HomeMy WebLinkAboutCC Resolution 10695 (Street Resurfacing 1999/2000)RESOLUTION NO. 10695
RESOLUTION OF AWARD OF CONTRACT FOR STREET RESURFACING 1999/2000
TO GHILOTTI BROTHERS, INC. IN THE AMOUNT OF $ 1,047,776.65
WHEREAS, on the 15'x' day of August, 2000, pursuant to due and legal
notice published in the manner provided by law, inviting sealed bids or proposals for the
work hereinafter mentioned, as more fully appears from the Affidavit of Publication
thereof on file in the office of the City Clerk of the City of San Rafael, California, the City
Clerk of said City did publicly open, examine, and declare all sealed bids or proposals for
doing the following work in said City, to wit:
"STREET RESURFACING 1999/2000"
PROJECT NO. 006-4069-640-8000
in accordance with the plans and specifications therefor on file in the office of said City
Clerk; and
WHEREAS, the bid of Ghilotti Brothers, Inc. at the unit prices stated in
its bid was and is the lowest and best bid for said work and said bidder is the lowest
responsible bidder therefor;
NOW, THEREFORE, IT IS HEREBY ORDERED AND RESOLVED
that the bid of Ghilotti Brothers, Inc. 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 Ghilotti Brothers, Inc. at the unit prices mentioned in said bid.
IT IS FURTHER ORDERED AND RESOLVED that the Mayor and the
City Clerk of said City be authorized and directed to execute a contract with Ghilotti
Brothers, Inc. 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 snake changes as may be necessary
to accomplish the purpose of this resolution.
I, JEANNE M. LEONCINI, 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 on Monday, the 2151 day of August, 2000, by
the following vote, to wit:
AYES: COUNCILMEMBERS: Heller, Miller, Phillips and Mayor Qoro
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Cohen
KAMA, M. LEONCINI, City Clerk
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STREET RESURFACING 1vd9/2000 - STREETS TO BE RESUkrACED
FROM
Fourth St
C St
D St
Balboa Av
Kerner Blvd
Pt San Pedro Rd
E Crescent Dr
W Crescent Dr
Lenglen Ave
Fairfax St
Tama[ Vista
Belle Av
Fourth St
Second St
Fairfax St
Esmeyer Dr
C St
Elda Dr
Kerner Blvd
A St
Lea Dr
Corte Mesa Dr
First St
West St
Balboa Av
Riviera Dr
Peacock Dr
Balboa Av
San Mateo Ct
Trellis Dr
Las Gallinas Av
Merrydale Overcrossing
Villa Av
Santa Margarita Dr
Peacock Dr
Oak Av
Belle Av
Elda Dr
Riviera Dr
Fowler Ct
Regina Wy
Shaver St
Fourth St
Kerner Blvd
Santa Margarita Dr
Santa Margarita Dr
Grand Av
Fourth St
Second St
Taylor St
TO
End
Oak Av
Pleasant Ln
Balboa Av
Canal St
Las Casas Dr
E Crescent Dr
End
End
Sonoma St
End
Elm St
Scenic Ave
Jessup St
Sonoma St
Tamarack Dr
Willow St
End
Canal St
B St
19 Fowler Ct
End
Second St
East St
Las Casas Av
End
Riviera Dr
Junipero Serra Av
Esmeyer Dr
Tamarack Dr
Montecillo Rd
End
Glen Park Av
W Crescent Dr
End
End
Belle Av
Lea Dr
End
End
End
E St
First St
Canal St
W Crescent Dr
City limits
Marinita Av
E. Crescent
Viox Wy
Elford St
STREET
1
Alexander Ave
2
Alvina Av
3
Antonette Av
4
Arguello Ci
5
Bahia Wy
6
Balboa Av
7
Bayo Vista Wy
8
Belloreid Av
9
Carroll Ct
10
Charlotte Dr
11
Circle Dr
12
Clyde Av
13
E Crescent Dr
14
East St
15
Elaine Wy
16
Elda Dr
17
Elford St
18
Esmeyer Dr
19
Fairfax St
20
First St
21
Fowler Ct
22
Glen Park Av
23
Hayes St
24
Jessup St
25
Junipero Serra Av
26
Lagoon PI
27
Lagoon Rd
28
Las Casas Dr
29
Lea Dr
30
Lenglen Av
31
Manuel T Freitas Py Wb
32
Merrydale Road
33
Myrtle Av
34
Neame Av
35
Peacock Ln
36
Pleasant Ln
37
Rafael Dr
38
Regina Wy
39
San Marcos PI
40
San Mateo Ct
41
Santa Clara Ct
42
Second St
43
Shaver St
44
Sonoma St
45
Sunset Wy
46
Tamal Vista Dr
47
Terradillo Av
48
W Crescent Dr
49
West St
50
Willow St
FROM
Fourth St
C St
D St
Balboa Av
Kerner Blvd
Pt San Pedro Rd
E Crescent Dr
W Crescent Dr
Lenglen Ave
Fairfax St
Tama[ Vista
Belle Av
Fourth St
Second St
Fairfax St
Esmeyer Dr
C St
Elda Dr
Kerner Blvd
A St
Lea Dr
Corte Mesa Dr
First St
West St
Balboa Av
Riviera Dr
Peacock Dr
Balboa Av
San Mateo Ct
Trellis Dr
Las Gallinas Av
Merrydale Overcrossing
Villa Av
Santa Margarita Dr
Peacock Dr
Oak Av
Belle Av
Elda Dr
Riviera Dr
Fowler Ct
Regina Wy
Shaver St
Fourth St
Kerner Blvd
Santa Margarita Dr
Santa Margarita Dr
Grand Av
Fourth St
Second St
Taylor St
TO
End
Oak Av
Pleasant Ln
Balboa Av
Canal St
Las Casas Dr
E Crescent Dr
End
End
Sonoma St
End
Elm St
Scenic Ave
Jessup St
Sonoma St
Tamarack Dr
Willow St
End
Canal St
B St
19 Fowler Ct
End
Second St
East St
Las Casas Av
End
Riviera Dr
Junipero Serra Av
Esmeyer Dr
Tamarack Dr
Montecillo Rd
End
Glen Park Av
W Crescent Dr
End
End
Belle Av
Lea Dr
End
End
End
E St
First St
Canal St
W Crescent Dr
City limits
Marinita Av
E. Crescent
Viox Wy
Elford St
City of San Rafael • California
Form of Contract Agreement
for
Street Resurfacing 1999/2000
This Agreement is made and entered into this 21st day of August, 2000 by and between
the City of San Rafael (hereinafter called City) and Ghilloti Brothers, Inc. (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: Street Resurfacing 1999/2000, 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 within forty-five (45) working days after the date of
such notice 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 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�
I NO.
PRICES OF ITEMS
NOTE: In the event of error or conflict in the prices set forth below, the "Unit Price" will
govern. In the event that the "Unit Price" is illegible or indistinguishible it shall be
established by dividing the "TotalPrice" by the "Number of Units."
ITEM
1. Mobilization
2. Asphalt Overlay
3. Cold Planing
4. Fabric Reinforcement
5. Thermoplastic Traffic Stripes &
Pavement Markings
6. Miscellaneous Pavement Patching
7. A.C. Berm/Dike
8. Install Curb and Gutter
9. Raised Reflective Roadway Markers
10. Adjust Manhole Casting to Grade
11. Adjust Rodhole & Monument Casting
12. Traffic Loops
13. Traffic Control
14. Drainage Repair on Willow St,
includes installation of 2 grated drop
inlets and 125 LF of 12" PVC
GRAND TOTAL
QUANTITY
UNITS
@
UNIT PRICE
1
LS
@
33,662.00 =
16,866
TON
@
46.25 =
45,088
SY
@
1.70 =
18,789
SY
@
0.95 =
1
LS
@
24,628.00 =
381
SY
@
30.00 =
995
LF
@
5.00 =
352
LF
@
25.00 =
TOTAL PRICE
33,662.00
780,052.50
76,649.60
17,849.55
24,628.00
11,430.00
4,975.00
8,800.00
200
Ea
@
25.00 =
5,000.00
129
Ea
@
225.00 =
29,025.00
120
Ea
@
210.00 =
25,200.00
3
Ea
@
835.00 =
2,505.00
1
LS
@
16,000.00 =
16,000.00
1 LS @ 12,000.00 12,000.00
$ 1,047,776.65
AGREEMENT • 2
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 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.
AGREEMENT • 3
IN WITNESS WHEREOF, City and Contractor have caused their authorized
representatives to execute this Agreement the day and year first written above.
ATTEST: CITY OF, N RAFAEL:
J nne M. Leoncini lbert oro
City Clerk Mayor
APPR �� A FOR
f
(dry T. Raggtanti
City Attorney' ,
CONTRACTOR: GHILOTrI BROS. , INC.
BY:
MICHAEL M. IL011TI/ DAVM W. GHILO'iTI
for
File No: 16.06.52
AGREEMENT 9 4
CONTRACTOR'S BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
FOR FAITHFUL PERFORMANCE Hartford, Connecticut 06183
"BOND ISSUED IN DUPLICATE" BOND N0. 005SB103370425BCM
KNOW ALL MEN BY THESE PRESENTS: PREMIUM: $6,182.00
That we, GHILOTTI BROS., INC.
as Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, a corporation organized
under the laws of the State of Connecticut and duly authorized under the laws of the State of California to become
sole surety on bonds and undertakings, as Surety, are held and firmly bound unto
CITY OF SAN RAFAEL
as Obligee,
in the full and just sum of ONE MIT,T,ION FORTY SEVEN THOUSAND SEVEN HUNDRED SEVENTY SIX DOLLARS XXX
Dollars, ($ 1,047,776.65 ), 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.
XNX AND 65/100ths---
Sealed with our seals and dated this 21 st day of AUGUST J9 2000
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
STREET ttr;-sumACING 1999/2000
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.
GAILOTTI BROS., INC.
BY:IM44AM-
MICHAEL M. GMOTTI, EXECUTIVE VICE PRESIDENT
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
By
Y HOLTkV= Attorney -in -Fact
S-2359-1 (07-97)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of
i •
t
County of
On '� before me,
TL r Date /� n Name %Tifia;�=r (ag'Jne Dae. NotaryPubr
personally appeared
Namefs) of Signer(s)
❑ personally known to me – OR p oved 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,
TERRY FRASER executed the instrument.
''.. " COMM. 11170427
,^
iVI NOTARY PUBLIC -CALIFORNIA
Mann Comm WITNESS m and official seal.
MY Comm. Ezpkee Jin. 18, 2002
Signature of NotaTPubUe
OPTIONJL
Though the information below is not required bylaw, it may prove valuable to persons re ' g on flue document and could prevent
fraudulent removal and reattachment of this form to anath document
Description of Attached Document
Title or Type of Document: . /
Document Date:
Signer(s) Other
Capacity(ie
Signer's me:
Above:
Claimed by Signer(s)
❑ In idual
❑ 0brDorate Officer
Title(s):
Partner — ❑ Limited ❑
❑ Attomey-in-Fact
❑ Trustee
❑ Guardian or Conservata
❑ Other. /
Signer Is Repre enting:
Top of thumb here
Number of Pages: /
i
Signer's Name:
t
❑ Individual 1
❑ Corporate Officer
Title(s): i
❑ Partner — ❑ Lied ❑General
❑ Attomey-in-Fa
❑ Trustee
❑ Guardian Conservator , t
❑ Other Top of thumb here ,
epresenting:
1
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1
1
1
CALLMRIVIA AI L -PURPOSE ACKNOWLEDGEr
State of- CALIFORNIA
County of SONOMA
On B-21-00 before me, BONNIE K. FRYMIRE, NOTARY PUBLIC ,
DATE NA►IE, TITLE OF OFFICER • E.G.. JANE DOE, NOTARY PUBLIC
personally appeared KELLY HOLTEMAN --------------------
----------------------
N"W45) OF SIGNERS)
® personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
to be the person(* whose name( is/mc
subscribed to the within instrument and
acknowledged to me that Wshe/tom
executed the same in hdaffierAbidr authorized
capacit(fy, and that by /her/c
signatureW on the instrument the person(
or the entity upon behalf of which the
I OFFICIAL SEAL • 1217287 I [ personW acted, executed the instrument.
BONNIE K. FRYMIRE n
NOTARY PUBLIC - CALIF. 0
Z COUNTY OF SONOMA WI my hand and official seal
j My Comm. Exp. April 28, 20031 t
SIGNATURE OF NOTARY
f -
- yr IONA1
Though the data below is not required by law, it may prove valuable to persons relying on the
document and prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE
mu(s)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIANICONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAUE OF PERSONS) OR EUMESnf
TRAVFFIIEiRS CASUALTY AND
OF AMERICA
SURETY COMPANY
DESCRIPTION OF ATTACHED DOCUMENT
PERFORMANCE BOND
TITLE OR TYPE OF DOCUMENT
ONE
NUMBER OF PAGES
AUGUST 21st, 2000
DATE OF DOCUMENT
N/S
SIGNER(S) OTHER THAN NAMED ABOVE
1 -1 1-1y i oVIVU - HUBLIC: WORK
SECTIONS 3247 - 3252, CIVIL CODE
(CALIFORNIA)
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
Hartford, Connecticut 06183
"BOND ISSUED IN DUPLICATE"
KNOW ALL MEN BY THESE PRESENTS:
THAT WHEREAS, The State of Califomia, acting by and through the
has awarded to GHILOTTI BROS., INC.
as Contractor, a contract for the work described as follows:
STREET RESURFACING 1999/2000
Bond No. 005SB103370425BCM
Premium $ INCLUDED
CITY OF SAN RAFAEL
AND WHEREAS, Said Contractor is required to fumish 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 MILLION FORTY SEVEN THOUSAND SEVEN tium&&u avjVta,.vt SIX
($1,047,776.65 ) 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, DOLLARS AND 65/100ths------
That if said Contractors shall fail to pay (1) Any of the persons named in Civil Code Section 3181, (21 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 Califomia 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 this2l st day of AUGUST , 2000 .
S -2061-B (07-97)
Contractor
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
By
Y HOLTEMANN Attorney -in -Fact
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
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State of t
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t
Coun �r-� i
/��/� before me, 7 V56 ° 1
On t
Data ' Name Title of Officer (e.g., -Jane oo�e. N/otuy PuCUe-) 1
personally appeared
N—e(s) at 5gner(s)
❑ personally known to me - OR -Z p oved to me on the basis of satisfactory evidence to be the person(s) i
whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the i
same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s),
TERRY FRAS R or the entity upon behalf of which the person(s) acted,
Comm. IF 1170427 'A executed the instrument. �
UI �� NOTARY PUBLIC • CALIFORNIA
Mvin County WITNESS my hand d official seal.
My Comm. Erpifes Jon. 18, 2002 4 ',
slg�aue of ;70ubk
OPT10N4L
Though the information below is not required bylaw, it mai' prove valuable to persons g on the document and could prevent +
fraudulent removal and.reaftachment of this form to anoth document
'r
Description of Attached Document
Title or Type of Document:
Document Date: / Number of Pages:
Signers) Other Tha amed Above:
t
Capacity(ie Claimed ;by Signer(/signer's
t
I Signer's me: Name:
t
❑ In ' idual
1 ❑ orporate Officer
i Title(s):
t Partner — ❑ Limited ❑ Gen ral
❑ Attorney -in -Fact
❑ 'Trustee
❑ Guardian or Conserva
❑ Other. Top of thumb here
Signer Is R7"'ting:
❑
Individual
❑
Corporate Officer
Title(s):
❑
Partner— ❑ Li led
❑
Attorney -in -Fa
❑
Trustee
❑ General
❑ Guardian Conservator
❑ Other.
Sig r Is Representing:
M "IN A .-
Top of thumb here
1
1
1
1
1
CALOR 7A ALL-PURPOSE ACKNOWLEDGEMEN'T'
State of CALIFORNIA
County of S O N O M A
On 8-21-00 before me, BONNIE K. FRYMIRE, NOTARY PUBLIC ,
DATE NAME. TITLE OF OFFICER - EG.. JANE DOE. NOTARY PUBUC
personally appeared KELLY HOLTEMANN ------------------------------------------
NAME(S) OF SIGNERS)
® personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
to be the personW whose name( is/mw
subscribed to the within went and
acknowledged to me that Iw/she/>
executed the same in (her authorized
capacit(i y, and that by/her/tke o=
r OFFICIAL SEAL .1217287 t signatureW on the instrument the personal
' BONNIE K. FRYMIRE n or the entity upon behalf of which the
Z ® NOTARY PUBLIC - CAUF. 0
COUNTY OF SONOMA�erson" acted, executed the instrument ' My Comm. Exp. APru 28, 2003 p
WI my hand and official, seaL
SIGNATURE OF NOTARY /
OPTIONAI C
Though the data below is not required by law, it may prove valuable to persons relying on the
document and prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ INDIVIDUAL
❑ CORPORATE PAYMENT BOND (LABOR AND MATERIALS BOND)
nnxts)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER 13 REPRESENTING:
NAME OF PERSONS) OR E"TOES)Y
TRAVELERS CASUALTY AND SURETY COMPANY
OF AMERICA
TITLE OR TYPE OF DOCUMENT
ONE
NUMBER OF PAGES
AUGUST 21st, 2000
DATE OF DOCUMENT
N/S
SIGNER(S) OTHER THAN NAMED ABOVE
IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS
CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and TRAVELERS CASUALTY AND
SURETY COMPANY OF ILLINOIS have caused this instrument to be signed by their Senior Vice President, and their corporate
seals to be hereto affixed this 3rd day of December, 1999.
STATE OF CONNECTICUT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
} SS. Hartford TRAVELERS CASUALTY AND SURETY COMPANY
FARAIINGTON CASUALTY COMPANY
COUNTY OF HARTFORD TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS
+'Mq SWlirr �J'LSYro
AlyOs pA6p�nl,p��p _"^YQ].
O � �
a HARTFORD, O
A►r► CONN. c Z 1 *8 2 o 97 L
1971
9 m BV
George W. Thompson
Senior Vice President
On this 3rd day of December, 1999 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, FARMINGTON CASUALTY COMPANY and
TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, 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 he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing
Resolutions thereof.
�G.TEr
My commission expires June 30, 2001 Notary Public
Marie C. Tetreault
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 State of Connecticut, and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, stock corporation of the
State of Illinois, DO HEREBY CERTIFY that the 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 21 St day of
AUGUST , 2000.
r g
7.� �• -01 moo? *og" uoProrr�r�'W
HARTFORD, < 0 1982 0 am I By
GDW ` CONN' • �� 1971 a Kori M. Johanson
'`�� - �� bj . '�+ bey • " s Assistant Secretary, Bond
Client# 15858 %ILOBRO
CERTIFICA) E OF LIABILITY INSMANCEI 08/25/00
PRPDU4ER THIS CERTIFICATE IS ISSUED AS A MATTER 0* INFORMATION
USI Northern California/HOS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2199 S. McDowell B 1 Vd . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 4409 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Petaluma, CA 94955-4409 1 INSURERS AFFORDING COVERAGE
INSURED
Ghilotti Brothers Construction, Inc.
525 Jacoby Street
San Rafael, CA 94901
INSURERA: Indian Harbor Ins. Co/ECS
INSURERB: CGU/General Accident
INSURERC: AIU Ins. Co- Tri -City
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 SATE (IIAMIDD/YYI DATE IMM/DD/YYt V MITS
A GENERAL LIABILITY PEC 0 0 0 4 6 8 5 08/01/00 10 / 01 / 0 0 1 EACH OCCURRENCE $1,000,000
B
C
X COMM ERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire)
$50,000
1 CLAIMS MADE FRI OCCUR
MED EXP (Any one person)
$
XLB I/ PD De d: 1, 0 0 0
I PERSONAL & ADV INJURY
$1,000,000
X OCP
I GENERAL AGGREGATE
52 , 0 0 0. O O O
GENT AGGREGATE LIMIT APPLIES PER:
I PRODUCTS-COMP/OP AGG
$1,000,000
7 POLICY
I I iECT LOC
AUTOMOBILE LIABILITY BA 0 17 6 2 71
10/01/99 10/01/00 COMBINED SINGLE LIMIT
$1000000
ANY AUTO
(Ea accident)
i i
X ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AFIi
EXCESS LIABILITY BE 7 01718 5
10/01/99 10/01/0 0 EACH OCCURRENCE
s4,000,000
J OCCUR FICLAIMS MADE
I AGGREGATE
s4,000,000
DEDUCTIBLE
I
$
$
RETENTION $
$
WORKERS COMPENSATION AND
WC STATS I IOE
kElEACH
EMPLOYERS' LIABILITY
ACCIDENT
$
E.L. DISEASE -EAEMPLOYEE
S
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Cancellation: Except for ten days notice for non-payment of premium.
RE: Project No. 006-4069-640-8000
STREET RESURFACING 1999/2000
Additional Insured named per the attached GL endorsement.
CERTIFICATE HOLDER I I ADD mONALINSURED; INSURER LETTER,
City of San Rafael/ Department
of Public Works
P.O. Box 151560
San Rafael, CA 94915-1560
I
ACORD 25-S (7/97)1 of 2
#S34096/M34095
IMANCELLATION
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL AWAIL 30_ DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMEOTOTHELEFT
AUTHORIZED REPRESENTATIVE �h
n
JEH
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.
AC0R1)25S(7/97)2 of 2 #S34096/M34095
Non -Premium Endorsement
USI Northern California —
Holtemaim, Ord & Smith Division
Issued by
IK Indian Harbor Insurance Company
IPolicy No. Named Insured
PEC0004685 Ghilotti Brothers Construction Company, Inc.
Inception (Month -Day -Year) Expiration (Month -Day -Year) Effective Date of
Endorsement
Policy Period: 08-01-00 10-1-00 08-01-00
It Is agreed that this policy -is hereby amended as Indicated. All other terns and conditions of this policy remain
unchanged.
BLANKET - ADDIITOr1AL INSURED ENDORSEMENT
"Any Person or organization that you are requirez in a written contract or agreement to include as an additional
insured, provided the "bodily injury", 'property damage" occurs subsequent to the execution of the written contract
or agreement, but only to the extent that the "bodily injury ", 'property damage " arises out of 'your work" or
"Contracting Services"for that additional insured by orfor you. "
P IMA Y INSURANCE
"This insurance is primary except when b. below applies. If this insurance is primary, our obligations are not affected
unless any of the other insurance is also primary.- Then, we will share with all that other insurance by the method
described in a below.
b, chis insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other
basis.
Any other primary insurance available to you covering liabilityfor damages arising out of the premises or operations
for which you have been added as an additional insured by attachment of an endorsement.
When this insurance is excess, we will have no duty under any Coverage part to defend the insured against any "suit"
if any other insurer has a duty to defend the insured against that 'suit ". If no other insurer defends, we will undertake
to do so, but we will be entitled to the insured's rights against all those insurers.
When this insurance is excess over insurance, we will pay only our share of the amount of the loss, if any, that exceeds
the sum of, .
(1) The total amount that all such other insurance would pay for the loss in the absence of this
insurance; and
(2) The total of all deductible and se f insured amounts under all that other insurance.
We will share the remaining loss, tf any, with any other insurance that is not described in this Excess Insurance
provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of
this policy.
c If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this
approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the
loss remains, Whichever comes first.
If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under
this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable
limits of insurance of all insurers.
ADDITIONAL INSURED: CITY OF SAN RAFAEL, its officers, agents and employees
P328CP (12-98) Indian Harbor Insurance Company
RDI; -3U -MU WtU U6 U I vM UUN ' "lR I 1 U 1
INS I NU HX NU, 1 U I IN TUU V. UL
ACOR.p_ CERTIFICATE OF
LIABILITY INSURANC�i��l ' ""08/30/00
-d6suc[R
THIS CERTIFICATE IS ISSUED AS A MATTER OF I FORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Don kam:a ti ci Insurance, Inc.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENT) OR
P.O. Box 551
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Petaluma CA 94953
Phone:107-782-9200 Fax:707-782-9300
INSURERbAFFORDINGCOVERAGF
IN::unin'
wsuk_Ek_A_—State Compensation In:. Fund
INfd1RCR D'
Ghilotti Brother, Inc.
INSOREkC,
525 Jacoby Street
_.
San Rafael CA 94901
I
INIIkrN E
COVERAGES
THE PCR.ICIES OF INSURANCE LISTED BELOW I (AVE PEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITI ISTANDINO
ANY REOUIREMCNT. 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 CONDITIUNS OF SUCH
PUL ICIES. AGGRECIATt I WITS SHOWN MAY HAVE BEEN REDUCED
BY PAID CLAIMS.
IW -ft ` "• .. " -"--"" — ' -- "
LIN TYPE OF INSURANCE I - NUMBER
---POLICYEFFECnVE POLICYFXPIiiAT10N�'--'--
—�POLICY DATE (MMIDDIYY) GATE (MMID!WVYI LIMITS_
GhNFHAI•LIAUILITY
I
EACHOW:01thliNGE S
y -
I I I:I IMIAf,NI.1AL GCNCRAL LIALNLII {
FIRE DAM"t;E (Any ant dre) 3-
I I CLAIMq MAO;: L.J OCCUR
MFD F.XP (Any ana p&wn)
1
I
PER,IINAI. k AUV W.IURY S
_� .. _.. .._.. ._�_..... ..
.. .. _
..
GCNCfiALAGGRCGATE S
— --- —
A .,;RC.t,A1L' LIMI1 APIA IF PER
PRCInV4TA . COMP/D? AGG S
_ ,
1•UI ICY I I Jf'CT Lot.
AUTOMOHILE l,lA[tILITY
•.
COME+INFh SINGLE LIMIT It
1ANY
AUTO
(Ea SOClafAlj `-•- - -•.--_.
{ALL
UWNF.I I AU105
BODILY INJURY
: [IILLIIILt11ALITIIi, I
(Pfrprran)
I
HU [I! AUTO•; j
BODILY INJURY
NON•UWtihiI All 03 I
I
(Pel aeeidnn+) _..._ i .._.. .._
I . _ .. _ III
PROPCRTv DAMAGE S
�
-.'��
(FCI . cLidenl)
•
dAftACC LIAp1U7Y E
-
AUTO ONLY- FA ACCIfIENT S _. .., .
ANY AIITq
O'fHFR THAN CA ACC S
AUTO ONLY- AVG S
FXCWO; LIABILITY
CACII OCCI,IRPEIvGE ...... _
'
III I I CLAIMCMADE
ARCRFGATF -`__ __.S•_
--. ....
RETENTION
WL,IAIU• UIH-
- I Ep6irL ERE V LIARI !LATION AND _X I.TORY LIMITS I..- 1, ER --•
A 1 EM!'LOYEIIi• LIAR141TY
315129399 10/01/99 10/01/00 EL EAulAccw[NT s 1000000
I
t�THF:R
nhSC1;1Pf10N OF OPERATION: JLCCATIDN..-,VWIICLGSfC-XCLU SIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE,: Work performed by Ehe Namc'ed Insured for the Certificate Holder
JOB: Stroot Resurfacing 1999/2000, Job 1100430
EL.DISEA.SE-EAFMPLOYrr. s 1000000
EL.C,I7CASC-POL117YLIMR 3 1000000
3a;;
CERTIFICATE HOLDER N ADDITWNAL INSURED INSURER LETTER: CANCELLATION
SANRAI3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIAATI ON
DATE YHEREOF, THE ISSUING INSURER WILL • . MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF C,
City of San Rafael
Dcpt, of Public Works
P.O. Box 151560
Sin Rafael, CA 99915
I �--•+e
ACORG 26-S 17197) _, ILJL�I (JAM CORPORATION 1960