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HomeMy WebLinkAboutCC Resolution 11180 (Third St. Interim Signal Impr.)RESOLUTION NO. 11180 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL AWARDING CONTRACT TO REPUBLIC ELECTRIC IN THE AMOUNT OF $141,700.00 FOR TRAFFIC SIGNAL IMPROVEMENTS AT "A" STREET BETWEEN SECOND STREET AND THIRD STREET AND INTERIM SIGNAL IMPROVEMENTS AT MISSION AVENUE/LINCOLN AVENUE, PROJECT NO. 10784 AND 10785 (BID OPENING HELD ON TUESDAY, SEPTEMBER 24, 2002). WHEREAS, on the 24`h day of September, 2002, 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 IMPROVEMENTS AT 'A' STREET BETWEEN SECOND STREET AND THIRD STREET AND INTERIM SIGNAL IMPROVEMENTS AT MISSION AVENUE/LINCOLN AVENUE" PROJECT NO. 10784 AND 10785 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 7`h day of October, 2002, by the following vote, to wit: AYES: COUNCIL MEMBERS: Cohen, Heller, Phillips and Mayor Boro NOES: COUNCIL MEMBERS: None ABSENT: COUNCIL MEMBERS: Mi 11 er JEANl* M. LEONCINI, City Clerk File No.: 18.01.58 'h' 0 0 0 o c U X 0 0 0 0 0 W Q O O O O O C O F-0 VOl < " VMI c ° F- t: F W o 0 0 0 .d U o 0 0 0 .0 c4 A rI 7 f9 O O O O C W Q O O O O C .S y F- 0 Ol � V W o` o Q w o 0 0 0 vv W U =" W o 0 0 0 d U o 0 0 0 fG S v d ren vI 3 zo O O O O C CW 0 0 0 0 0 u u ... O u = M F u � 0 0 0 0 0 vi 0 0 0 0 0 0 0 0 0 0 u y< O v o In rn F .s o 0 o O O o F pj 0 0 0 0 m N zO a v v v a � O O O O O W Q " O O O In C o m a o o •� o vi 0 0 0 0 0 0 0 0 o c ri C� oc c u F' p aC M od M e E f ^ tv r F W 0 0 0 0 ur _ o v = rooi .L M 00 N1 M N R o,- 0 2 v E C O - � E n E E > O ESE EEc E e w y u e N A � O Z City of San Rafael . California Form of Contract Agreement for REBID Traffic Signal Improvements at "A" St. and tad St. & "A" St. and 3rd St. and Interim Signal Improvements at Mission Avenue/Lincoln Avenue This Agreement is made and entered into this 7th day of October 2002 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: II - 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: Rebid Traffic Signal Improvements at "A" St. and 2nd St. & "A" St. and 3=d St., and Interim Signal Improvements at Mission Avenue/Linclon Avenue, 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. (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. 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 for each and every calendar day's delay in finishing the work in excess of the number of working days prescribed above; and the Contractor agrees to pay said liquidated damages herein provided for, and further agrees that the City may deduct the amount thereof from any moneys due or that may become due the Contractor under the contract. IV - The Contract Sum The City shall pay to the Contractor for the performance of the Contract the amounts determined for the total number of each of the units of work in the following schedule completed at the unit price stated. The number of units contained in this schedule is approximate only, and the final payment shall AGREEMENT -1 be made for the actual number of units that are incorporated in or made necessary by the work covered by the Contract. ITEM I UNIT EST UNIT ITEM NO. ITEM QTY PRICE, $ TOTAL, $ 1 Mobilization LS 1 5000.00 5,000.00 2 2nd St/A Street Improvements LS 1 44,000.00 44,000.00 3 3rd SBA Street Improvements LS 1 41,000.00 41,000.00 4 Mission Ave/Lincoln Ave Improvements LS 1 51,700.00 51,700.00 Total Construction Cost 141,700.00 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, 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 AGREEMENT -2 payment of all such disputed amounts when adjudicated in cases where such payment has not already been guaranteed by surety bond. (c) The making and acceptance of the final payment shall constitute a waiver of all claims by the City, other than those arising from any of the following: (1) unsettled liens; (2) faulty work appearing within 12 months after final payment; (3) requirements of the specifications; or (4) manufacturers' guarantees. It shall also constitute a waiver of all claims by the Contractor, except those previously made and still unsettled. (d) If after the work has been substantially completed, full completion thereof is materially delayed through no fault of the Contractor, and the Engineer so certifies, the City shall, upon certificate of the Engineer, and without terminating the Contract, make payment of the balance due for that portion of the work fully completed and accepted. Such payment shall be made under the terms and conditions governing final payment, except that it shall not constitute a waiver of claims. IN WITNESS WHEREOF, City and Contractor have caused their authorized representatives to execute this Agreement the day and year first written above. ATTEST: AeiLh . ..:.. ,panne M. Leoncini City Clerk APPROVED AS TO FORM: lellrl� Gary T. City Attorney CITY OF SAN RAFAEL: ib rt Boro Mayor CONTRACTOR: IVlrc, _ 1 ti f F Republic Electric AGREEMENT -3 :0"remiurn d No.. ...................--5�CSBR5825 Contract Band Public Work — California THE HARTFORD � charge X0.. "BOND EXECUTED IN DUPLICATE" PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That we. REPUBLIC EIIECTRIC .._ .._�_....._ ........._..... .................... , as Principal, and tho HARTFORD IMEF INSURANCE COMPANY a corporation drpanatad and ousting under the laws et the t3tate of _cQ iCTIOUT and authorized to transact surety business in the State of California, as Surety, are held and firmly bound unto... ......... „_............. .... _................. CITY„ OF .SAN ..RAFA ,,._DF1.F NT_ OF PUBLIC WORKS, 0�mmtl N THOUSAND SEVEN 1 1 00.00 in the sum of.. uJYA.� �__ Q M--- lawful money ofthe United States of America, forthe payment whereof, well and truly to be made, we hereby bind ourselves, our helrs, axec- utors, administrators, successors and suigns, jointly and severally, .firmly by these presents. SIGNED, seated with our seals, and dated this--! 4th „.day of OCTOBER _ _ x,..2,002 The condition of the foregoing obligation Is such that, whereas the above bounden Principal has entered into a contract dated -.--- OCTOBER 7th, 2002 with OFPUBLIC WORKS CITY OF SAN RAFAEL, DEPARTMENT to do and perform the following work, to -wit: REBID — TRAFFIC SIGNAL IMPROVEMENTS AT 'A' ST. AND 2ND ST. & IA' ST. AND 3RD ST. AND _W'I,H� SIGNAL IMPROVEMENTS AT MISSION AVENUE/LINCOLN AVENUE, PROJECTS NOS. 10784 AND 10785 NOW, THEREFORE, if the above bounden Pnn6pal shall well and truly perform, or cause to be performed, each and ell of the requirements and obligations of said contract to be performed by said Principal, as in said contraetset forth, then this bond shall he null and void; other- wise It shall remain in full force and effect. REPUBLIC ELECTRIC HARTFORD FIRE INSURANCE COMPANY _._..._.................................r...................._..__....... _............. sorer r� ! � , Attorney-in-fact I=Y HOLTEMANN Fon. 940115.2 Printed in U.S.A. CALIFORNIA ALL-rPURPOS- ACKNOWLEDGMENT �r. �f�il.r..—•i5'r a ter. � r�r•r-'—r ryC.GGG/ . rrr�r .. i State of CALIFORNIA County of SONOMA On 10-14-02 before me, BO1W1 E K. FR F, NOTARY F[TRL'IC DATE NAME, TITLE OF OFFICER - E.G, -JANE DOE, NOTARY PUSUC No. 5507 personally appeared iiFf,T,Y HOLrMV1ANN NAME(S) OF SIGNER(S) ® personally known to me_ - OR - ❑ proved to me on the basis of satisfactory evidence. to be the person(ff) whose nameM ism subscribed to the within instrument and ac knowl-edged•:to me that. lshe// 'executed' the same." in cher/ authorized capacity( j; and that by KWher== I , • OFFICIALS EAL -1217287 l signature(N) on the instrument the persong,- T 130NNIEK.FRYMIRE or the entity upon behalf Of which the - NOTARY PUBLIC - CALIF D persdn65�_acteei, executed the instrument. Z e COUNTY OF SONOMA - �•• My CDmm. Exp. April 28, 2003 }IL? ~" x W ESS my hand and official seal. L .......... �� SIGNATURE OF NOTARY / OPTIONAL � , , ,,, , Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ® ATTORNEY -IN -FAC i ❑ TRUSTEE(S) i ❑ GUARDIAN/C.ONSERVATOR l ❑ OTHER: 1 t DESCRIPTION flF ATTACHED DOCUMENT PERFORMANCE BOND TITLE OR TYPE OF DOCUMENT ONE NUMBER OF PAGES OCTOBER 14th, 2002 DATE OF DOCUMENT t SIGNER IS REPRESENTING: lNAME OF PERSONS) OR ENTITY1fES) N/S HARTFORD FIRE INSURANCE COMPANY SIGNERS) OTHER THAN NAMED ABOVE 01923 NATIONAL NOTARY ASSOCIATION - 6236 Rernmet Ave. P_C. Box 7164 - Canoga FarI: CA 91305-7184 fl and No....-5.�CSBR5825 Contract Bond Premium Charge Included In Premium Public Work — California AL THE HARTFORD Charged for Performance Bond "BOND EXECUTED IN DUPLICATE" LABOR AND MATERIAL PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That we, REPUBLIC ELECTRIC ............................................... ..........................._..._.._, es Principal, and��S�... .._...........__............. ... a Corporation organized and existing under the laws of the Stale of CONNECTICUT and authorized to transact surety business In the State of California, as Surety, are held and ftrmfy bound unto the State of California for the use and benefit of the State Treasurer as ex officlo treasurer and custodian of the Unemployment Fund and any and all matertaimen, persons, companies or corporations furnishing materiels, provisions, provender or other supplies used In, upon, for or about the perform- ance• of the work contracted to be executed or performed under the contract hereinafter mentioned, and all persons, companies or corporation renting or hiring teams, or implements or machinery, for or contributing to said work to be�Tdone ,rr]]and � mall persons�ave-r�t�orrlmi�na work or labor u72�on the same and all persons supplying both work and materials as aforesaid, In the sum of ...Q,t:tt,;t..1+. NM ... j:.4!}} a +... �.�..{_...��"...'�. SEVEN nulv�x...� AND NO/...00th ......... _............................................ .-.......................-.....Deltas lawful money of the United States of America, for the payment whereof well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. SIGNED, sealed with our seals and dated this ................. .4th......... ............ day of ....... __....... OCTOBER ................................................. a ... 2-002 The condition of the foregoing obligation Is such that, whereas the above -bounden Principal has entered into a contract, dated ....... ............. I ...... .„ OCTOBER _..7th .._..xrx2QQ21n,....-..._.....CITY OF SAN RAFAEL, DEPARTMENT OF PUBLIC ............... 11.1JJ►JUJ_._...........---......_........ ................................................... ..................... _... to do and perform the following work. to will: REBID - TRAFFIC SIGNAL IMPPROVEv]TS AT 'A' ST. AND 2ND ST., & 'A'' ST.' AND 3RD ST. AND InERIM SIGNAL IMPROVEMENTS AT MISSION AVENUE/LINCOLN AVENUE PROJECTS NOS. 10784 AND 10785 NOW THEREFORE, If the above -bounden Principal, or........................................XI A sub -contractor, fells to pay for any materials, provisions, provender or other supplies or teams, used In, upon, for or about the performance of the work contracted to be done under said contract, or for any work or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work, the Surety on this bond will pay the some, 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 tee to be fixed by the Court and to be taxed as costs and to be Included in the judgment therein rendered; PROVIDED that this bond is flied by the Principal to comply with the proyisions of Chapter 7, Title XV of the Civil Code of California and other applicable provisions of said Tule XV relating to Public Work and liability hereunder Is subject to the provisions of said secilon and acts amendatory thereof, and sections of other codes of the Stale of California referred to therein and acts amendatory thereof. REPUBLIC ELECTRIC (4v-e� Principal I RD FIRE INS CE COMPANY ................. ...... ............ ........ ....... ............................. f. (v r -i I•et 8y..............:::..,........................*........,................._........_.. (SEALI Attomey-in-fact KEtlY HOLTEKANN For", S-3674.3 Prnrer, .r L, S < CALIFORNIA ALL-PURPOSE - ;LCKlNOWLEDGMEN 9 No.5IF07 "1,•r�rrr irri+�r�rrrrr � -err rri •rrri .•r�fr�� 1 State of CALI-FOENIA County of SONOMA On 10-14-02 before me, BOMUE K. FRDE, NOTARY P17HL'IC DATE NAME, TITLE OF OFFICER - EG. JANE POE, NOTARY PUBLIC - personally appeared Y goLTIlKADTN NAME(S) OF SIGNER(S) 1 ® personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence• to. be the person(k) whose nameM isAM subscribed to the within instrument and ac-* i knowl-ed ed•:to me that,-bwjshe � g /�; executed' X. the same.' in' =her/2EM authorized capacityOUE90; and that by KWherATW 7 signature(K) on the instrument -the personM,- 71 ••.:° ' OFFICIAL SEAL -1217287,1 Or the entity upon behalf of which the W 'o BONNIE K.FRYMIRE persons! acted, executed the instrument. Z - NOTARY PUBLIC - CALIF. COUNTY OF SONOMA ' My Comm. Exp. Aprll 28, 2003 I.. # WITNESS my hand and official seal. SIGNATURE OF NOTARY OPTIONAL Though the data below Is not required by lawn it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. i CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TrrLt(s) ❑ PARTNER(5) ❑ LIMITED ❑ GENERAL 0 ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DESCRIPTION OF ATTACHED DOCUMENT LABOR AND MATERIAL PAY= BOND TITLE OR TYPE OF DOCUMENT ONE NUMBER OF PAGES OCTOBER 14t1i, 2002 1 DATE OF DOCUMENT 1 1 SIGNER IS REPRESENTING: NQS NAME OF PERSON(S) OR ENTITYOES) HARTFORD FIRE INSURANCE COMPANY SIGNER(S) OTHER THAN NAMED ABOVE 1 ..i.�iir-�iiiry�r�r�.��+���+J.►�.rJ�J�.d�y�'�i�.1���rrrrrr+��i r�'i JJ�JJ �i����ii��r 01993 NATIONAL NOTARY AFSDCIA71ON • 6236 Remmer Ave., P.O. Box 7184 - Canoac Park CA. 91309-7194 :TFORD FIRE INSURANCE CONI. ANY 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. hymire, Kelly Holtemann Of Petaluma, t:.A its true -and lawful Attomey(s)-in-Fact, with full power and authority to each of said Attomey(s)-in-Fad, in their separate rapacity 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 therebyas 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, Me Company") as amended by the Board of Directors at a meeting duly called and held on May 13" 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 B. 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 Attomeys4n-Fact and at any time to remove any such resident Vice President, resident Assistant Secretary, or Attomey-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 seat 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 V 4S (� SEAL Paul A. Bergenholtz, Assistant Secretary Robert L Post, Assistant Vice President ST,4TF OF CONNECTICUT I ss. HartfordCOUNTY 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 sworn, did depose and say, that he resides in the Courtly 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 of the said corporation; that the seal affixed to the said instrument is such corporate seal; 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. + ri. � r tiiaJx�r �'� M Jean R Wozniak Notary Public CERTIFICATE My Commission Expires June 30, 2D04 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 IV, Sections 7 and B 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 14th day of OCTOBER 20 02 O a SEAL J. Dennis Lane. Assistant Vice President orm S-4054-2 Printed in U.S.A. uierim ivuui KhPU5hLt M CERTIFICA'. ,.:. DATE OF LIABILITY INSUR.-NCE I 100/14/0/14/0/DD/YY) 2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Northern California/HOS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2199 S. McDowell Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 4409 Petaluma, CA 94955-4409 INSURERS AFFORDING COVERAGE INSURED INSURER A Travelers Republic Electric I INSURER B: State Compensation Insurance Fund 7120 Redwood Blvd Novato, CA 949454114 I INSURER C: INSURER D: I I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY/ DATE IMM/DD/YYI LIMITS A GENERAL LIABILITY DTEC0737X1065TIL02 04/21/02 04/21/03 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $300,000 CLAIMS MADE FX_1 OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS -COMP/OPAGG $2,000,000 —1 n JET_ F POLICY LOC A AUTOMOBILE LIABILITY DT810737X1065TIL02 04/21/02 04/21/03 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS — BODILY INJURY $ _ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) —I --- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE I AGGREGATE $ $ DEDUCTIBLE I $ RETENTION $ $ B WORKERS COMPENSATION AND 315140202 10/01/02 10/01/03 X TORY LIIMIITTS I IOFR EMPLOYERS' LIABILITY I E.L. EACH ACCIDENT S1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 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: Project #10784 & #10785, Improvements at A Street and 2nd Street and A Street and 3rd Street, and interim sgnal improvements at Mission Avenue / Lincoln Avenue. The City of San Rafael, its officers, agents and employees are named as Additional Insured per the attached GL endorsement. CERTIFICATE HOLDER I I AD DMONAL INSURED: INSURER LETTER: CANCELLATION City of San Rafael, Department of Public Works 1400 Fifth Avenue San Rafael, CA 94915-1560 ACORD 25-S (7/97)1 of 2 #S50552/M49970 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL %XRVA%%MMAIL 30 . DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLD ER NAM ED TOTHE LEFT, B t)TXJQJ0AI11DCAs=X (><90CEEJi7t)AAiiQQDnH07pWO1CIR)CiQQCXDt74AQi0�]OX4ID(7IDI6C1FC67QRR6tl0)6X�7GRIQJC�cOiQCX sex _ K�axQExxg$11-\� t1``�� Ar •�IZ��Fi�?IE 1 R9S 0 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. ACORD25-S(7/97)2 of 2 #S50552/M49970 000801 POLICY NUMBER: D'I'EC0737X1065TIL02 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL 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 re- quired to include as an additional insured on this policy by a written contract or written agreement in effect during this policy period and executed prior to the occurrence of any loss. 2. The insurance provided to the additional insured is limited as follows: a) The person or organization is only an addi- tional insured with respect to liability arising out of "your work" for that additional insured. b) In the event that the limits of liability stated in the policy exceed the limits of liability re- quired by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the limits of liability required by the written contract. This endorsement shall not increase the limits stated in Section III – LIMITS OF INSURANCE. c) The insurance provided to the additional in- sured does not apply to "bodily injury", "property damage", "personal injury" or "advertising injury" arising out of an archi- tect's, engineer's or surveyor's rendering of or failure to render any professional services including: tion with the general supervision of "your work". e) This insurance does not apply to "bodily in- jury" or "property damage" arising out of "your work" included in the "products - completed operations hazard" unless you are required to provide such coverage by written contract or written agreement and then only for the period of time required by the contract and in no event beyond the expiration date of the Policy. f) This insurance does not apply to any person or organization for whom you have procured separate liability insurance while such insur- ance is in effect, regardless of whether the scope or limits of insurance in this policy ex- ceed those of such other insurance or whether such other insurance is valid or col- lectable. S. 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. I. The preparing, approving or failing to 4. prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifi- cations; and 11. Supervisory or inspection activities per- formed as part of any related architec- tural or engineering activities. d) Except when required by written contract or written agreement; the coverage provided to the additional insured by this endorsement does not apply to "bodily injury" or "property damage" arising out of acts or omissions of the additional insured other than in connec- Any coverage provided by this endorsement to an additional insured shall be excess over any other valid and collectible insurance available to the additional insured whether primary, excess, con- tingent or on any other basis unless a written contract or agreement specifically requires that this insurance apply on a primary or contributory basis. 5. As soon as practicable, each additional insured must give us prompt notice of any "occurrence" which may result in a claim, forward all legal pa- pers to us, cooperate in the defense of any ac- tions, and otherwise comply with policy condi- tions. CG D2 09 07 98 Copyright, The Travelers Indemnity Company, 1998 Page 1 of 1 Company Profile Company Profile Page 1 of 2 AM n s�"nce HARTFORD FIRE INSURANCE COMPANY 5 5 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 Lines 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. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE LEGAL INSURANCE LIABILITY http://www4.insurance.ca.gov/wu/idb_co_prof utl.get_co_proPp_EID-=2664 10/24/2002 Company Profile MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION Company Complaint Information I Comnanv Enforcement Action Documents " Comnanv Performance & Comnarison Data Composite Complaint Studies Want More? Help Me Find a Company Representative in My Area Financial Rating Organizations Last Revised - October 21, 2002 10:27 AM Copyright © California Department of Insurance Disclaimer Page 2 of 2 http://www4.insurance.ca.gov/wu/idb_co_prof utl.get_co_prof?p_EID=2664 10/24/2002 Sent By: Ho&S/USI Bond Dept.; 1+707+763+6010; May -13-0", 1:16PM; Rrokar- BOND DATA FORM W Northam California / = Division PO Box 4408 Petaluma, dA 84965-4409 Attn: Bond Department Telephone: 1(707) 763-43Z Toll Free # 1(800) 788-0220 Fac 1(707) 783-WlO Bond Dept, or 1(707) 763-3015 Maln Fax HOW BOND IS TO ULE RECENT•: Send by Regular Mali: Federal Express: . Account#: Need by Date: 10/14 OR 15/02 WOULD BE `GREAT Page 5/5 Date:10 1111 02 From: REPUBLIC ELECTRIC 7120 REDWOOD BLVD. NOVATO, CA 94945-4114 Your Telephone: 415/898-8897 Your Fax: 415/898-9477 L AADDITIONAL 1NSURM : REVIEW YOUR SPECS Are there specific requirements for_ Builders •Risklinstaltati6n Yes O No 0 Pollution Legal Liability Yes ❑ No ❑ Railroad Protective Yee t7 No ❑ Higher L•iebillty Limits Yes ❑ No ❑ USL&H Workers' Comp, Yes ❑ No 0 There may 6a requftnentt ower man or in naffl on to these yorr MUST notify your agmt In aroer for coverage gobs wranged 1b! Principal: REPUBLIC ELECTRIC (Complete name to be shown on bond) Type of Bond: Bid: Performance': XX Payrrentw. ' XX Other. (Note type) • Note: If Performance and/or Payment Bond, how many. Originals: Copies: SPVC1AL FORM? Yes 0 No •>'zK Dollar Amount or % or Bond: $141,700 FOR EACH Bid or Contract Date: Bid Time: To whom is bond to be given? (Name and Address) CITY OF SAN RAFAEL— PWD 1400 FIFTH AVE,\ SAN RAFAEL, CA 94915-1560 1 Description of Project as shown In specs or contrast: REBID TRAFFIC SIGNAL IMPVOEMENTS @ "A" ST AND 2ND ST, AND "A" ST AND INTERIM SIGNAL IMPROVEMENTS @ MISSION AVE/LINCOLN AVE Are Final Bonds Required: Yes ❑. No 0 - If Yes - % Perf. Payment Est, Start Date: Contract. Price (Estimate Only for Bid Bonds): Completion Time: Bid Results: iquidated Damages: �ength of Maintenance or Guarantee: 'ayment Provisions: 1EMARKS: obi 1 1 Nul_ 1 YEAR _ 1. z: 3. work on Hand; Bond Number.