Casualty and Surety Company Page 1 of 1 02001 - Travelers Casualty and Surety Company Member of Travelers Property Casualty Group A.M. Best #: 02001 NAIC #: 19038 View a list of arouo members or the arouo's ratina.. fin�nclats Best's Rating. }F J A �E7� A++ u (Superior)* Financial Size Cateaory � A++ ftwftt XV ($2 billion or more) 'Ratings as of 03/05/2004 04.49:26 PM E.S.T. Rating Category (Superior): Assigned to companies that have, in our opinion, a superior ability to meet their ongoing obligations to policyholders. Important Notice: Best's Ratings reflect our opinion based on a comprehensive quantitative and qualitative evaluation of a company's balance sheet strength, operating performance and business profile. These ratings are not a warranty of an insurer's current or future ability to meet its contractual obligations. View our entire notice for a complete details. Companies interested in placing a Best's Security Icon on their web site to promote their financial strength may register. online. Copyright © 2004 by A.M. Best Company. Inc. ALL RIGHTS RESERVED No part of this information may be distributed in any electronic form or by any means, or stored in a database or retrieval system, without the prior written permission of the A.M. Best Company. Refer to our terms of use for additional details. http://www3.ambest.com/ratings/rating.asp?AMBNum----- 02001 &Refnum=02001 &Site=ra... 03/08/2004 Search Results - Page - - AM P -t Online Ratings and Analysis March 8, 2004 14 HEST ambest.com • Ratings & Analysis o News Publications t Products & Services it Insurance Resources * About A.M. Best RR SgARCN t: Ratings (' Company Information EnterCompeny Name or A.M. Beat Number Find More Search Options CONTACT US NWhere in the world Is A.M. BEST? Find our locations Whatdo. you thff*, Send us vour comments Accessing the pages on ambest.com constitutes the user's agreement to our terms of use; Information collected via this Web site is protected by our privacy statement; Comments or concerns should be directed to our customer service group; For other matters refer to our contact us page. Pagel of 2 Search Results Page 1 of 2 26 Rated companies found, results sorted by Company Name Criteria Used: Company Name: Company names starting with Travelers To refine your search, please use our Advanced Search or view our Online Help for more in Please re-enter,your login information or join our Member. Center for access to Best's Ratin View results starting with: ABCQEFQHIJKLMN0PQRS.TU.VWX ® AMB# ® Industry ® Company Name ® Domicile 02001 P Travelers Casualty and Surety United States: Connecticut Company 03609 P Travelers Casualty and Surety of United States: Connecticut America 86921 P Travelers Casualtv & Surety Co of Canada: Ontario Canada 87376 P Travelers Cas and Sur Co Europe United Kingdom Ltd ............. 11024 .................... P ..._........_..._................ Travelers, Casualty_ Company of CT -------- ---- -11024 United States: Connecticut 04465 P ....... . ...................... Travelers Casuelty_.InsuranceCo of United States: Connecticut Amer 11767 P Travelers Commercial Casualty United States: Connecticut Comoanv 11025 P Travelers Commercial Insurance United States: Connecticut Companv 00241 P Travelers Excess and Surplus Lines United States: Connecticut Co 11302 P ........ ........ .. .. .......... .. .. Travelers Home. and _Marine..lns Do United States: Connecticut ...... 02520 • • .... ... ... P ......... ... Travelers IIndemnity.Company ... ... United States: Connecticut 86423 P Travelers Indemnity.Company.CAB Canada: Ontario 04003 ... P ......... Travelers. Indemnity -_Co of America ... United States: Connecticut 02517 P . .. ............. Travelers -Indemnity .Company_of CT United States: Connecticut 02521 P Travelers Insurance_Company. (Acc United States: Connecticut Dept) 69351 L Travelers Insurance Companv CAB Canada: Ontario 07330 L Travelers Insurance Companv (Life United States: Connecticut Dept) 08429 L Travelers Life and Annuitv United States: Connecticut Companv 03297 P Travelers Lloyds Insurance United States: Texas 1-ittp://www3.ainbest.com/Ratings/RatingsSearch.asp?SR=1 03/08/2004