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HomeMy WebLinkAboutCC Resolution 10773 (Traffic Signal LED Lights)RESOLUTION NO. 10773
RESOLUTION REJECTING THE BID FROM COMPETETIVE RESOURCES
FOR BEING NON-RESPONSIVE AND AWARDING THE CONTRACT FOR
TRAFFIC SIGNAL LIGHT EMITTING DIODE (LED), PROJECT NO. 019-4438-
757-8000, TO REPUBLIC ELECTRIC, IN THE AMOUNT OF $415,414.90.
WHEREAS, on the 16"' day of February, 2001, 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 LIGHT EMITTING DIODE (LED) PROJECT"
PROJECT NO. 019-4438-757-8000
in accordance with the plans and specifications therefore on file in the office of said City
Clerk; and
WHEREAS, the bid from Competitive Resources, Inc. did not include a valid
Contractor's license in violation of Section 3.01 of the Contract Provisions, and contained
conditions to the bid proposal, and was therefore deemed to be a non responsive bid; and
WHEREAS, the bid from Republic Electric at the unit prices stated in its bid was
the lowest and best bid for said work and said bidder is deemed the lowest responsible
bidder;
NOW, THEREFORE, IT IS HEREBY ORDERED AND RESOLVED that the
bid of Competitive Resources, Inc. is hereby rejected for being non-responsive, and that
n�
���G�NAL �o^
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 20`x' day of February, 2001, by the
following vote, to wit:
AYES: COUNCIL MEMBERS: Heller, Miller, Phillips and Mayor Boro
NOES: COUNCIL MEMBERS: None
ABSENT: COUNCIL MEMBERS: Cohen
/T, .
JEANA . LEONCINI, City Clerk
City of San Rafael ♦ California
Form of Contract Agreement
For
TRAFFIC SIGNAL LIGHT EMITTING DIODE (LED) PROJECT
PROJECT NUMBER 019-4438-757-8000
This Agreement is made and entered into this 20th day of February, 2001 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: Traffic Signal Light Emitting Diode (LED)
Project, 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 five (5)
calendar days after the date of written notice by the City to the Contractor to
proceed.
(b) The work shall be completed by May 25, 2001.
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 $1000 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 be made for the actual
number of units that are incorporated in or made necessary by the work covered by
the Contract.
AGREEMENT • 1
C 0 '1i
ST
UNIT
ITEM
ITEM
NO. I ITEM MITI QTY I PRICE, $ I TOTAL, $
1 Part A Furnish Materials EA 1 357,674.90 357,674.90
2 Part B Installation of EA 1 57,820.00 57,820.00
Materials
Grand Total 415,494.90
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
AGREEMENT • 2
guaranteeing payment of all such disputed amounts when adjudicated in cases where
such payment has not already been guaranteed by surety bond.
(c) The making and acceptance of the final payment shall constitute a waiver of all
claims by the City, other than those arising from any of the following: (1) unsettled
liens; (2) faulty work appearing within 12 months after final payment; (3)
requirements of the specifications; or (4) manufacturers' guarantees. It shall also
constitute a waiver of all claims by the Contractor, except those previously made and
still unsettled.
(d) If after the work has been substantially completed, full completion thereof is
materially delayed through no fault of the Contractor, and the Engineer so certifies,
the City shall, upon certificate of the Engineer, and without terminating the Contract,
make payment of the balance due for that portion of the work fully completed and
accepted.
Such payment shall be made under the terms and conditions governing final payment,
except that it shall not constitute a waiver of claims.
IN WITNESS WHEREOF, City and Contractor have caused their authorized
representatives to execute this Agreement the day and year first written above
ATTEST:
4.rne—ARIALeonc'ni
City Clerk
CITY OF SAN RAFAEL:
oertoro
Mayor
LM: REPUBLIC ELECTRIC
(s -U
AGREEMENT • 3
Colonial American Casualty and Surety Company
PERFORMANCE BOND
AIA 311 Equivalent "BOND ISSUED IN DUPLICATE"
Bond No. 085491 a7
KNOW ALL MCN BY THESE PRESENTS that: PREMIUM: $4,986.00
REPUBLIC ELECTRIC
as Principal, heruffia[ter called Contractor, and Colonial Auncrican Casualty and Surety Company, n
corporation duly organized under the; laws of the State of Maryland, as Surety, hereinafter called Surcty, are Held and
firmly bound unto CITY OF SAN RAFAEL
as Obligee, hereinafter called Owner, in the amount of FOUR HUNDRED i,-iy.' +int' N THOUSAND FOUR HUNDRED
lvliNEXY FOUR AND 90/1 00ths — — -- — -------------- — ----------- Dollars ( 415,494.90 ),
for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly an,
severally by these presents.
WIIEREAS, Contractor has by written agreement dated 2-20-01 (dated no later than this bond) entered into a contract wid
Ownerfor TRAFFIC SIGNAL LIGHT EMITTING DIODE (LED) PROJECT, PROJECT NO. 019-4438-757-8000
total contract amount being $415,494-90 and in accordance with Drawings and Specificalioils prepared by
CITY OF SAN RAFAEL, DEPARTMENT OF PUBLIC WORKS
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
NOW, THEREFORE, TI4E CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and faithfully
perfoflll said Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect.
Tile Surety hereby waives notice of any alteration or extension of time made by the Owner.
Whenever Contractor shall be, and declared by Owner to be in default and terminated under the Contract, the Owner having
perfunlled Owner's obligations thereunder, the Surety may promptly remedy the default, or shall promptly
I. Complete the Contract in accordance with its terns and Conditions, or
?. Obtain a bid or bids for completing the Contract in accordance with its terms and conditions and upon detenlination by Surety
of the lowest responsible bidder, or, if the Owner elects, upon detennitlation by the Owner and the Surety jointly of the lowest
responsible bidder, arrange for a contract between such bidder and Owner, and make available as Work progresses (even though
there should be a default or a succession of defaults under the contract or contracts of completion arranged under this paragraph)
sufficient funds to pay the cost of completion less the balance of the contract price; but not exceeding, including other costs and
damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof The term "balance of
tie Contract price," as used in this'paragraph, shall mean the total amount payable, by Owner to Contractor under the Contract
and any' amendinents thereto, less the amount properly paid by Owner to Contractor.
Any suit under this bond trust be instituted before the expiration of two (2) years {three (3) years for projects in North Carolina) fronl it
date on which final Payment under the Contract falls due.
.No right of action Ala 11 accrue on this bond to or for the use of any person or corporation other than the Owner named herein or the
heirs, executors, administrators or successors of the Owner. `
Signed and sealed this 20th day of FEgRUARy , 3W 2001
A/j REPUHT�1C ELECTRIC
O' ' 1paj (Seal)
(Witness) D
Colonial A teriean Ca ualty and Surety Company
(Witness) By: ►''�
KELLY HOLTEMANN (Attorney-in•Fact)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No. 5907
��ii.+Irl/i'rr, , , Ir',-'IIr r•r!�/II�r vu_./v,.
1
t
1
State of CALIFORNIA
County of SONOMA
tl,1
i On 2-20-01 before me, BONNIE K. FRE11 RE, NOTARY PUBLIC X
DATE NAME, TITLE OF OFFICER - E.G., -JANE DOE, NOTARY PUBLIC- i
i personally appeared
KEMY HOLTEMANN--------------- 1
NAME(S) OF SIGNER(S) `
© personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
to be the person(a) whose name(q ism }
X subscribed to the within instrument and ac-
knowledged. to me that taVshe/y executed
i the same in X=her/DhM authorized
capacityi , and that by KWher/
signature(N)( on the instruerson
OFFICIALS 1217287 ment the p f'
T ,•' '"' BONNIE K.FRYMIRE U Z or the entity upon behalf of which the NOTARY PUBLIC - CALIF. 0
Z �• COUNTYOFSONOMA T person( acted, executed the instrument.
I My Comrn. E)qI. AprN 28, 2003'
` WI NESS my hand and official seal. l
t SIGNATURE OF NOTA / 1�
� U
1
i 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. t
t
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
i ❑ INDIVIDUAL
1 El CORPORATE OFFICER PERFORMANCE BOND
TITLE OR TYPE OF DOCUMENT
TITLE(S)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
ATTORNEY-IN-FACT
k
1 ❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
i
1•
l
l
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
1
l
ONE
NUMBER OF PAGES
FEBRUARY 20th, 2001
DATE OF DOCUMENT
NIS
SIGNER(S) OTHER THAN NAMED ABOVE
�iIII//r.rr'r'r / r+.dr•��r+r�r.�+rrl-+�iG'.e�rr.�rrr'.+.�r'�r�����.s�r
01993 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184
Colonial American Casualty and Surety Company
LABOR. & MATERIAL PAYMENT BOND
AIA 311 Equivalent "BOND ISSUED IN DUPLICATE"
Bond No, 08549187
PREMIUM: INCLUDED
KNOW ALL MEN 13Y THESE PRESENTS that: REPUBLIC ELECTRIC
.-112,Q-REDWOOD BOULEVARD _ — -- — - - —
NOVA 0. CA. 94945-4114
as Principal, hcreinaftcr called Principal, and (7olonial American Casualty and Surety Company a
ourporation organized under the laws of the State of Maryland, as Surety, hereinafter called Surety, are
held and firmly bound unto CITY OF SAN RAFAEL
_ 14QO-aFTA AVENUES ---
as Obligec, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the amount of
FOUR HUNDRED r'lr-rr r tv THOUSAND FOUR HUNDRED
NII FOUR AND 90/100ths---------------- ---- Dollars ( $415,494.90),
for the paytnerit whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns,
jointly and severally, firmly by these presents.
WHEREAS, Principal has by written agreement dated 2-20-01 (dated no later than this bond)
entered into a contract with Owner for
_ — TRA_FIaTC ,5MNAL LTGHT FITTING DIODE (LID) PROJECT _
SRO, QZN0.0.12--4438-72-8000— -- — — — --- — --
total contract amount being $415,494-90 in accordance with Drawings and Specifications prepared by
— CITY OF SAN RAFAEL. DEPARTMENT OF PUBLIC WORKS — — —
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
NOW, THEREFORE, THE CONDITION OF THiS OBLIGATION is such that, if Principal shall promptly make
payment to all claimnrtts as hereinafter defined, for all labor and material used or reasonably required for use in the
performance of the Contract, then this obligation shall be void; otherwise it shall remain in full force and effect, subject,
however, to the following conditions;
1. A claimant is defined as one having a direct contmet with the Principal or with a Subcontractor of the
Principal for labor, material, or both, used or reasonably required for use in the perl'ormance ofthe Contract, labor and
material being construed to include that part of water, gas, power, light, heat, oil, gasoline, tclephnne service or rental of
equipment directly applicable to the Contract.
2. The above named Principal and Surety hereby jointly and severally agree with the Owner that every
claimant as herein defined, who has not been paid in full before the expiration of a period of ninety (90) days nflcr the
date on wltieh the last of such claimant's work or labor was done or perforated, or materials were iurnishcd by such
clainiant, may site on this bond For the use of such claimant, prosecute the suit to final judgement for such sum or sums
as may be justly due claimant, and have execution thereon. The Owner shall not be liable for the payment of any costs or
expenses of any such suit.
Page 1 ort
3. No suit or action shall be commenced hereunder by any claimant:
a) Unless claimant, other than one having a direct contract with the Principal, shall have Elven written notice to any
two of the following: the Principal, the Owner, or the Surety above named, within ninety (90) days nfter such
claimant did or performed the last of the work or labor, or furnished the last of the materials for which said claim is
made, stating with substantial accuracy the amount claimed and the nautc of the party to whom the materials were
furnished, or for wham the work or labor was done or performed, Such notice shall be served by mailing the same
by registered mail or certified snail, postage prepaid, in an envelope addressed to the Principal, Owner or Surety, at
any place where an office is regularly maintained for the transactions ofbusincss, or served in any manner in which
legnl process may be served in the state in which the aforesaid project is located, save that such service need not be
made by a public officer.
b) Arter the expiration of one (1) year following the date on which Principal ceased Wort: on said Contract, it being
understood, howover, that if any limitation embodied in this bond is prohibited by any law controlling the
con.struction hereof such limitation shall be duemed to be amended so as to be equal to the minimum period of
limitation pcmiittcd by such law.
c) Other than in a state court of coiltpetent jurisdiction in and for the county or other political subdivision of the state
in which the Project, or any part thereof, is situated, or in the United States District Court for the district in which the
Project, or any part thereof, is situated, and not elsewhere.
4. Thu amount of this bond shall be reduced by and to the extent of any payment or payments ,nide in good faith
hereunder, inclusive of the payment by Surety of Mechanics' liens which may be filed of record against said
improvement, whether or not claim for the amount of such lien be presented under and against this bond.
Signed and scaled this 20th
day of FEBRUARY ,fig; 2Q01_
REPUBLIC ELECTRIC
(Princtp (Seal)
(Witness) By: .'�/ ✓�
U, P.
W*BL• L. 'will L', rrtt bi-L)L x' ('title)
wht-& L_ L*.."Soo V. P.
Colonial A 'terican Cquaa!lty and Surety Company
B C—/�- ]�7`Vt-wvrJ
(Witness) y' c
RV,T Y HILT TWANN
(Attorney -in -Tact)
Page 2 of 2
CALIFORNIA ALL-PURPOSE ._jKNOWLEDGMENT
No. 5907
r i:�ri:�i � � viii .-rrr rrr�rrrrrlrr rrrirrrr•r•�r��j�
State of CALIFORNIA
L
County of SONOMA
On 2-20-01 before me, BONNIE K. FR` MIRE, NOTA PUBLIC
DATE NAME, TITLE OF OFFICER - E.G., -JANE DOE, NOTARY PUBLIC- i
KELLY HOLTEMANN-----------------
personalty appeared t
NAME(S) OF SIGNER(S) 1
1,
© personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence i
to be the person() whose namely is i
subscribed to the within instrument and ac-
knowledged. to me that)bw(she/t executed
the same in ;/her/W&W authorized IV
capacity) j, and that by KWher/W i
signature(N) on the instrument the person(,
OFFICIAL SEAL - 1217287 I
BONNIE K. FRYMIRE Z or the entity upon behalf of which the
'—
NOTARYPUBLIC- CALIF. person(* acted, executed the instrument.
Z COUNTY OF SONOMA '.
+� I My Comm. Exp, AAAI 28, 2003
AWINESS my hand and official seal.
SIGNATURE OF NOTA 1
1
1
1
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 DESCRIPTION OF ATTACHED DOCUMENT
❑ INDIVIDUAL -
❑ CORPORATE OFFICER LABOR AND MATERIAL PAYMENT BOND
TITLE OR TYPE OF DOCUMENT
TITLE(S)
❑
PARTNER(S) ❑ LIMITED
t ❑ GENERAL TWO
FM ATTORNEY-IN-FACT NUMBER OF PAGES
1
❑
TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
1 ❑ OTHER: FEBRUARY 20th, 2001
DATE OF DOCUMENT
1
1
1
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES) NIS
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY SIGNER(S) OTHER THAN NAMED ABOVE
�rrrrrrr
rrr err
01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Parc, CA 91309-7184
Power of Attorney
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
HOME OFFICE: P.O. BOX 1227, BALTIMORE, MD 21203-1227
Know ALL MEN BY THESE PRESENTS: That the COLONIAL AMERICAN CASUALTY AND SURETY
COMPANY, a corporation of the State of Maryland, by W. B. WA HER, Vi President, and T. E. SMITH,
Assistant Secretary, in pursuance of authority granted by Article Vl; ion 2, of - aws of said Company, which
are set forth on the reverse side hereof and are hereby certi 6,, "e in full, and effect on the date hereof, does
hereby nominate, constitute and appoint Kelly HOLT' of Pet , alifornia, its true and lawful agent and
Attorney -in -Fact, to make, execute, seal and deliver fir, and on its`b��urety, and as its act and deed: any and all
bonds and undertakings, each in a penal & exceed tl s of SIX MILLION DOLLARS ($6,000,000) and the
execution of such bonds or undertakings m�ursuance tt&esk presents, shall be as binding upon said Company, as fully
and amply, to all intents and p alas if theen duly executed and acknowledged by the regularly elected
officers of the Company at its ffic in their own proper persons.
The said Assistant Secretary does be*Qertify that the extract set forth on the reverse side hereof is a true copy of
Article VI, Section 2, of the By -Lo _ said Company, and is now in force.
IN WITNESS WHEREOF,1IUsaid Vice -President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, this 17th day
of May, A.D. 1999.
ATTEST: COLONIAL AMERICAN CASUALTY
f(S CVA IN L�
T. E. Smith Assistant Secretary
State of Maryland1
f ss:
County of Baltimore
AND SURETY COMPANY
By.
W. B. Walbrecher Vice -President
On this 17th day of May, A.D. 1999, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came W. B. Walbrecher, Vice -President and T. E. Smith, Assistant Secretary of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, to me personally known to be the individuals and
officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same,
and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the
Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that
the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the
authority and direction of the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
df.1 f,�y
�Ct9 %%JJ
Carol J. Fa� N t P 1
o ary ub tc
My Commission Expires: August 1, 2000
L1428; 186-2034B
Client#: 19061
REPUBELE
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ACORD.M CERTIFICA" ---OF
LIABILITY
INSUI
INSR
LTR
j 6%oi
I POLICY EFFECTIVE
DATE IMM/DD/YYlI
POLICY EXPIRATION
DATE !MM/DD/YY)
.NCEDA
A
GENERAL LIABILITY AO OAG 0 8 519 04/21/00
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
WTATU-
IT0 Y 1_fER_
Petaluma, CA 94955-4409
E.L. DISEASE -EA EMPLOYEE
INSURERS AFFORDING COVERAGE
E.L. DISEASE - POLICY LIMIT $1 , 0 0 0 , 0 0 0
INSURED
Republic Electric
7120 Redwood Blvd
Novato, CA 94945-4114
INSURER A: Admiral Insurance Company -Cr
I INSURERB: CGU Insurance Companies
INSURER C: American Guarantee & Liab. - Crump
INSURER D: i,,remont compensation ins. co.
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.
BODILY INJURY
INSR
LTR
TYPE OF INSURANCE POLICY NUMBER
I POLICY EFFECTIVE
DATE IMM/DD/YYlI
POLICY EXPIRATION
DATE !MM/DD/YY)
r LIMITS
A
GENERAL LIABILITY AO OAG 0 8 519 04/21/00
0 4/ 2 1/ 0 1
EACH OCCURRENCE I
$1 , 000, 000
X COMMERCIAL GENERAL LIABILITY
$
FIRE DAMAGE (Any one lire) 's50, 000
$
7 CLAIMS MADE FIOCCUR
AUTO ONLY: AGG
MED EXP (Any one-person) s5, 000
1$4 , 0 0 0, 0 0 0_
$41 0 0 0, 0 0 0
AGGREGATE
PERSONAL & ADV INJURY $1, 000,000
WTATU-
IT0 Y 1_fER_
GENERAL AGGREGATE _ s2, 000,000
E.L. DISEASE -EA EMPLOYEE
GENIL AGGREGATE LIMITAPPLIES PER:
E.L. DISEASE - POLICY LIMIT $1 , 0 0 0 , 0 0 0
PRODUCTS -COMP/OP AGG $2 000,000
JEC r�
POLICY I X I LOC
B
AUTOMOBILE LIABILITY IAX 6 216 2 04/21/00 04/21/O1
$lr 000,000
X ANY AUTO
(Ea accident)
ALL OWNED AUTOS
i
SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
C EXCESS LIABILITY AUC 3 7 412 6 0 0 0
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
D WORKERS COMPENSATION AND JY5 3 5 4 3 3 1
EMPLOYERS' LIABILITY
1 _ I
I OTHER
04/21/00�04/21/01
10/01/00 10/01/01
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Cancellation: Except for ten day notice for non-payment of premium.
RE: Project ##019-4438-757-8000, Traffic Signal Light Emitting Diode (Led)
Additional Insured named per the attached GL endorsement.
CERTIFICATE HOLDER ADDITIONAL INSURED:INSURERLETTER:
City of San Rafael
1400 Fifth Avenue
San Rafael, CA 94915-1560
ACORD25-S(7/97)1 of 2 #S37612/M37175
CANCELLATION
SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ¢tMAIL30 DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT
AUTHORIZED REPRESENTATIVE %J I
0
R9S ©,ACORD CORPORATION 1988
COMBINED SINGLE LIMIT
BODILY INJURY
$
(Per person)
BODILY INJURY
$
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
EACH OCCURRENCE
1$4 , 0 0 0, 0 0 0_
$41 0 0 0, 0 0 0
AGGREGATE
$
WTATU-
IT0 Y 1_fER_
E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE -EA EMPLOYEE
$1 , 0 0 0, 0 0 0
E.L. DISEASE - POLICY LIMIT $1 , 0 0 0 , 0 0 0
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Cancellation: Except for ten day notice for non-payment of premium.
RE: Project ##019-4438-757-8000, Traffic Signal Light Emitting Diode (Led)
Additional Insured named per the attached GL endorsement.
CERTIFICATE HOLDER ADDITIONAL INSURED:INSURERLETTER:
City of San Rafael
1400 Fifth Avenue
San Rafael, CA 94915-1560
ACORD25-S(7/97)1 of 2 #S37612/M37175
CANCELLATION
SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ¢tMAIL30 DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT
AUTHORIZED REPRESENTATIVE %J I
0
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.
ACORD25-S(7/97)2 of 2 #S37612/M37175
Miey Numbtm AOOAGO8519
CG 20 10 11 85
Effective Date, 4/21/00
THIS ENDORSEM NT CEL NGES THE POLICY. PLEASE READ IT CAREFULLY.
1
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACT016 -- (:-+ O 1ZM B)
This endorsement nnodines insurance provided under the following
COM aRCLAL GENERAL LIABILITY COVERAGE PART.-
Name
ART:
Name of Person or Organization:
AS REQUIR."D BY WRITTEN CONTRACT
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable
to this endorsement.) "
VMO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule,
but only with respect to liability arising out of "yeur wmrb" for that insured by or for you.
If you are required by a written contradt to pro-ati.de primary -insurance then this policy
shall be primary and Condition 4. Other Tasurance• 'does not - apply; but on -13r with respect
to co4erages provided by this polEdy and for the additional, insured nam -ad 3n the schedule_
IT IS HEREBY U11DERSTOOD-AND AGREED THAT THE CITY OF SAN RAFAEL,its officers,
agents and employees, are additional insureds hereunder -but only as respects
liability arising out of the land and/or -property and/or work described in the
publics Works contract for the project entitled, Traffic Signal .Light DMnit•tiing
Diode ( LED) Project between the City of San Rafael and Republic Electric.