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HomeMy WebLinkAboutPW Fire Station 52 & 57 Demolition00 52 13 - AGREEMENT
THIS AGREEMENT, dated this 4 day of 1 , 2017, by and between
CVE Contracting Group, Inc. DBA Central Valley Environmental
[Name of Contractor] whose place of business is located at:
4263 N. Selland Ave. Fresno, Ca. 93722
[Address of Contractor]
("Contractor'), and the CITY OF SAN RAFAEL ("Owner') acting under and by virtue of the authority
vested in the City of San Rafael by the laws of the State of California.
WHEREAS, City of San Rafael, by its Resolution No. I adopted on the / ZO day of
4 c6r(Se-P) 2of(q awarded to Contractor the following contract:
CITY OF SAN RAFAEL ESSENTIAL FACILITIES DEMOLITION PROJECT —
FIRE STATIONS 52 AND 57
NOW, THEREFORE, in consideration of the mutual covenants hereinafter set forth, Contractor
and City of San Rafael agree as follows:
Article 1. Work
1.1 Contractor shall complete all Work specified in the Contract Documents, in accordance with the
Specifications, Drawings, and all other terms and conditions of the Contract Documents.
Article 2. City of San Rafael Representative and Construction Manager
2.1 City of San Rafael has designated Bill Guerin Director of Public Works will act as City of San
Rafael Representative(s), who will represent City of San Rafael in performing City of San Rafael
duties and responsibilities and exercising City of San Rafael rights and authorities in Contract
Documents. City of San Rafael may change the individual(s) acting as City of San Rafael
Representative(s), or delegate one or more specific functions to one or more specific City of San
Rafael Representatives, including without limitation engineering, architectural, inspection and
general administrative functions, at any time with notice and without liability to Contractor. Each City
of San Rafael Representative is the beneficiary of all Contractor obligations to City of San Rafael,
including without limitation, all releases and indemnities.
2.2 City of San Rafael has designated Kitchell to act as Construction Manager (CM). City of San
Rafael may assign all or part of the City of San Rafael Representative's rights, responsibilities and
duties to Construction Manager. City of San Rafael may change the identity of the Construction
Manager at any time with notice and without liability to Contractor.
2.3 All notices or demands to City of San Rafael under the Contract Documents shall be submitted to
the City of San Rafael 's Representative at:
Kitchell — Raaj Patel, Project Manager
c/o The City of San Rafael,
1400 Fifth Avenue, San Rafael, CA 94901
or to such other person(s) and address(es) as City of San Rafael shall provide to Contractor.
City of San Rafael AGREEMENT 00 52 13 - 1 of 5
Essential Facilities Demolition
Project — Fire Stations 52 and 57
Article 3. Contract Time and Liquidated Damages
3.1 Contract Time.
The Notice to Proceed is tentatively set to be issued on early January 2017.
Contractor shall immediately apply for necessary approvals and permits, prepare required
documents and submittals, and mobilize personnel and equipment to commence the City of San
Rafael Work within 10 calendar days from the date when the Notice to Proceed is issued. City of
San Rafael reserves the right to modify or alter the Commencement Date of the Work.
Contractor shall achieve Final Completion of the entire Work within 48 calendar days from the
date of notice to proceed.
3.2 Liauidated Damaaes.
City of San Rafael and Contractor recognize that time is of the essence of this Agreement and
that City of San Rafael will suffer financial loss in the form of contract administration expenses
(such as project management and consultant expenses), if all or any part of the Work is not
completed including consequential loss of use and disruption of normal operations within the
times specified above, plus any extensions thereof allowed in accordance with the Contract
Documents. Consistent with Article 15 and 16 of Section 00 72 13 (General Conditions),
Contractor and City of San Rafael agree that because of the nature of the Project, it would be
impractical or extremely difficult to fix the amount of actual damages incurred by City of San
Rafael because of a delay in completion of all or any part of the Work. Accordingly, City of San
Rafael and Contractor agree that as liquidated damages for delay, Contractor shall pay City of
San Rafael
3.2.1 Not used.
3.2.2 $500.00 (Five Hundred Dollars) per day for each day that expires after the time specified
herein for the Contractor to achieve Substantial Completion of the entire Building
Construction Work as indicated in Section 00 31 13 (Preliminary Construction Schedule).
These measures of liquidated damages shall apply cumulatively and except as provided below,
shall be presumed to be the damages suffered by City of San Rafael resulting from delay in
completion of the Work.
3.3 Liquidated damages for damages as a result of delays shall cover administrative, overhead,
interest on bonds, and general loss of public use damages suffered by City of San Rafael as a
result of delay or costs of substitute facilities. Liquidated damages shall not cover the cost of
completion of the Work, damages resulting from defective Work, lost revenues or damages
suffered by others who then seek to recover their damages from City of San Rafael (for example,
delay claims of other contractors, subcontractors, tenants, or other third -parties), and defense
costs thereof.
Article 4. Contract Sum
4.1 City of San Rafael shall pay Contractor the Contract Sum for completion of Work in accordance
with Contract Documents as follows:
$293,000.00
TWO HUNDRED AND NINETY THREE THOUSAND AND 00/100
Article 5. Contractor's Representations
City of San Rafael AGREEMENT 00 52 13 - 2 of 5
Essential Facilities Demolition
Project — Fire Stations 52 and 57
In order to induce City of San Rafael to enter into this Agreement, Contractor makes the following
representations and warranties:
5.1 Contractor has visited the Site and has examined thoroughly and understood the nature and
extent of the Contract Documents, Work, Site, locality, actual conditions, as -built conditions, and
all local conditions, and federal, state and local laws and regulations that in any manner may
affect cost, progress, performance or furnishing of Work or which relate to any aspect of the
means, methods, techniques, sequences or procedures of construction to be employed by
Contractor and safety precautions and programs incident thereto.
5.2 Contractor has given City of San Rafael prompt written notice of all conflicts, errors, ambiguities,
or discrepancies that it has discovered in or among the Contract Documents and the written
resolution thereof through Addenda issued by City of San Rafael is acceptable to Contractor.
5.3 Contractor is duly organized, existing and in good standing under applicable state law, and is duly
qualified to conduct business in the State of California.
5.4 Contractor has duly authorized the execution, delivery and performance of this Agreement, the
other Contract Documents and the Work to be performed herein.
5.5 Contractor has listed the following Subcontractors pursuant to the Subcontractor Listing Law,
California Public Contracting Code §4100 et seq. in Section 00430
Article 6. Contract Documents
6.1 Contract Documents consist of the following documents, including all changes, addenda, and
modifications thereto:
The entirety of Division 00, including:
Document 00 51 00
Notice of Award
Document 00 52 13
Agreement
Document 00 55 00
Notice to Proceed
Document 00 65 19
Agreement and Release of Any and All Claims
Document 00 65 36
Guaranty
Document 00 72 13
General Conditions
Document 00 73 00
Special Conditions
Document 00 73 16
Insurance
Document 00 91 13
Addenda
The entirety of Specification Division 01 through Division 31, including:
Drawings and Specifications as attached and referred.
6.2 The Contract Documents may only be amended, modified or supplemented as provided in
Section 00 72 13 (General Conditions).
Article 7. Miscellaneous
7.1 Terms used in this Agreement are defined in Section 00 72 13 (General Conditions) and Section
0142 00 (References) and will have the meaning indicated therein.
7.2 It is understood and agreed that in no instance are the persons signing this Agreement for or on
behalf of City of San Rafael or acting as an employee, agent, or representative of City of San
Rafael, liable on this Agreement or any of the Contract Documents, or upon any warranty of
authority, or otherwise, and it is further understood and agreed that liability of the City of San
Rafael is limited and confined to such liability as authorized or imposed by the Contract
Documents or applicable law.
City of San Rafael AGREEMENT 00 52 13 - 3 of 5
Essential Facilities Demolition
Project — Fire Stations 52 and 57
7.3 Contractor shall not assign any portion of the Contract Documents, and may subcontract portions
of the Contract Documents only in compliance with the Subcontractor Listing Law, California
Public Contracting Code §4100 et seq.
7.4 In entering into a public works contract or a subcontract to supply goods, services or materials
pursuant to a public works contract, Contractor or Subcontractor offers and agrees to assign to
the awarding body all rights, title and interest in and to all causes of action it may have under
Section 4 of the Clayton Act (15 U.S.C. §15) or under the Cartwright Act (Chapter 2 [commencing
with Section 16700] of Part 2 of Division 7 of the Business and Professions Code), arising from
purchases of goods, services or materials pursuant to the public works contract or the
subcontract. This assignment shall be made and become effective at the time City of San Rafael
tenders final payment to Contractor, without further acknowledgment by the parties.
7.5 Copies of the general prevailing rates of per diem wages for each craft, classification, or type of
worker needed to execute the Contract, as determined by Director of the State of California
Department of Industrial Relations, are deemed included in the Contract Documents by reference
and on file at City of San Rafael office, and shall be made available to any interested party on
request. Pursuant to Section 1861 of the Labor Code, Contractor represents that it is aware of
the provisions of Section 3700 of the Labor Code which require every employer to be insured
against liability for workers' compensation or to undertake self-insurance in accordance with the
provisions of that Code, and Contractor shall comply with such provisions before commencing the
performance of the Work of the Contract Documents.
7.6 Contractor and each of Contractor's subcontractors agree to complete and verify construction
reports on a form prescribed by the Division of the State Architect and to file the reports no less
than quarterly during construction as required by Title 24; at the completion of the Work; at the
suspension of work for a period of more than one month; whenever the services of Contractor or
any of Contractor's subcontractors are terminated for any reason; and at any time a special verified
report is required by the Division of the State Architect.
7.7 Should any part, term or provision of this Agreement or any of the Contract Documents, or any
document required herein or therein to be executed or delivered, be declared invalid, void or
unenforceable, all remaining parts, terms and provisions shall remain in full force and effect and
shall in no way be invalidated, impaired or affected thereby. If the provisions of any law causing
such invalidity, illegality or unenforceability may be waived, they are hereby waived to the end
that this Agreement and the Contract Documents may be deemed valid and binding agreements,
enforceable in accordance with their terms to the greatest extent permitted by applicable law. In
the event any provision not otherwise included in the Contract Documents is required to be
included by any applicable law, that provision is deemed included herein by this reference (or, if
such provision is required to be included in any particular portion of the Contract Documents, that
provision is deemed included in that portion).
7.8 This Agreement and the Contract Documents shall be deemed to have been entered into in the
County of Marin, State of California, and governed in all respects by California law (excluding
choice of law rules). The exclusive venue for all disputes or litigation hereunder shall be in Marin
County. Both parties hereby waive their rights under California Code of Civil Procedure Section
394 to file a motion to transfer any action or proceeding arising out of the Contract Documents to
another venue. Contractor accepts the Claims Procedure in Section 00700, Article 12,
established under the California Government Code, Title 1, Division 3.6, Part 3, Chapter 5.
City of San Rafael AGREEMENT 00 52 13 - 4 of 5
Essential Facilities Demolition
Project— Fire Stations 52 and 57
IN WITNESS WHEREOF the parties have executed this Agreement in quadruplicate the day and year
first above written.
OWNER:
CITY OF SAN RAFAEL
By:
MWON PDX
Jim S u , CityManag r Ot
By:
CONTRACTOR:
CVE Contracting Group, Inc. DBA Central Valley
Environmental - Tim Williamson
[Contractor's name]
By:
7
Sign ture
CEO
Title
-END OF SECTION-
Cl-ty 61-a1zic
Approved as to PnrrW
4 �2QL nrf
City of San Rafael AGREEMENT
Essential Facilities Demolition
Project- Fire Stations 52 and 57
005213-5of5
00 65 36 - GUARANTY
TO THE CITY OF SAN RAFAEL for construction of
City of San Rafael Essential Facilities Demolition Project — Fire Stations 52 and 57
The undersigned guarantees all construction performed on this Projects and also guarantees all material and
equipment incorporated therein.
Contractor hereby grants to City of San Rafael for a period of one year following the date of Notice of Completion,
or such longer period specified in the Contract Documents, its unconditional warranty of the quality and adequacy
of all of the Work including, without limitation, all labor, materials and equipment provided by Contractor and its
Subcontractors of all tiers in connection with the Work.
Neither final payment nor use or occupancy of the Work performed by the Contractor shall constitute an
acceptance of Work not done in accordance with this Guaranty or relieve Contractor of liability in respect to any
express warranties or responsibilities for faulty materials or workmanship. Contractor shall remedy any defects in
the Work and pay for any damage resulting therefrom, which shall appear within one year, or longer if specified,
from the date of Final Completion.
If within one year after the date of Final Completion, or such longer period of time as may be prescribed by laws
or regulations, or by the terms of Contract Documents, any Work is found to be defective, Contractor shall
promptly, without cost to City of San Rafael and in accordance with City of San Rafael written instructions, correct
such defective Work. Contractor shall remove any defective Work rejected by City of San Rafael and replace it
with Work that is not defective, and satisfactorily correct or remove and replace any damage to other Work or the
work of others resulting therefrom. If Contractor fails to promptly comply with the terms of such instructions, or in
an emergency where delay would cause serious risk of loss or damage, City of San Rafael may have the
defective Work corrected or the rejected Work removed and replaced. Contractor shall pay for all claims, costs,
losses and damages caused by or resulting from such removal and replacement. Where Contractor fails to
correct defective Work, or defects are discovered outside the correction period, City of San Rafael shall have all
rights and remedies granted by law.
Inspection of the Work shall not relieve Contractor of any of its obligations under the Contract Documents. Even
though equipment, materials, or Work required to be provided under the Contract Documents have been
inspected, accepted, and estimated for payment, Contractor shall, at its own expense, replace or repair any such
equipment, material, or Work found to be defective or otherwise not to comply with the requirements of the
Contract Documents up to the end of the guaranty period.
All abbreviations and definitions of terms used in this Agreement shall have the meanings set forth in the Contract
Documents, including, without means of limitation, Section 014200 (References and Definitions).
The foregoing Guaranty is in addition to any other warranties of Contractor contained in the Contract Documents,
and not in lieu of, any and all other liability imposed on Contractor under the Contract Documents and at law with
respect to Contractor's duties, obligations, and performance under the Contract Documents. In the event of any
conflict or inconsistency between the terms of this Guaranty and any warranty or obligation of the Contractor
under the Contract Documents or at law, such inconsistency or conflict shall be resolved in favor of the higher
level of obligation of the Contractor.
CVE Contracting Group, Inc. DBA Central Valleu Environmental 4263 N. Selland Ave.
F' Vure�
Address
Fresno, Ca. 93722
Sig City/State/Zip
Tim Williamson - CEO 1/4/2017
Name and Title Date
-END OF SECTION -
City of San Rafael GUARANTY 00 65 36 - 1 of 1
Essential Facilities Demolition
Project — Fire Stations 52 and 57
Central Vallev Office
3443 W. Gettysburg Avenue Fresno, CA 93722
P: (559) 222-1149 1 F: (559) 222-1174
TO:
Northern California/Bav Area Office
35500 S. Welty Road Vernalis, CA 95385
P: (209) 239-9676 1 F: (209)-629-8837
CONTRACTOR'S LICENSE #: 905631 A, B, C-21, C-22, ASB, IHAZ
Serving Entire Northern California, Bay Area, and San Joaquin Valley
Transmittal Sheet
FROM.
Bill Guerin Dustin Drake
COMPANY- DATE.
City of San Rafael January 5, 2017
RE:
Contract Documents
❑ URGENT ■ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE
NOTES COMMENTS.
Bill,
Enclosed are the following:
(2) copies of the signed agreement
(2) copies of the signed guaranty
The performance and payment bond
Our insurance cert for the project.
Please let me know if you need anything else.
Thank you,
Dustin Drake
CVE Demolition
(559) 288-7588
4263 N. Selland Ave. Fresno, Ca. 93722 — Phone: (559) 222-1149 — Fax: (559) 222-1174
Email- dustind@cvecorp.com
RECEIVED
JAN 0 6 2017
lSAFEGn OFN RAAL
Bond No.: 106574061
Premium: $4,835.00
00 61 13 - CONSTRUCTION PERFORMANCE BOND
THIS CONSTRUCTION PERFORMANCE BOND ('Bond") is dated 1/4/2017 , is in the penal
sum of
Two Hundred Ninety Three Thousand Dollars and 00/100 ($293.000.00)
[which is one
hundred percent of the Contract Price], and is entered into by and between the parties listed below to
ensure the faithful performance of the Construction Contract listed below. This Bond consists of this page
and the Bond Terms and Conditions para raphs 1 througgh 12, attached to this page. Any singular
reference &E Contracting Group, Inc. dba Uentral alley Environmen�I`'COntraClor ),
Travelers Casualty and Surety Comvanv of America ("Surety"), City of San Rafael ("City of San Rafael") or
other party shall be considered plural where applicable.
CONTRACTOR:
CVE Contracting Group, Inc. dba Central Valley Environmental
Name
4263 N. Selland Ave.
Address
Fresno, CA 93722
City/State/Zip
CONSTRUCTION CONTRACT:
CITY OF SAN RAFAEL
SURETY:
Travelers Casualty and Surety Company of America
Name
11070 White Rock Road, Suite 130
Principal Place of Business
Rancho Cordova. CA 95670
City/State/Zip
Located at San Rafael, California.
Two Hundred Ninety Three Thousand Dollars and 001100
DATED January 4 20 17 in the Amount of $ ($293,000.00) (the "Penal Sum")
CONTRACTOR AS PRINCIPAL
Company: (Corp. Seal)
CVE Contr • Inc. coral Valley Environmental
Signature:
Name and Titl 1 I' �/ /�i•��
SURETY
Company: (Corp. Seal)
Travelers Casualty and Sure ompany o America
Signature:
v
Name and Title yman, torn -Fact
v
BOND TERMS AND CONDITIONS
1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors,
administrators, successors and assigns to City of San Rafael for the complete and proper
performance of the Construction Contract, which is incorporated herein by reference.
2. If Contractor completely and properly performs all of its obligations under the Construction
Contract, Surety and Contractor shall have no obligation under this Bond.
3. If there is no City of San Rafael Default, Surety's obligation under this Bond shall arise after:
3.1 City of San Rafael has declared a Contractor Default under the Construction Contract
pursuant to the terms of the Construction Contract; and
3.2 City of San Rafael has agreed to pay the Balance of the Contract Sum:
City of San Rafael CONSTRUCTION PERFORMANCE BOND 00 61 13 - 1 of 4
Essential Facilities Demolition
Project — Fire Stations 52 and 57
3.2.1 To Surety in accordance with the terms of this Bond and the Construction Contract;
or
3.2.2 To a contractor selected to perform the Construction Contract in accordance with the
terms of this Bond and the Construction Contract.
4. When City of San Rafael has satisfied the conditions of paragraph 3, Surety shall promptly (within
30 days) and at Surety's expense elect to take one of the following actions:
4.1 Arrange for Contractor, with consent of City of San Rafael, to perform and complete the
Construction Contract (but City of San Rafael may withhold consent, in which case the
Surety must elect an option described in paragraphs 4.2, 4.3 or 4.4, below); or
4.2 Undertake to perform and complete the Construction Contract itself, through its agents or
through independent contractors; provided, that Surety may not select Contractor as its
agent or independent contractor without City of San Rafael consent; or
4.3 Undertake to perform and complete the Construction Contract by obtaining bids from
qualified contractors acceptable to City of San Rafael for a contract for performance and
completion of the Construction Contract, and, upon determination by City of San Rafael of
the lowest responsible bidder, arrange for a contract to be prepared for execution by City of
San Rafael and the contractor selected with City of San Rafael concurrence, to be secured
with performance and payment bonds executed by a qualified surety equivalent to the
bonds issued on the Construction Contract; and, if Surety's obligations defined in
paragraph 6, below, exceed the Balance of the Contract Sum, then Surety shall pay to City
of San Rafael the amount of such excess; or
4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor
and with reasonable promptness under the circumstances, and, after investigation and
consultation with City of San Rafael, determine in good faith its monetary obligation to City
of San Rafael under paragraph 6, below, for the performance and completion of the
Construction Contract and, as soon as practicable after the amount is determined, tender
payment therefore to City of San Rafael with full explanation of the payment's calculation.
If City of San Rafael accepts Surety's tender under this paragraph 4.4, City of San Rafael
may still hold Surety liable for future damages then unknown or unliquidated resulting from
the Contractor Default. If City of San Rafael disputes the amount of Surety's tender under
this paragraph 4.4, City of San Rafael may exercise all remedies available to it at law to
enforce Surety's liability under paragraph 6, below.
If Surety does not proceed as provided in paragraph 4, above, then Surety shall be deemed to be
in default on this Bond ten days after receipt of an additional written notice from City of San
Rafael to Surety demanding that Surety perform its obligations under this Bond. At all times City
of San Rafael shall be entitled to enforce any remedy available to City of San Rafael at law or
under the Construction Contract including, without limitation, and by way of example only, rights
to perform work, protect work, mitigate damages, and advance critical work to mitigate schedule
delay, or coordinate work with other consultants or contractors.
Surety's monetary obligation under this Bond is limited by the Amount of this Bond identified
herein as the Penal Sum. This monetary obligation shall augment the Balance of the Contract
Sum. Subject to these limits, Surety's obligations under this Bond are commensurate with the
obligations of Contractor under the Construction Contract. Surety's obligations shall include, but
are not limited to:
6.1 The responsibilities of Contractor under the Construction Contract for completion of the
Construction Contract and correction of defective work;
City of San Rafael CONSTRUCTION PERFORMANCE BOND 0061 13 - 2 of 4
Essential Facilities Demolition
Project — Fire Stations 52 and 57
6.2 The responsibilities of Contractor under the Construction Contract to pay liquidated
damages, and for damages for which no liquidated damages are specified in the
Construction Contract, actual damages caused by non-performance of the Construction
Contract including, but not limited to, all valid and proper back charges, offsets, payments,
indemnities, or other damages;
6.3 Additional legal, design professional and delay costs resulting from Contractor Default or
resulting from the actions or failure to act of the Surety under paragraph 4, above (but
excluding attorney's fees incurred to enforce this Bond).
7. No right of action shall accrue on this Bond to any person or entity other than City of San Rafael
or its successors or assigns.
Surety hereby waives notice of any change, alteration or addition to the Construction Contract or
to related subcontracts, purchase orders and other obligations, including changes of time. Surety
consents to all terms of the Construction Contract, including provisions on changes to the
Contract. No extension of time, change, alteration, modification, deletion, or addition to the
Contract Documents, or of the work required there under, shall release or exonerate Surety on
this Bond or in any way affect the obligations of Surety on this Bond.
Any proceeding, legal or equitable, under this Bond shall be instituted in the courts of the County
of Marin. Communications from City of San Rafael to Surety under paragraph 3.1 of this Bond
shall be deemed to include the necessary agreements under paragraph 3.2 of this Bond unless
expressly stated otherwise.
10. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the
signature page of this Bond), and all notices to City of San Rafael shall be mailed or delivered as
provided in Section 00 52 13 (Agreement). Actual receipt of notice by Surety, City of San Rafael
or Contractor, however accomplished, shall be sufficient compliance as of the date received at
the foregoing addresses.
11. Any provision in this Bond conflicting with any statutory or regulatory requirement shall be
deemed deleted here from and provisions conforming to such statutory requirement shall be
deemed incorporated herein.
12. Definitions.
12.1 Balance of the Contract Sum: The total amount payable by City of San Rafael to Contractor
pursuant to the terms of the Construction Contract after all proper adjustments have been
made under the Construction Contract, for example, deductions for progress payments
made, and increases/decreases for approved modifications to the Construction Contract.
12.2 Construction Contract: The agreement between City of San Rafael and Contractor
identified on the signature page of this Bond, including all Contract Documents and
changes thereto.
12.3 Contractor Default: Material failure of Contractor, which has neither been remedied nor
waived, to perform or otherwise to comply with the terms of the Construction Contract
including, but not limited to, "default" or any other condition allowing a termination for cause
as provided in Section 00 72 13 (General Conditions).
12.4 City of San Rafael Default: Material failure of City of San Rafael, which has neither been
remedied nor waived, to pay Contractor progress payments due under the Construction
Contract or to perform other material terms of the Construction Contract, if such failure is
the cause of the asserted Contractor Default and is sufficient to justify Contractor
termination of the Construction Contract.
City of San Rafael CONSTRUCTION PERFORMANCE BOND 0061 13 - 3 of 4
Essential Facilities Demolition
Project — Fire Stations 52 and 57
-END OF SECTION -
City of San Rafael CONSTRUCTION PERFORMANCE BOND 0061 13 - 4 of 4
Essential Facilities Demolition
Project — Fire Stations 52 and 57
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
Civil Code § 1189
A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
State of California )
ss
County of Fresno )
On l ZD— , before me, Bonnie Gonzalez, Notary Public, personally appeared
Cody Lyman , who proved to me on the basis of satisfactory evidence to be the person{}
whose name{4 is4r-e subscribed to the within instrument and acknowledged to me that
he/she/theyexecuted the same in his/4efA4eif authorized capacity4es4, and that by
his/4"F/44e4 signaturek4 on the instrument the personk4, or the entity upon behalf of which
the persons} acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
(Seal)
Signature _
Bonnie�onzalezQNotary Public J
a.�. c.r..
ES7iIPP°GONZALEZ f
J -
NOTtRY PUBLIC - CALIFORNIA
C0PAf:41SSI0i4 # 20331113
-=?
My Comm. E:cP. July '12, 2017 6
(Seal)
Signature _
Bonnie�onzalezQNotary Public J
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE: § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of Calif o �^ )
County of�
On ' �~ before me,--,—, Wou) `t a�nd
Date t
ert Name T'tle f the Officer
personally appeared I l [Y1
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(g) whose name* is/aie
subscribed to the within instrument and acknowledged to me that he/trjr4 executed the same in
his/hqr/thKr authorized capacity(i�Q, and that by his/*/th*ir signature(K6n the instrument the persortA,
or the entity upon behalf of which the person acted, executed the instrument.
TIFFANY L. FARLEY
Commission # 2139413 Z
< Notary Public -California Z
Z
Fresno County
MM Comm. Expires Jan 7, 2020
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Sign ture
"y e �jj A
Sign e of Nof4y Publi
_�)
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document nn
Title or Type of Document: 7n��1 PP r;--, f ,N1f At 0 T,'A
Document Date: I _H —i Number of Pages: y
Signer(s) Other Than Named Above:
Capacity(ies) Cl1 "d lbSig r(s)
Signer's Name: 1 i M MM'i
orporate Officer — Title(s): Tf,0.� -
G Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
n Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
©2016 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907
Bond No.: 106574061
Premium: Included in
Performance Bond
00 61 16 - CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND
THIS CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND ("Bond") is dated 1/4/2017
is in the penal sum of
Two Hundred Ninety Three Thousand Dollars and 00/100 ($293,000.00)
[one hundred percent of the Contract Price], and is entered into by and between the parties listed below
to ensure the payment of claimants under the Construction Contract listed below. This Bond consists of
this page and the Bony gyp ancd Cyoltions, paragraphs 1 through 13, attached to this page. Any
E ontrac ing roup, nc. a
singular reference to Central VauevEnvirnnmeniai ("Contractor"),
Travelers Casualty and Surety Company of America ("Surety"), the City of San Rafael ("City of San
Rafael") or other party shall be considered plural where applicable.
CONTRACTOR:
CVE Contracting Group, Inc. dba Central Valley Environmental
Name
4263 N. Selland Ave.
Address
Fresno, CA 93722
City/State/Zip
CONSTRUCTION CONTRACT:
SURETY:
Travelers Casualty and Surety Company of America
Name
11070 White Rock Road, Suite 130
Principal Place of Business
Rancho Cordova, CA 95670
City/State/Zip
City of San Rafael Essential Facilities Demolition Project — Fire Stations 52 and 57
at San Rafael, California.
Two Hundred Ninety Three Thousand Dollars and 00.' 100
DATED January4 20 17 in the Amount of $(6293,000.00) (the 'Penal
Sum")
CONTRACTOR AS PRINCIPAL
Company: eal
CVE Contr tin (Corp.Grou7 nc. d ,a Central Valley Environmental
Signature: �/'
Name and Title: r
SURETY PPaai�ll
Cor trpanl�rs Casualty ancFSGre ompany of merica
Signature: _
.�
Name and Title: Codv Lvman, ttorne n -Fact
BOND TERMS AND CONDITIONS
Contractor and Surety, jointly and severally, bind themselves, their heirs, executors,
administrators, successors and assigns to City of San Rafael and to Claimants, to pay for labor,
materials and equipment furnished for use in the performance of the Construction Contract, which
is incorporated herein by reference.
With respect to City of San Rafael, this obligation shall be null and void if Contractor:
2.1 Promptly makes payment, directly or indirectly, for all sums due Claimants; and
2.2 Defends, indemnifies and holds harmless City of San Rafael from all claims, demands,
liens or suits by any person or entity who furnished labor, materials or equipment for use
in the performance of the Construction Contact, provided City of San Rafael has promptly
notified Contractor and Surety (at the address set forth on the signature page of this
Bond) of any claims, demands, liens or suits and tendered defense of such claims,
demands, liens or suits to Contractor and Surety, and provided there is no City of San
Rafael Default.
City of San Rafael CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND 00 61 16 - 1 of 3
Essential Facilities Demolition
Project — Fire Stations 52 and 57
3. With respect to Claimants, this obligation shall be null and void if Contractor promptly makes
payment, directly or indirectly through its Subcontractors, for all sums due Claimants. If
Contractor or its Subcontractors, however, fail to pay any of the persons named in Section 3181
of the California Civil Code, or amounts due under the Unemployment Insurance Code with
respect to Work or labor performed under the Contract, or for any amounts required to be
deducted, withheld, and paid over to the Employment Development Department from the wages
of employees of Contractor or Subcontractors pursuant to Section 13020 of the Unemployment
Insurance Code, with respect to such Work and labor, then Surety shall pay for the same, and
also, in case suit is brought upon this Bond, a reasonable attorney's fee, to be fixed by the court.
4. Consistent with the California law, Civil Code §8000, et seq., Surety shall have no obligation to
Claimants under this Bond unless the Claimant has satisfied all applicable notice requirements.
5. Surety's total obligation shall not exceed the amount of this Bond, and the amount of this Bond
shall be credited for any payments made in good faith by Surety under this Bond.
6. Amounts due Contractor under the Construction Contract shall be applied first to satisfy claims, if
any, under any Construction Performance Bond and second, to satisfy obligations of Contractor
and Surety under this Bond.
7. City of San Rafael shall not be liable for payment of any costs, expenses, or attorney's fees of
any Claimant under this Bond, and shall have under this Bond no obligations to make payments
to, give notices on behalf of, or otherwise have obligations to Claimants under this Bond.
8. Surety hereby waives notice of any change, including changes of time, to the Construction
Contract or to related subcontracts, purchase orders and other obligations. Surety further hereby
stipulates and agrees that no change, extension of time, alteration or addition to the terms of the
Construction Contract, or to the Work to be performed there under, or materials or equipment to
be furnished there under or the Specifications accompanying the same, shall in any way affect its
obligations under this Bond, and it does hereby waive any requirement of notice or any such
change, extension of time, alteration or addition to the terms of the Construction Contract or to
the Work or to the Specifications or any other changes.
9. Suit against Surety on this Bond may be brought by any Claimant, or its assigns, at any time after
the Claimant has furnished the last of the labor or materials, or both, but, per Civil Code §9558,
must be commenced before the expiration of six months after the period in which stop notices
may be filed as provided in Civil Code §8508.
10. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the
signature page of this Bond), and all notices to City of San Rafael shall be mailed or delivered as
provided in Section 00 52 13 (Agreement). Actual receipt of notice by Surety, City of San Rafael
or Contractor, however accomplished, shall be sufficient compliance as of the date received at
the foregoing addresses.
11. This Bond has been furnished to comply with the California Law including, but not limited to, Civil
Code §9500, et seq. Any provision in this Bond conflicting with said statutory requirements shall
be deemed deleted here from and provisions conforming to such statutory or other legal
requirements shall be deemed incorporated herein. The intent is that this Bond shall be
construed as a statutory bond and not as a common law bond.
12. Upon request by any person or entity appearing to be a potential beneficiary of this Bond,
Contractor shall promptly furnish a copy of this Bond or shall permit a copy to be made.
13. Definitions.
City of San Rafael CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND 0061 16 - 2 of 3
Essential Facilities Demolition
Project — Fire Stations 52 and 57
13.1 Claimant: An individual or entity having a direct contract with Contractor or with a
Subcontractor of Contractor to furnish labor, materials or equipment for use in the
performance of the Contract, as further defined in California Civil Code §8004. The intent
of this Bond shall be to include without limitation in the terms "labor, materials or
equipment' that part of water, gas, power, light, heat, oil, gasoline, telephone service or
rental equipment used in the Construction Contract, architectural and engineering
services required for performance of the Work of Contractor and Contractor's
Subcontractors, and all other items for which a stop notice might be asserted.
13.2 Construction Contract: The agreement between City of San Rafael and Contractor
identified on the signature page of this Bond, including all Contract Documents and
changes thereto.
13.3 City of San Rafael Default: Material failure of City of San Rafael Administrative Office,
which has neither been remedied nor waived, to pay the Contractor as required by the
Construction Contract, provided that failure is the cause of the failure of Contractor to pay
the Claimants and is sufficient to justify termination of the Construction Contract.
-END OF SECTION -
City of San Rafael CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND 0061 16 - 3 of 3
Essential Facilities Demolition
Project — Fire Stations 52 and 57
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
Civil Code § 1189
A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
State of California )
ss
County of Fresno )
On before me, Bonnie Gonzalez, Notary Public, personally appeared
Codv Lvman , who proved to me on the basis of satisfactory evidence to be the person{}
whose names} is/afe subscribed to the within instrument and acknowledged to me that
he/`h executed the same in his/4efA42FF authorized capacitykie4, and that by
his/ e4 signature(4 on the instrument the personjs}, or the entity upon behalf of which
the person{s4 acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
ty
BONNIE GONZAI
NOTARY PUBLIC - CALIFORNIA �
COM".41SSIOil # 203311©
FRESNO COl.1NiY �
n^My Comm. Exp. July '12, 2017
(Seal)
Signature., _ (94Y1p�k0C
Bonnie onzalez, Notary Public
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of
On I '-'r i before me,'_1.k1� �%.(� ��,rU►litV
Date ( r In ert Name and Title d� the OfficeVUY r
personally appeared
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person
whose name is%a'
subscribed to the within instrument and acknowledged to me that he/ )Q
executed the same in
his/h(r/tFi�yr authorized capacity), and that by his/P1@r1tN r signature on thcSinstrument the person
or the entity upon behalf of which the personKacted, executed the instrument.
TIFFANY L. FARLEY
Commission # 2139413 =
-� Notary Public - California
Fresno County
MV Comm. Expires Jan 7, 2020
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signture_
Sig0a-1of Notary u lic
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Doigyme t ,n, II ,
Title or Type of Do�ume t: bkr4 A'I� //d D, PG(�1T1/VI/fT-
Document Date. ( `� Number of Pages:
Signer(s) Other Than Named Above:
Capacity(les) C g�mdl by Signers -
Signer's Name: )�f i/ �l y C
/ccorporate Officer — Title(s):
❑ Partner — Limited Gen ral
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
F-1 Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s)-
El Partner — Limited General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
©2016 National Notary Association • www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907
i
TRAVELERSAj
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
POWER OF ATTORNEY
Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
Attorney -In Fact No. 227966
Certificate No. 006955490
KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance
Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States
Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a
corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the
laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint
John C. Day, Steven P. Edwards, Lyn Genito, Bonnie Gonzalez, and Cody Lyman
of the City of ._,_,__,,..Fresno State of_.... California their true and lawful Attorney(s)-in-Fact,
each in their separate capacity if more than one is named above, to sign, execute, sea] and acknowledge any and all bonds, recognizances, conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 25th
day of August 2016
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
St. Paul Mercury Insurance Company
Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
United States Fidelity and Guaranty Company
�°t4� j �,1N1Yt� FIRe 6 4 ;'N � �� •.•{ 1Hsuq `E � Tr aHo sua"�' Y
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Q' 0.PON .Y4 .'iii G,P •t
�ti0 ._. A,�,m iW it�FPORAlf::i^•. aP '� S ��4Rn
Z „t 9 8 Z_ y 977 '" ® i j d a: _-_ W tiARTFORD< FN9TFOF�,
ct�S 1.1iJ�1 T ".. S
SEA'o t CONN. ^� Cay' 1896
�• �n 1.`;
w.wn� NY4
State of Connecticut
City of Hartford ss.
By:O
Robert L. Raney, Senior Vice President
On this the 25th day of August 2016 before me personally appeared Robert L. Raney, who acknowledged himself to
be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul
Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers
Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing
instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
Sot,
In Witness Whereof, I hereunto set my hand and official seal My Commission expires the 30th day of June, 2021. Marie C. Tetreault. Notary Public
58440-5-16 Printed in U.S.A.
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
CVECONT-01 EBARTSCH
CERTIFICATE OF LIABILITY INSURANCE DAT1/4120177
DD/
1/4/
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. 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).
PRODUCER NAME: Elaine Bartsch
Fresno CSG-Alliant Insurance Services, Inc. PHONE FAX
9 E. River Park Place East Ste 310 _[AIC—N E#): (AIC, No):
Fresno, CA 93720 E-MAIL RSS: ebartsch@alliant.com
INSURED
CVE Contracting Group, Inc. DBA: Central Valley
Environmental
4263 N. Selland Avenue
Fresno, CA 93722
COVERAGES CERTIFICATE NUMBER:
INSURER C :
INSURER 0:
INSURER E:
INSURER F:
Arch Specialtv Insurance
Zurich American Insurance Com
REVISION NUMBER:
NAIC #
21199
16535
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBi#r POLICY EFF POLICY EXP
LTR
TYPE OF INSURANCE
INSD WVD I POLICY NUMBER (MM/DD/YYYY) [MM/DDNYYYI
A
X COMMERCIAL GENERAL LIABILITY
I _
l
PREMISES (Ea occurrence)
CLAIMS -MADE L -J OCCUR
X 112EMP0530402 08/01/2016 08101/2017
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY j(] PRO-
JECT LOC
$ 1,000,000
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
OTHER applies to GI_ only
BODILY INJURY (Per accident)
$
TYDAMAGE
AUTOMOBILE LIABILITY
t
B
X ANY AUTO
X BAP017629302
08/01/2016
08101/2017
ALL OWNED SCHEDULED
X
AUTOS AUTOS
E.L. EACH ACCIDENT
_
$ 1x000,000
LIMITS
CLAIMS-MA
EACH OCCURRENCE
$ 1,000,000
ENTED-
PREMISES (Ea occurrence)
b 50,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
s 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLL PROF LIAB
$ 1,000,000
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
TYDAMAGE
t
$
,000
AGGREGATE
4,,000
S 000
a
X
STATUTE ERH
1,000,000
E.L. EACH ACCIDENT
_
$ 1x000,000
E. L. DISEASE - EA EMPLOYEES
E. L. DISEASE -POLICY LIMIT
i
$ 1,000,000
NON -OWNED
PROPER
HIRED AUTOS AUTOS Per acdden$
UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000
A X EXCESS LIAB DE 12EMX0560700 08/01/2016 06/01/2017
DED RETENTION s
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N WCO18075001 08/01/2016 08/01/2017
OFFICER/MEMBER EXCLUDED7 N / A
(Mandatory In NH)
If yes, describe under
pESCRIPTION OF OPERATIONS belay
I I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddMonal Remarks Schedule, may be attached If more space Is required)
RE: Demolition Project - Fire Stations 52 and 57, 210 Third Street and 3530 Civic Center Dr., San Rafael, CA
City of San Rafael; State of California; Construction Manager(s); Project Inspector(s); and Architect(s) are included as additional insureds per policy forms
attached. Excess Liability coverage is following form over General Liability, Pollution Liability, Automobile Liability, and Employer's Liability coverages.
Endorsement(s) Attached:
General Liability Additional Insured including Completed Operations and Primary
Automobile Liability Additional Insured
Automobile Liability Primary
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of San Rafael THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1400 Fifth Avenue ACCORDANCE WITH THE POLICY PROVISIONS.
San Rafael, CA 94901
AUTHORIZED REPRESENTATIVE
©1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED/ PRIMARY COVERAGE
INCLUDING COMPLETED OPERATIONS (COVERAGES A, B, D & F)
This endorsement modifies insurance provided under the Environmental Multiline Policy
It is agreed that Section III - WHO IS AN INSURED is amended to include the following:
Under Coverages A,B,D and F the person or organization shown in the schedule below shall be an
Additional Insured, but only to the extent liability arises out of YOUR WORK for that Additional
Insured and not due to any actual or alleged independent liability of said Additional Insured.
This Endorsement does not apply to BODILY INJURY or PROPERTY DAMAGE arising out of the
sole negligence or willful conduct of, or for defects in design furnished by the Additional Insured.
With respect to the coverage afforded to the Additional Insured, this insurance is primary and non-
contributory, and our obligations are not affected by any other insurance carried by such Additional
Insured whether primary, excess, contingent or on any other basis.
This Endorsement does not increase the Company's limits of liability as specified in the Declarations of
this policy.
Additional Insured:
ANY PERSON OR ORGANIZATION FOR WHOM YOU PERFORM WORK UNDER A WRITTEN
CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE WRITTEN
CONTRACT MUST BE EFFECTIVE PRIOR TO THE DATE OF THE LOSS OCCURRENCE.
All other terms and conditions of this Policy remain unchanged.
Policy Number: 12 EMP 05304 02
Named Insured: CVE CONTRACTING GROUP, INC.; CVE NB CONTRACTING GROUP, INC.
DBA CENTRAL VALLEY ENVIRONMENTAL
This endorsement is effective on the inception date of this Policy unless otherwise stated herein:
Endorsement Effective Date: 8/1/2016
00 EMP0101 00 01 14 1 of 1
INSURED: CVE Contracting Group, Inc. dba: Central Valley Environmental; CVE NB Contracting Group, Inc. dba: Central Valley Environmental
TERM: 8/1/16 to 8/1/17
POLICY NUMBER: BAP017629302
COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-
fied by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision
of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
IEndorsement Effective: snizol s Countersigned By:
(Named Insured: ALLIANT INSURANCE SERVICES, INC.
CVE Contracting Group, Inc. (Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s):
Any person or organization to whom or which you are required to provide additional insured status or additional
insured status on a primary, non-contributory basis, in a written contract or written agreement executed prior to
loco except where such contract or aoreement is prohibited by I w
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that
person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section 11 of
the Coverage Form.
Copyright, Hawaii Insurance Bureau, Inc., 1999
Includes copyrighted material of the
Insurance Services Office Inc., with its permission
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1999
CA 1028 (2-99)
Page 1 of 1
INSURED: CVE Contracting Group, Inc. dba Central Valley Environmental
CVE NB Contracting Group, Inc. dba Central Valley Environmental
POLICY #BAP017629302
TERM: 8/1/2016 to 8/1/2017
4. Loss Payment — Physical Damage
Coverages
At our option, we may:
a. Pay for, repair or replace damaged or
stolen property;
b. Return the stolen property, at our expense.
We will pay for any damage that results to
the "auto" from the theft; or
c. Take all or any part of the damaged or
stolen property at an agreed or appraised
value.
If we pay for the "loss", our payment will
include the applicable sales tax for the
damaged or stolen property.
5. Transfer Of Rights Of Recovery Against
Others To Us
If any person or organization to or for whom we
make payment under this Coverage Form has
rights to recover damages from another, those
rights are transferred to us. That person or
organization must do everything necessary to
secure our rights and must do nothing after
"accident" or "loss" to impair them.
B. General Conditions
1. Bankruptcy
Bankruptcy or insolvency of the "insured" or the
"insured's" estate will not relieve us of any
obligations under this Coverage Form.
2. Concealment, Misrepresentation Or Fraud
This Coverage Form is void in any case of
fraud by you at any time as it relates to this
Coverage Form. It is also void if you or any
other "insured", at any time, intentionally
conceals or misrepresents a material fact
concerning:
a. This Coverage Form;
b. The covered "auto";
c. Your interest in the covered "auto'; or
d. A claim under this Coverage Form.
3. Liberalization
If we revise this Coverage Form to provide
more coverage without additional premium
charge, your policy will automatically provide
the additional coverage as of the day the
revision is effective in your state.
4. No Benefit To Bailee — Physical Damage
Coverages
We will not recognize any assignment or grant
any coverage for the benefit of any person or
organization holding, storing or transporting
property for a fee regardless of any other
provision of this Coverage Form.
5. Other Insurance
a. For any covered "auto" you own, this
Coverage Form provides primary
insurance. For any covered "auto" you don't
own, the insurance provided by this
Coverage Form is excess over any other
collectible insurance. However, while a
covered "auto" which is a "trailer" is
connected to another vehicle, the Covered
Autos Liability Coverage this Coverage
Form provides for the "trailer" is:
(1) Excess while it is connected to a motor
vehicle you do not own; or
(2) Primary while it is connected to a
covered "auto" you own.
b. For Hired Auto Physical Damage Coverage,
any covered "auto" you lease, hire, rent or
borrow is deemed to be a covered "auto"
you own. However, any "auto" that is
leased, hired, rented or borrowed with a
driver is not a covered "auto".
c. Regardless of the provisions of Paragraph
a. above, this Coverage Form's Covered
Autos Liability Coverage is primary for any
liability assumed under an "insured
contract".
d. When this Coverage Form and any other
Coverage Form or policy covers on the
same basis, either excess or primary, we
will pay only our share. Our share is the
proportion that the Limit of Insurance of our
Coverage Form bears to the total of the
limits of all the Coverage Forms and
policies covering on the same basis.
6. Premium Audit
a. The estimated premium for this Coverage
Form is based on the exposures you told us
you would have when this policy began. We
will compute the final premium due when
we determine your actual exposures. The
estimated total premium will be credited
against the final premium due and the first
Named Insured will be billed for the
balance, if any. The due date for the final
premium or retrospective premium is the
date shown as the due date on the bill. If
the estimated total premium exceeds the
final premium due, the first Named Insured
will get a refund.
b. If this policy is issued for more than one
year, the premium for this Coverage Form
will be computed annually based on our
rates or premiums in effect at the beginning
of each year of the policy.
CA 00 01 10 13 0 Insurance Services Office, Inc., 2011 Page 9 of 12
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below.
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: C1464" t� tuvw F'r
Project Manager: Click here to enter text.;�(erfv►
Extension: Click here to enter text.
Contractor Name: Click here to enter text. L V15 Cc-nf"r�-r
Contractor's Contact: Click here to enter text. D +k S'n D�
Contact's Email: Click here to enter text. 61 Us V, (A C-e-ve. e_ c.
❑ FPPC: Check if Contractor/Consultant must file Form 700
Step RESPONSIBLEI
DESCRIPTION
COMPLETED
DEPARTMENT
DATE
1 Project Manager
a. Email PINS Introductory Notice to Contractor
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enter a date.
b. Email contract (in Word) & attachments to City
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Atty c/o Laraine.Gittens@cityofsanrafael.org
enter a date.
2 City Attorney
a. Review, revise, and comment on draft agreement
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and return to Project Manager
enter a date.
b. Confirm insurance requirements, create Job on
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PINS, send PINS insurance notice to contractor
enter a date.
3 Project Manager
Forward three (3) originals of final agreement to
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contractor for their signature I
enter a date.
4 Project Manager
When necessary, * contractor -sinned agreement
❑ N/A
agendized for Council approval
*P5A > $20,000; or Purchase > $35,000; or
Or
Public Works Contract > $125,000
r<
Date of Council approval
Clich re toenter
a date.
PRINT
CONTINUE ROUTING PROCESS WITH HARD COPY
5 Project Manager
Forward signed original agreements to City
Attorney with printed copy of this routing form
6 City Attorney
I Review and approve hard copy of signed I
�7
agreement
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7 City Attorney
I Review and approve insurancq in PINS, and bonds
`r'e""`t `i``"'`/'r
/
17
(for Public Works Contracts) PrNs.
8 City Manager/ Mayor
I Agreement executed by Council authorized official
9 City ClerkI Attest signatures, retains original agreement and
forwards copies to Project Manager 1 .2-11 /t7
REVIEWER
Check/Initial
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