HomeMy WebLinkAboutCC Resolution 11362 (Comm. Dev. Remodel; Phase II)RESOLUTION NO. 11362
RESOLUTION OF AWARD OF CONTRACT FOR CITY OF SAN
RAFAEL COMMUNITY DEVELOPMENT DEPARTMENT PHASE II
REMODEL TO JMA CONSTRUCTION IN THE AMOUNT OF
$146,000.00
BE IT RESOLVED by the Council of the City of San Rafael as follows:
WHEREAS, on the 291h day of July, 2003, 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:
"CITY OF SAN RAFAEL COMMUNITY DEVELOPMENT DEPARTMENT
PHASE II REMODEL"
PROJECT NO. CDD2003-01
in accordance with the plans and specifications therefor on file in the office of said City
Clerk; and
WHEREAS, the bid of JMA CONSTRUCTION, at the lump sum price stated
in its bid was and is the lowest and best bid for said work and said bidder is the lowest
responsible bidder, and deductible items of work B,C, and D have been removed from
the contract to reduce the overall price from $220,000.00 to $146,000.00 therefor:
NOW, THEREFORE, IT IS HEREBY ORDERED AND RESOLVED that
the bid of JMA CONSTRUCTION, and the same is hereby accepted at said limp stun
price less deductible items B, C, and D and that the contract for said work improvements
-1-
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be and the same is hereby awarded to said JMA CONSTRUCTION, at the lump sum
price less deductible items B, C, and D mentioned in said bid.
BE IT FURTHER ORDERED AND RESOLVED that the Mayor and the City
Clerk of said City be authorized and directed to execute a contract with JMA
Construction, for said work and to return the bidders bond upon the execution of said
contract.
BE IT FURTHER RESOLVED that the Community Development Director 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 4ch day of August, 2003, by the following
vote, to wit:
AYES: COUNCIL MEMBERS: Cohen, Heller, Miller, Phillips and Mayor Boro
NOES: COUNCIL MEMBERS: None
ABSENT: COUNCIL MEMBERS: None
JEAN E'M. LEONCINI, City Clerk
-2-
CITY OF SAN RAFAEL
Community Development Department
OPENING OF SEALED BIDS
RE: City of San Rafael Community Development
Department Phase II Remodel
Project No CDD 2003-01
Date of Bid Opening: Tuesday, July 29, 2003 @ 2:30 p.m.
NAME OF BIDDER
JMA Construction
1801 Larkin Street
San Francisco, CA 94109
KenRidge Builders, Inc.
1360 Industrial Avenue, Suite D
Petaluma, CA 94952
James Nolan Construction, Inc.
P.O. Box 90
St. Helena, CA 94574
ENGINEER'S ESTIMATE:
AMOUNT
$220,000.00
$241,000.00
$229,000.00
$ 100,000.00
word\city clerk work\misc\bid —CDD Remodel CD
City of San Rafael ♦ California
Form of Contract Agreement
for
CITY OF SAN RAFAEL COMMUNITY DEVELOPMENT
DEPARTMENT PHASE II REMODEL
Project No: CDD 2003-01
This Agreement is made and entered into this 4TH day of August 2003 by and between
the City of San Rafael (hereinafter called City) and JMA CONSTRUCTION (hereinafter
called Contractor). Witnesseth, that the City and the Contractor, for the considerations
hereinafter named, agree as follows:
I - Scope of the Work
The Contractor hereby agrees to furnish all of the materials and all of the equipment
and labor necessary, and to perform all of the work shown on the plans and described
in the specifications for the project entitled: CITY OF SAN RAFAEL COMMUNITY
DEVELOPMENT DEPARTMENT PHASE II REMODEL Project No: CDD2003-01, all in
accordance with the requirements and provisions of the Contract Documents as defined
in the General Conditions which are hereby made a part of this Agreement.
II - Contract Documents
The Contract Documents consist of the following, all of which are as fully a part hereof
as if herein set out in full and, if not attached hereto, the same as if hereto attached:
A. The accepted Proposal of the Contractor.
B. The fully executed Performance Bond and Payment Bond.
C. Workers Compensation, Public Liability and Property Damage Insurance, as
required from the Contractor pursuant to the terms of the Contract.
D. This Agreement.
E. The General Conditions.
F. The Specifications and the Drawings and all authorized modifications
thereof and Addenda thereto.
III- 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) The work shall be completed by October 31, 2003 and including extensions of
time as are provided for in the General Conditions.
IIII - Liquidated Damages
It is agreed that, if all the work required by the contract is not finished or completed
within the number of working days as set forth in the contract, damage will be
sustained by the City, and that it is and will be impracticable and extremely difficult to
ascertain and determine the actual damage which the City will sustain in the event of
and by reason of such delay; and it is therefore agreed that the Contractor will pay to
the City, the sum of $500.00 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
co -Hy AGREEMENT 1
City may deduct the amount thereof from any moneys due or that may become due the
Contractor under the contract.
IV - The Contract Sum
CONTRACTOR'S COMPENSATION. The City will pay and the Contractor will accept,
in full consideration for the performance of the Contract, subect to additions and
deductions as provided therein, the sum of one hundred forty six thousand
dollars ( $146.000.001, and sum being the total of the Contractor's Base Bid and
the following deductive Alternates. Deduct Alternates B, C, and D.
V - Progress Payments
(a). On not later than the 6th day of every month the Community Development
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 Community Development 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 Community Development 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 Community Development Director 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
Community Development Director 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.
AGREEMENT 0 2
(d) If after the work has been substantially completed, full completion thereof is
materially delayed through no fault of the Contractor, and the Community
Development Director so certifies, the City shall, upon certificate of the Community
Development Director, 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:
An�ne M. Leoncim
City Clerk
CITY SAN RAFAEL:
0 Z
Al ert Boro
Mayor
CONTRACTOR:
I
L
for C
AGREEMENT @3
POLIL;YHOLDER COPY
STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807
COMPENSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 08-26-2003 GROUP:
POLICY NUMBER: 1517378-2003
CERTIFICATE ID: 11
CERTIFICATE EXPIRES: 06-01-2004
06-01-2003/06-01-2004
CITY OF SAN RAFAEL COMMUNITY DEVELOPMENT
1400 5TH AVE
SAN RAFAEL CA 94915
JOB: PROJECT #CDD 2003-01
This is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer.
We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document with
respect to which this certificate of insurance 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.
�(A�
AUTHORIZED REPRESENTATIVE
Al� e . 0&�
PRESIDENT
STANDARD POLICY EXCLUSIONS: INDIVIDUAL EMPLOYERS, HUSBAND AND WIFE EMPLOYERS,
EMPLOYEES COVERED UNDER CPL INSURANCE AND EMPLOYEES EXCLUDED UNDER CALIFORNIA
WORKERS COMPENSATION LAW.
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
EMPLOYER
MA, JIM DBA: J. MA CONSTRUCTION
1801 LARKIN ST APT C
SAN FRANCISCO CA 94109
[ND,NA1
PRINTeED:08-27-2003
SCIF 10262E Accept this certircale only if you see a faint watermark that reads "OFFICIAL STATE FUND DOCUMENT" PAGE 1 OF 1
09/11/2003 12:47 415-566-7308
J LIU INSURANCE SRVS PACaE 01/61
ACORD- CERTIFICA M OF LIABILITY
INSURANCEDATE
19/2003
THIS CERTIFICATE IS ISSUED AS A MATTER CI INI:ORMATION
PRODUCER
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jessioa Liu Insurance Services
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR:
ALDER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1511 Taraval Street ((201
TSL: (415) 731-8036
INSURERS AFFORDING COVERAGE
San Francisco CA 94116 -
I INSURER a rinancial Indemnity Company
INSURED
IINSURERaTOPA Insurance Company
J. Ma
DHA: J. Ma ConstructionI41NSURERC.
1801 Larkin Street
IINSURER0
San Francisco CA 94108—
INSURER E ,
COVERAGES
HE
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TPOLICY 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.
/jG jREOATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POMY EFF19CTNE POLICY EXPIRATION
�F� TYPE OF INSURANCE POLICY NUMBER
LIMITS
OIYYI DSILMD[)NYI
LTR
GENERAL LIABILITY
/ / / EACH OCCURRENCE S
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (MY one Ike) S
=CLAIMS MADE 0 OCCUR
/ / MED EXP (MY aN poraon) S
PERSONAL 6 ADV INJURY S
GENERAL AGGREGATE S
GEML AGGREGATE LIMIT APPLIES PER'
PRODUCTS - COMPIOP AGO S
7 I 1 I I LOC
/
JJEE-CT
POLICY
At70NiOBILE LIABILITY
/ / / COMBINED SINGLE LIMIT
(Ea eaVferp s 1 � 000 � 00 C
_ ANY quTC
R ALL OWNED AUTOS C 7415799 03
06/01/2003 06/OiJ2004 BODILY INJURY
_
X SCHEDULED AUTOS
(Per Pw%w) S
/ / / /
WIRED AUTOS
BODILYINNRY
NON -OWNED AUTOS
(Per ami"A S
PROPERTY DAMAGE
(Per amWono S
GARAGE LLA131LITY
AUTO ONLY . EA ACCIDENT S
ANY ALTO
/ / / / OTHER THAN EA ACC S
AUTO ONLY AcG f
EXCESSUAPILRY
I / / / EACH OCCURRENCE S 4'DODr000
X I OCCUR F-1 CLAIMS MADE
AGGREGATE S 4,000,000
f
8 OEDVCr19LE JMA 1431
09/11/2003 04/12/2004 s
RETENTION S
WD KERS COMPENSATIDNAND
f
/ / / / ITVA Y UA Ing I I Vtj�+
M
EMPLOY EIS' LIABILITY
EL. EACHACCIOENT S
E.L. DISEASE • EA EMPLOYEE S
EL. DISEASE- POUCY UMIT S
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLU810NS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
For Project: City of Ban Rafael Cougmnity Development Dept, project#: CDD2003-01
**Except Cap 10 days non-payment**
CERTIFICATE HOLDER ( X I ADOCTIONAL INSURED• INSURER LETTER: _.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT
City Of Sari Rafael Community Devt Dept
FAILURE TO DO 10 SHALL IMPOSE No OBLIGATION OR LIABILITY OF ANY KIND UPON THE
1400 Fifth Avenue
INSURER; 1T9AGENTS DRREPRESENTATIVE&
Q.O. tax 151560
AUTHORIZEDREPRASENTATNE
San Rafael CA 94915-1560
11 I
ACORD 25-S (7/87)
O ACORD CORPORATION 1988
INS025S (osip 01 ELECTRONIC LASER
FORMS. INC.. (800)927.0545 Pag* T of 2
06/28/2003 09:07
415-566-7306 J LIU INSURANCE SPVS
RLI INSURANCE C .
Peoria, Illinois
Certificate of Liability nsurance
Producer
JESSICA LIU INSURANCE
1511 laraval street 11201
San Francisco
SAN FRANCISCO CA 94116
Phone:4157318436 Fax:4155667309
Insured
J MA CONSTRUCTION DBA:
JIM MA
1801 LARKIN STREET #C
SAN FRANCISCO CA 94108
COVERAGES
PAGE 02/04
Data (MMIDOM)
6/46/03
This Cart f1cate Is Issued as a matter of Information only and confers no
rights ur 3n the certlflCate holder. This Certificate does not amend,
extend or altar the coverage afforded by the policies below.
j Companies Affording Coverage
f4 Compan A: RLI INSURANCE CO.
Compan a.
Compan ° C:
Compan - D:
This Is to eanify that the policies of insurance listed below have been issued to the Insure named above for the policy pet;od Indicated, notwith- standing any
requirement. term or condition of any contract or other document with respect to which tris certificate maybe Issued or may perteln. the Insurance afforded
by the policies deecribad herein is subject to all the terms, exclusions and conditions of s n policies. Limits shown may have been reduced by paid claims.
Co POLICY EFFECTIVE P,LICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) -ATE (MMIDONY) LIMITS
A General Llabnity AC10005337 04112/2003 14/1212004 General Aapfeaale 2,000,000
® Commercial General LIebillty
Products -Comp/Op Aga.
1,000,000
❑ Claims Made ®Occur
Personal A Adv. Inlury
I 1 000 DOD
owner's 6 Contractor's
Each Occurrence
S 006000
Protective Liability
Fire Dstnape (Any one the
$ j00`660
❑ Terrorism Policy
Med Exp, (Any one person
$ 10,00;
❑ Contractor's Special Form
Commerclat Umbrella
Each Occurrence
S
Aggregate
$
Commercial Excoss Umbrella
Each Occurrence
$
Aggregate
S
Commercial Excess Liability
Each Occurrence
S
A9gregate
S
Certificate Holder
City of San Rafael Community
Developmen Dept
1400 Fifth Avenue
San Rafael CA $4915 tea..
Richard Quehl, Home Office Undowiling Executive
RIL 2129 (12102) Page 1 oft
ob/'Ltr/ LbbJ by: I7 r 415-bbb- FJU8
J LlU ..iVSUk/aNCE 5kV5 PAGE 04/04
Oe/2?/2003 17; 18 No. 543 LAJU.,
' I
BROKER COPY
STATE- P.O. BOX 420607, SAN FRANCISCO, CA 94142'0607
eo�ePenanrion
,N9UR^NCE
FUND CERTIFIcATre OF WORKERS' COMAE 4SATION INSURANCE
I9ltLTc DATE: 08-26-2003 GROUP.
POLICY NUMBER! 1517376-2009
CERTIFICATE 10: 11
CERTIP1WE EXPIRES: 06 - 01 � a 004
06 -01 -2003106 -DI -2004
CITY OF SAN RAFAEL COMMUNITY DEVELOPMENT
1430 5T11 AVE
5}RV RAt?A$L CA 94915 JOB: PROYNCr #CAA Z001-01
Th s is to certify that we have Issued a valid Workeer. Compensation insu anoe policy in a form approved by the California
tncurance Corrlmieaioner to the employer named below for the policy p
d Indicated.
Th,s policy is not subject to cancellation by the Fund except upon 10 da
advance written notice to the employer.
We will also give you 10 daytia
advance noa should this policy be ea
ft
prior t0 normal expiration.
This certificate of insurance is not sn insurance policy and does not am
d, extend or alter the coverage affordea by the
policies listed herein. Notwithstanding any requirement, term Or eonditio
of any contract or other document with
re:;pect to which this cenificom of Insurance may be Issued ar may p
the insurance aMrded by the policies
aescribed herein is subject to all the terms, exclusion■, and conditiorss,
ouch policies.
C
AUTHORIZED RePR642 vtA7IVE
STANDARD POLICY RXCLVSIONS: INDZVMTJAL EMPLOYI S, HUSBAND AND WIFE EMPLOYERS,
EMPLOYEES COVERED UNDER CPL tNSURMCE AND VMPLIDYMS EXCLi1 PD t1PIDER CALIFORNIA
WORKERS COMPINSA.TION LAW.
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE POSTS: $1,000,000 ProR OCCURRENCE.
t n.OYER
MA, JIM DSA: J. RA CONSTRUCTXON
1501 LARKIN ST APT C
SAN FRANCISCO CA 94109
PRI• 0: W-27.2003
• ^.' ••^ •^ oma, ituN tarnncab onry N yov roe r fern w4.muY INA Fels 'DFFICIAI. Bia76 FLwO sOCi1MEM' P c H OF 1
lot$/ LG/ zt3t3J ny: u r 417-7bb- r JUU J L1U .,NSUKANUt bKVS HAUL 03/04
i
RLI INSURANCE COX
Peoria, Illinois
IRAPORTAN-;.
If the certificate holder is an ADDITIONAL INSORED, the policy(ies) must be
endorsed. A statement on this certificate does rot confer rights to the
certificate holder in lieu of such endorsement(s
If SUBROGATION IS WAIVED, subject to the t -rms and conditions of the
policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certifica a holder in lieu of such
endorsement(s).
DISCLAIMEIR
The Certificate of Insurance on page one of thi i; form does not constitute a
contract between the Issuing insurer(s), author' ed representative or producer,
and the certificate holder, nor does it affirmativ ly or negatively amend, extend
or alter the coverage afforded by the policies Ii.- ted thereon.
For questions regarding the content or this cert; ficate, please contact tlProducer/Agent at the phone number listed on the
certificate,
RIL 2129 (12/02) Page 2 of 2
CONTRACTOR'S BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
FOR FAITHFUL PERFORMANCE Hartford, Connecticut 06183
Bond #103321664
KNOW ALL MEN BY THESE PRESENTS: Premium: $3,190
That we, JMA Construction
as Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, a corporation organized under
the laws of the State of Connecticut and duly authorized under the laws of the State of California to become sole
surety on bonds and undertakings, as Surety, are held and firmly bound unto
City of San Rafael CA as Obligee,
in the full and just sum of One hundred forty—six thousand and no/100
Dollars, ($ 146,000 ), lawful money of the United States of America, to be paid to the said Obligee,
successors or assigns; for which payment, well and truly to be made, we bind ourselves, our heirs, executors,
successors, administrators and assigns, jointly and severally, firmly by these presents.
Sealed with our seals and dated this 25th day of August 2003.
THE CONDITION OF THE ABOVE OBLIGATION is such that whereas the said Principal has entered into a contract
or is about to enter into a contract with the said Obligee
Phase II remodel, prof #CDD2003-01
as is more specifically set forth in said contract, to which contract reference is hereby made.
NOW, THEREFORE, if the said Principal shall well and truly do the said work, and fulfill each and every of the
covenants, conditions and requirements of the said contract in accordance with the plans and specifications, then the
above obligation to be void, otherwise to remain in full force and virtue.
JMA Construction
v
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
By d']�r'�ivG�ii��
M. R. Stewart Attorney -in -Fact
S-2359-1 (07-97)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
State of CALIFORNIA
County of SONOMA
On Aug 25 2003 before me,
DATE
personally appeared
DEBBIE BRANDON
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.
1 WITNESS my hand and official seal.
•" OFFICIAL SEAL - 1353443
DEBBIE
� ••,� ~ BRANDON �
Z = , NOTARY PUBLIC - CALIF. 0
COUNTY OF SONOMA SIGNATURE OF NOTARY
.,.x
My Comm. Exp. April 26, 20p6
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------------------------------------------------------------------------
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
TITLE(S)
❑ 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
SIGNER(S) OTHER THAN NAMED ABOVE
Travelers Casualty and Surety Company of America
PAYMENT BOND - PUBLIC WO►
SECTIONS 3247 - 3252, CIVIL CODE
(CALIFORNIA)
KNOW ALL MEN BY THESE PRESENTS:
TRAVELERS CASUALI AND SURETY COMPANY OF AMERICA
Hartford, Connecticut 06183
Bond No. 103321664
Premium $ Included
THAT WHEREAS, The State of California, acting by and through the City of San Rafael CA
has awarded to JMA Construction
as Contractor, a contract for the work described as follows:
Phase II remodel, Proj #CDD2003-01.
AND WHEREAS, Said Contractor is required to furnish a bond in connection with said contract, to secure the payment of
claims of laborers, mechanics, materialmen, and other persons as provided by law.
NOW, THEREFORE, We the undersigned Contractor and Surety are held and firmly bound unto the State of California in
the amount required by law, the sum of One hundred forty—six thousand and no/100
($ 146,000 ) Dollars, for which payment well and truly to be made we bind ourselves, our heirs, executors and
administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH,
That if said Contractors shall fail to pay (1) Any of the persons named in Civil Code Section 3181, (2) amounts due under
the Unemployment Insurance Code for work or labor performed in connection with said contract by any such claimant, or
(3) any amounts required to be deducted, withheld and paid over to the Employment Development Department from wages
of the employees of Contractor and his sub -contractors with respect to such work and labor, pursuant to Section 13020 of
the Unemployment Insurance Code, then the Surety or Sureties herein will pay for the same in an aggregate amount not
exceeding the sum specified in this bond, and also in case suit is brought upon the bond, a reasonable attorney's fee, to be
fixed by the court, otherwise the above obligation shall be void.
This bond shall inure to the benefit of any of the persons named in Civil Code Section 3181 so as to give a right of action to
such persons or their assigns in any suit brought upon this bond.
This bond is executed and filed to comply with the provisions of the act of Legislature of the State of California as
designated in Civil Code, Sections 3247 - 3252 inclusive, and all amendments thereto.
IN WITNESS WHEREOF, We have hereunto set our hands and seals on this 25thday of August 2003.
JMA Construction
Contractor
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
By M -/I- •�itl%�aC I
M. R. Stewart V Attorney -in -Fact
S -2061-B (07-97)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
State of CALIFORNIA
County of SONOMA
On Aug 25 2003 before me,
DATE
personally appeared
DEBBIE BRANDON
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.
OFFICIALSEAL-1353643 WITNESS my hand and official seal.
DEBBIE BRANDON Z
U = ,� NOTARY PUBLIC - CALIF. 0
ZXCOUNTY OF SONOMA SIGNATURE OF NOTARY
�l MY Comm. Exp April 26, 2006 B
f wW'y y N
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
TITLE(S)
❑ 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
SIGNER(S) OTHER THAN NAMED ABOVE
Travelers Casualty and Surety Company of America
11-avelers
IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE
COVERAGE
On November 26, 2002, President Bush signed into law the
Terrorism Risk Insurance Act of 2002 (the "Act"). The Act
establishes a short-term program under which the Federal
Government will share in the payment of covered losses caused by
certain acts of international terrorism. We are providing you with
this notice to inform you of the key features of the Act, and to let
you know what effect, if any, the Act will have on your premium.
Under the Act, insurers are required to provide coveraaP fnr r-rlrtain
losses caused by international acts of terrorism as defined in .0
Act. The Act further provides that the Federal Government will pay
a share of such losses. Specifically, the Federal Government will
pay 90% of the amount of covered losses caused by certain acts of
terrorism which is in excess of Travelers' statutorily established
deductible for that year. The Act also caps the amount of terrorism -
related losses for which the Federal Government or an insurer can
be responsible at $100,000,000,000.00, provided that the insurer
has met its deductible.
Please note that passage of the Act does not result in any change
in coverage under the attached policy or bond (or the policy or bond
being quoted). Please also note that no separate additional
premium charge has been made for the terrorism coverage
required by the Act. The premium charge that is allocable to such
coverage is inseparable from and imbedded * your overall
premium, and is no more than one percent of your premium.
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
TRAVELERS CASUALTY AND SURETY COMPANY
FARMINGTON CASUALTY COMPANY
Hartford, Connecticut 06183-9062
POWER OF ATTORNEY AND CERTIFICA'T'E OF AUTHORITY OF ATTORNEY(S)-IN-FACT
KNOW ALL PERSONS. BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY,
corporations duly organized under the laws of the Slate of Connecticut, and having their principal offices in the City of Hartford,
County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these
presents make, constitute and appoint: M. R. Stewart, Paul Ramatici, of Petaluma, California, their true and lawful Attorney(s)-
in-Fact, with full power and authority hereby conferred to sign, execute and acknowledge, at any place within the United States, (lie
following instrument(s): by his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other
writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to
bind the Companies, thereby as fully and to the same extent as if the same were signed by the duly authorized officers of the
Companies, and all the acts of said Attorney(s)-in-Fact, pursuant to the authority herein given, are hereby ratified and confirmed.
This appointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are
now in full force and effect:
VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, tinny Vice President, any
Second Vice President, tie Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact
and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe
to sign with the Company's name and seat with the Company's seal bonds, recognizances, contracts of indemnity, mid other writings obligutory iti
the nature of a bond, recognizance, or conditional undertaking, mid tiny of said officers or the Bonrd of Directors at tiny time mny remove tiny such
uppoinlee and revoke the power given hint or her.
VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President
may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is
in writing mid a copy thereof is filed in the office of the Secretary.
VOTED: That any bond, recognizance, contrnct of indemnity, or writing obligatory in the nature of a bond, recognizunce, or conditional
undertaking shall be valid and binding upon the Company when (a) sighed by tie President, oily Vice Chairman, any Executive Vice President, oily
Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if
required) by one or more Atlonieys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or
by one or more Company officers pursuant to a written delegation of authority.
This Power of Attorney and Certificate of Authority is signed and sealed by facsimile (mechanical or printed) under and by
authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY
COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY
COMPANY, which Resolution is now in full force and effect:
VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to ally
power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -iii -Fact for
purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney
or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and oily such power so executed and
certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in (he future with respect to tiny bund or
undertaking to which it is attached.
(1 1-00 Standard)
IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS
CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instrument to be
signed by their Senior Vice President and their corporate seals to be hereto affixed this 25th day of January 2001.
S'I'A1'li Ol'-CONNLC'I'ICU'1'
l SS. Hartford
COUNTY OF HARTFORD
im�pny, ,,ttY ANO GpSU4
C(HAWTORO,
�HARTFORD, 19 8 2 O
NN. %%%JJJ CONN.o_. ��'� '`bt *aysi bey ♦c�.���
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
TRAVELERS CASUALTY AND SURETY COMPANY
FARMINGTON CASUALTY COMPANY
George W. Thompson
Senior Vice President
On this 25th day of January, 2001 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly
sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the
corporations described in and which executed the above instrument; that he/she knows the seals of said corporations; that the seals
affixed to the said instrument are such corporate seals; and that lic/she executed the said instrument on behalf of the corporations by
authority of his/her office under the Standing Resolutions thereof.
SD
Zl
NOTARY
♦ M� t
PU9L10
My commission expires December 31, 2002 Notary Public
C�NNEGS...;�•'•,
Carol A. Thompson
CERTIFICATE
I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,
TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, stock corporations of
the Slate of Connecticut, DO HEREBY CERTIFY that (lie foregoing and attached Power of Attorney and Certificate of Authority
remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set
forth in the Certificate of Authority, are now in force.
Signed and Sealed at the Home Office of the Company, in the City of Hartford, State of Connecticut. Dated this 25th day of
August 120 03.
" 110 W9w J*6tY ANp ,rG ?• GA OU4C!'L
rl Uwe }D♦ q��b^
HARTFORD a HARTFORD, 1 9 8 2 O
CONN. >' CONN. o b
n
By
Kort M. Johanson
Assistant Secretary, Bond