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HomeMy WebLinkAboutPW SRCC Siding Replacement ProjectAgenda Item No: 3.1
Meeting Date: April 20, 2015
SAN RAFAEL CITY COUNCIL AGENDA REPORT
Department: Public Works
Prepared by:
Public Works Director
City Manager Approva�(',I/ CX -AO
File No.: 06.01.221
SUBJECT: A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
AWARDING A CONTRACT FOR THE B STREET COMMUNITY CENTER SIDING
REPLACEMENT PROJECT, CITY PROJECT NO. 11232, TO WEDGE ROOFING,
INC., IN THE AMOUNT OF $124,990.00 (BID OPENING HELD ON TUESDAY,
MARCH 24, 2015).
RECOMMENDATION: Staff recommends that the City Council adopt the resolution awarding the contract
to Wedge Roofing, Inc., in the amount of $124,990.00 for the base bid.
BACKGROUND: The existing wood shake, shingle style siding on the exterior of the B Street Community
Center was installed when the building was first constructed. Full replacement of the existing siding is now
needed to prevent the infiltration of water likely to damage internal supports, and electrical and interior
functions of the building.
This project involves the removal of the existing wood shake, decorative shingle around the perimeter, and
on all sides of the auditorium. The existing material is at the end of its functional life with different levels of
deterioration related to the amount of sun exposure. The replacement material was discussed with the
Community Services Director. Staff recommends installation of painted metal siding.
The Public Works Department will work closely with Community Services regarding the type and color of
the new metal siding. In addition, Public Works will coordinate construction operations with Community
Services to minimize disruptions to the public services provided at the facility.
On January 23, 2015, the City's Public Works Department initiated the informal bidding process for the
project. The project documents were distributed to seven different contractors. On March 24, 2015, the
following sealed bids were received:
NAME OF BIDDER AMOUNT
Wedge Roofing, Inc. $124,990.00
Marin Roofing Company, Inc. $126,690.00
The engineer's estimate was $114,514.00.
FOR CITY CLERK ONLY
File No.. LI —I —LCo S
Council Meeting:nn L4 b -c, b-© I
P
Disposition: osod.u'i(©A1 1390-
SAN RAFAEL CITY COUNCIL AGENDA REPORT / Page: 2
ANALYSIS: The referenced bids have been reviewed by Public Works staff and found to be both responsive
and responsible. The low base bid from Wedge Roofing, Inc. of $124,990.00 falls within the original project
budget stated in the Capital Improvement Program.
FISCAL IMPACT: To date, a total of $15,250.13 has been charged to this project for design services and
bid document reproduction. The remaining project expenditures include the construction to be performed by
Wedge Roofing, Inc., a recommended contingency of approximately 16%, and construction management
costs, bringing the total project budget to $175,000.00. The following tables summarize the revenue and
expenses associated with this project:
FUNDING SOURCE
Project Funding Sources Amount
Building Fund 603 (FY2013/14 Allocation) $200,000
Total Available Funds $200,000
EXPENSES
Category -Eden Expense Code
Amount
Notes
Already Charged Expenses
Design and Consultation -01
$1,175.00
Design Services (North Bay Inspection)
Design and Consultation -01
$13,356.40
Design Services (Park Engineering)
Supplies & Services -07
$718.73
Reproduction of Plans and Specifications
Already Charged Expenses Subtotal
$15,250.13
Remaining Expenses
Construction -02
$124,990.00
Base bid contract amount - City portion
Construction -02
$19,759.87
Contingency
Construction Management -03
$15,000.00
Estimated (Park Engineering)
Remaining Expenses Subtotal
$154,749.87
Total Project Cost
$175,000.00
Section 11.50.020 G of the San Rafael Municipal Code enables the Public Works Director to solicit and
award informal construction contracts below $125,000.00. The construction contract coupled with the
recommended contingency exceeds this limit, thus requiring City Council approval to authorize the Public
Works Director to award the construction project.
OPTIONS:
1. Adopt the resolution awarding the contract to Wedge Roofing, Inc., the lowest responsive and
responsible bid, in the amount of $124,990.00. If this option is chosen, construction will commence
as soon as possible.
2. Do not award the contract and direct staff to rebid the project. If this option is chosen, rebidding
will delay construction.
3. Do not award the contract and direct staff to stop working on this project. If this option is chosen,
the B Street Community Center will continue to deteriorate and additional and more costly repairs
may be needed in the future.
ACTION REQUIRED: Adopt the resolution authorizing the Public Works Director to award a contract to
Wedge Roofing, Inc., for the base bid in the amount of $124,990.00 and appropriating funds in the project.
Enclosures
1. Resolution
2. Agreement
RESOLUTION NO. 13912
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
AWARDING A CONTRACT FOR THE B STREET COMMUNITY CENTER SIDING
REPLACEMENT PROJECT, CITY PROJECT NO. 11232, TO WEDGE ROOFING,
INC., IN THE AMOUNT OF $124,990.00 (BID OPENING HELD ON TUESDAY, MARCH 24,
2015).
WHEREAS, on the 23rd day of January, 2015, pursuant to Section 11.50.170 of the San
Rafael Municipal Code, the Department of Public Works solicited informal proposals for
performing the following work in said City, to wit:
"B Street Community Center Siding Replacement Project"
City Project No. 11232
WHEREAS, on March 24, 2015, the City's Public Works Department did receive,
examine, and declare all sealed bids or proposals for the above mentioned project; and
WHEREAS, the bid of Wedge Roofing, Inc., at the unit prices stated, was and is the
lowest and best bid for said work and said bidder is the lowest responsible bidder; and
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
RESOLVES as follows:
1. The bid of Wedge Roofing, Inc., is hereby accepted at said unit prices and that the
contract for said work and improvements is hereby awarded to Wedge Roofing,
Inc. at the unit prices mentioned in said bid.
2. The Acting Public Works Director and the City Clerk of said City are authorized
and directed to execute a contract with Wedge Roofing, Inc., in a form approved
by the City Attorney, for said work and to return the bidder's bond upon the
execution of said contract.
3. Funds totaling $175,000.00 are available in Building Fund #603 and will be
appropriated for City Project No. 11232.
4. The Acting Public Works Director is hereby authorized to take any and all such
actions and make changes as may be necessary to accomplish the purpose of this
resolution.
I, ESTHER C. BEIRNE, 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
City Council of said City held on Monday, the 201h day of April, 2015 by the following vote, to
wit:
AYES: COUNCILMEMBERS: Bushey, Colin, Gamblin and Vice -Mayor McCullough
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Mayor Phillips
ESTHER C. BEIRNE, City Clerk
File No.: 06.01.221
City of San Rafael ♦ California
Form of Contract Agreement for Informal Bids
for
B Street Community Center Siding Replacement Project
City Project No. 11232
This Agreement is made and entered into this 24'h day of April, 2015 by and between the City of San Rafael
(hereinafter called City) and Wedge Roofing, Inc. (hereinafter called Contractor). Witnesseth, that the City and the
Contractor, for the considerations liereinafter named, agree as follows:
I - Scope of the Work
The Contractor hereby agrees to fiirnisln all of the materials and all of the equipment and labor necessary, and to
perform all of the work described in the specifications for the project entitled: B Street Community Center Siding
Replacement Project, City Project No. 11232, all in accordance with lite requirements and provisions of the
Contract Documents as defined in the General Conditions which are hereby made a part of this Agreement. The
Contractor further agrees to provide the insurance as specified in the Insurance Requirements Sheet attached hereto
as Attachment A. The required additional insured coverage for City under Contractor's liability insurance policy
shall be primary with respect to any insurance or coverage maintained by City and shall not call upon City's
insurance or self-insurance for any contribution.
11- Time of Completion
(a) The work to be performed under this Contract shall be commenced within FIVE (5) WORKING DAYS after
the date of written notice by the City to the Contractor to proceed.
(b) All work shall be completed, including all puncitlist work, within THIRTY (30) WORKING DAYS and with
such extensions of time as are provided for in the General Conditions.
III - Liquidated Damages
It is agreed that, if all the work required by the contract is not finished or completed by tite date set forth in lite
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 working 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 Swn
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 lite 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.
NO. ITEM QUANTITY UNrrs UNIT PRICE TOTAL PRICE
Mobilization
2. Remove Existing Exterior
3a. Metal Roofing — F.ntirePerimeter
3b. Metal Roofing—Auditorium Rise
TOTAL BASE BID
1 1 «
$ 18,750.00 =
$ 18,750.00
1 1 Q
$ 18,000.00 =
$ 18,000.00
1 1 «
$ 39,240.00 =
$39240.00
1 1 O
$ 49,000.00 =
$ 49,000.00
$124,990.00
V - Progress Payments
(a) On no 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 file 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) As soon as possible after the preparation of the estimate, the City shall, after deducting previous payments
made, pay to the Contractor 95% of the amount of the estimate as approved by the Public Works Department.
(c) 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 Govermnent Code. Such securities,
if deposited by (lie Contractor, shall be valued by the City's Finance Director, whose decision on valuation of
the securities shall be final.
VI - Acceptance and Final Payment
(a) Upon receipt of written notice that the work is ready for final inspection and acceptance, the Engineer shall
within five (5) working days make such inspection.
(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 disported 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 twelve (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, frill 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 clams.
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 SAN RAFAEL:
641cie C 11,1 c
Esther C. Beirne Kevin McGowan
City Clerk Acting Public Works Director
APPROVED AS TO FORM:
� 2 r'F�
Rob Epslein
City Attorney
CONTRACTOR:
Wedge Roofing, Inc.
INTERNATIONAL FIDELITY INSURANCE COMPANY
PERFORMANCE BOND — PUBLIC WORK
Bond Executed in Duplicate
Bond No. 0676261
Premium $ 2,100.00
KNOW ALL MEN BY THESE PRESENTS: That Wedge Roofing, Inc.
as Principal, and International Fidelity Insurance Company , a corporation organized under the laws of
the State of New Jersey, and authorized to transact a general surety business in the State of California, as Surety, are
held and firmly bound unto
City of San Rafael
One Hundred Twenty Four Thousand Nine Hundred Ninety & 00/100 --
as Obligee in the sum of
Dollars ($ 124.990.00 ) for the payment whereof, in the lawful money of the United States, said Principal and Surety
bind themselves, their heirs, administrators, successors and assigns, jointly and severally, firmly by these presents.
The Condition of the foregoing obligation is such that: whereas, the above bounded Principal has entered into a
contract dated April 24, 2015 with the obligee to do the following work, to wit:
B Street Community Center Siding Replacement Project
City Project No. 11232
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 perform the work contracted to be performed under said
contract in accordance with the plans and specifications, then the above obligation to be void, otherwise to remain in
Hill force and virtue.
No right of action shall accrue under this bond to or for the use of any person other than the Obligee named herein.
Signed and sealed this 24th day of April , 2015
Wedge Roofing, Inc.
Principal
International Fidelity Insurance Company
Surety
By: - 4
Lawrence J. Coyne, orney-in-Fact
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 th s certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Marin )
On April 24th, 2015 before me, K._Holtemann, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Lawrence J. Coyne
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(&)- whose name(&) is/efe
subscribed to the within instrument and acknowledged to me that he/sh@Ahey executed the same in
his/49644eir-authorized capacity(iei;�, and that by his�harAhair signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(&) acted, executed the instrument.
K. HOLTEMANN
Commission # 2084805
z
.•-m Notary Public - California z
Z ' - Marin County >
My Comm. Expires Oct 31, 2018
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.
Signature
Signature of Notary Public
Place Notary Seal Above
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
Title or Type of Document: ..._ _ _ Document
Number of Pages: Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
L Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
Ll Individual Attorne ' act
11 Trustee i 1 ian or Conservator
❑ Other: _
Signer I presenting:
8 gner's Name:
I , Corporate Officer — Title(s):
Cl Partner — _j Limited ❑ General
❑ Individual r' Attorney in Fact
EI Trustee Guardian or Conservator
F1 Other:
Signer Is Representing:
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02014 National Notary Association • www.Nationa[Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907
INTERNATIONAL FIDELITY INSURANCE COMPANY
PAYMENT BOND
Bond Executed in Duplicate Bond No. 0676261
Premium included in Performance bond
KNOW ALL MEN BY THESE PRESENTS: That Wedge Roofing, Inc.
as Principal, and International Fidelity Insurance Company , a corporation organized under the laws of
the State of New Jersey, and authorized to transact a general surety business in the State of California, as Surety, are
held and firmly bound unto
City of San Rafael
as Obligee in the sum of
One Hundred Twenty Four Thousand Nine Hundred Ninet & 001100 --
Dollars ($ 124.990.00 ) for the payment whereof, in the lawful money of the United States, said Principal and
Surety bind themselves, their heirs, administrators, successors and assigns, jointly and severally, firmly by these
presents.
The Condition of the foregoing obligation is such that: whereas, the above bounded Principal has entered into a
contract dated April 24, 2015 , with the obligee to do the following work, to wit:
B Street Community Center Siding Replacement Project
City Project No. 11232
Now, therefore, if the above bounded Principal, contractor, person, company or corporation, or his or its sub-
contractor, fails to pay any claimant named in Section 3181 of the Civil Code of the State of California, or amounts
due under the Unemployment Insurance Code, with respect to work or labor performed by any such claimant, that the
Surety on this bond will pay the same, in an amount not exceeding the aggregate sum specified in this bond, and also,
in case suit is brought upon this bond, a reasonable attorney's fee, which shall be awarded by the court to the
prevailing party in said suit, and attorney's fees to be taxed as costs in said suit.
This bond shall inure to the benefit of any person named in Section 3181 of the Civil Code of the State of California so
as to give a right of action to them or their assigns in any suit brought upon this bond.
This bond is executed and filed to comply with the provisions of the act of Legislature of the State of California as
designated in the Civil Code, Sections 3247-3252 inclusive, and all amendments thereto.
Signed and Sealed this 24th day of April , 2015
-_ Wedge Roofing, Inc.
Principal
International Fidelity Insurance Company
Surety
By: " L"
Lawrence J. Coyne, Attorney in Fact
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 Califomia
County of . Marin
On April 24th, 2015 before me,
Date
personally appeared
K. Holtemann, Notary Public
Here Insert Name and Title of the Officer
Lawrence J. Coyne
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(&)- whose name(&) is/am
subscribed to the within instrument and acknowledged to me that he/&haft&y executed the same in
his/he64h& authorized capacity4es), and that by hisA4@44 aak signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(&) 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.
K. HOLTEMANN
Commission # 2084805
Z ,-es Notary Public - California z ,
Z ' - Marin County ' Signatures
My Comm. Expires Oct 31, 2018 J Signature of Notary Public
Place Notary Seal Above
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
Title or Type of Document: _. Document
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
U Corporate Officer — Title(s):
❑ Partner — ❑ Limited El General
❑ Individual ❑ Attorne ' act
F1 Trustee 1 .l ian or Conservator
❑ Other: _
Signer I presenting:
6fgner's Name:
U Corporate Officer — Title(s):
❑ Partner — Limited ❑ General
❑ Individual D Attorney in Fact
D Trustee f. Guardian or Conservator
- Other:
Signer Is Representing:
02014 National Notary Association • www.NationaiNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907
Tel (973.) 624-7200 . POWER OF ATTORNEY
INTERNATIONAL FIDELITY INSURANCE COMPANY
ALLEGHENY CASUALTY COMPANY
ONE NEWARK CENTER, 20TH FLOOR NEWARK, NEW JERSEY 07102-5207
KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under
the laws of the State of New Jersey, and ALLEGHENY CASUALTY COMPANY a corporation organized and existing under the laws of the State of
Pennsylvania, having their principal office in the City of Newark, New Jersey, do hereby constitute and appoint
LAWRENCE J. COYNE, KELLY HOLTEMANN, THOMAS E. HUGHES, STANLEY D. LOAR, JOAN I
Novato, CA.
their true and lawful attorneys) -in -fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity
and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute rule, reggulation, contract or otherwise
and the execution of such instruments) 1p ursuance of these presents, shall be as binding upon the said INtERNATIONAL FIDELITY INSURANCL
COMPANY and ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and
acknowledged by their regularly elected officers at their principal offices.
This Power of Attorney is executed and may be revoked, pursuant to and by authority of the By -Laws of INTERNATIONAL FIDELITY INSURANCE
COMPANY and ALLEGHENY CASUALTY COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors
of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 20th day of July, 2010 and by the Board of Directors of ALLEGHENY
CASUALTY COMPANY at a meeting duly held on the 15th day of August, 2000:
"RESOLVED, that (1) the President, Vice President, Chief Executive Officer or Secretary of the Corporation shall have the power to appoint, and to revoke
the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf
of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the
nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint -control custodians, agents
for acceptance of process, and Attorneys -in -fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any
such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given or the execution of any
bond, undertaking recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when
so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the
Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed."
IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY have each executed and
attested these presents on this 22nd day of July, 2014.
STATE OF NEW JERSEY'S
County of Essex
SEAL
1904
"�ROBERT W. MINSTER
Chief Executive Officer (Intemational Fidelity
Insurance Company) and President (Allegheny
Casualty Company)
On this 22nd day of July 2014, before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly
sworn, said he is the therein described and authorized officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY
COMPANY ; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were
duly affixed by order of the Boards of Directors of said Companies.
IN TESTIMONY WHEREOF, I have hereunto set m hand affixed my Official Seal,
at the City of Newark, New Jersey the day and year first above written.
Olt 5NOTARY
PUBLIC y:
A NOTARY PUBLIC OF NEW JERSEY
y� •.°* raxo{9.•' S My Commission Expires April 16, 2019
OF NEV4
" IIpoll"O', CERTIFICATION
I, the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby certify that I have
compared the foregoing copy of the Powpj of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies as set forth in said
Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the whole
of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect.
IN TESTIMONY WHEREOF, I have hereunto set my hand this _'t1"_11 day of A?, ,` t
MARIA BRANCO, Assistant Secretary
WEDGE -2 OP ID: CM
'4� Rte'- CERTIFICATE OF LIABILITY INSURANCE
°
D
04128 2015"'
04/28/2015
PRODUCER Phone: 707-782-9200
Don Ramaticl Insurance, Inc.
P.O. Box 551
Petaluma, CA 94953
Tony Rossotti
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P ����PP
DATE hUMID
LIMITS
INSURERS AFFORDING COVERAGE NAIC #
INSURED Wedge Roofing Inc.
5 Casa Grande hoad
INSURER A West American Insurance Co. 44393
INSURER 6
Petaluma, CA 94954.5653
INSURER C
EACH OCCURRENCEAlt: S
INSURER D.
INSURER E
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
CUVEKAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
INS
LTR
D
POLICY NUMBER
pg7E MIVF "yE
P ����PP
DATE hUMID
LIMITS
GENERAL LIABILITY
EACH OCCURRENCEAlt: S
PRERIISES We occurence S
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
MED EXP (Any one person) $
PERSONAL b ADV INJURY $
GENERALAGGREGATE $
GEWL AGGREGATE UTAT APPLIES PER
PRODUCTS- COMPJOP AGG $
POLICY PRO LOC
A
AUTOMOBILE LIABILITY
X ANY ALTO
BAW1556158754
061`1512014
06/15/2015
COMBINED SINGLE LIMIT S 1,000,00
(Ee eccldent)
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY f
(PER PERSON)
X HIREDAUTOS
X HON•OWNEDAUTOS
BODILY INJURY
(PER ACCIDENT) $
PROPERTY DAMAGE S
(PER ACCIDENT)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT S
OTHER THAN EA ACC S
ANY AUTO
AUTO ONLY: AGG S
EXCESS 1 UMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE $
AGGREGATE S
S
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DEDUCTIBLE
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RETENTION S
WORKERS COMPENSATIONWCSTATU
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEMECUTIVE ❑
OFFICER&OA3ER EXCLUDED?
OTH.
TORY LIMITS ER
E L EACH ACCIDENT $
E L DISEASE - EA EMPLOYEE S
(Mendstory In NH)
describe under
SPECIAL PROVISIONS bNon
We
E L DISEASE- POLICY UAUT f
OTHER
A
Physical Damage
BAW1556158754
06/15/2014
06/15/2015
Comp Ded 50
Coll ded 1,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
10 days notice for nonpayment of premium.
RE: Operations of the named Insured for the certificate holder
Job: B Street Community Center Siding Replacement
,Address: 562 8 Street, San Rafael, CA 94901
SANRA13 SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX PIRATIO N
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
City of San Rafael NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Public Works
111 Morphew Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
San Rafael„ CA 94915-1560 REPRESENTATNES.
AUTHORIZEDREPRESENTATNE / C�
cQ OxN t/`
ACORD 25 (2009101) O 1988-2009 ACORD CORPORATION. All riahts reserved.
The ACORD name and logo are registered marks of ACORD
WEDGE -2 OP ID: CM
'44%. N - CERTIFICATE OF LIABILITY INSURANCE
D041281201ATE YY)
04/28/2015
PRODUCER Phone: 707-782-9200
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Don Ramaticl Insurance, Inc.
P.O. Box 551
Petaluma, CA 94953
Tony Rossoltl
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POL(C1ES BELOW.
TYPE OF INSURANCE
POLICY NUMBER
INSURERS AFFORDING COVERAGE NAIC #
INSURED Wedge Roofing Inc.
5 Casa Grande !toad
INSURER A State Compensation Ins. Fund 35076
INSURER B
Petaluma, CA 94954-5653
INSURER C
INSURER D.
INSURER I-
PREMISES Ea occurance f
1101TA14:7_70O'1
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 BYTHE 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.
L7R
INSRI
TYPE OF INSURANCE
POLICY NUMBER
�ATECM FFECr
R-LdEr'TWOMM
LIMITS
AUrNORIZEDREPRESENTATIVE
GENERAL LIABILITY
EACH OCCURRENCE S
PREMISES Ea occurance f
COMMERCIAL GENERAL LIABILITY
CLAI.IIS MADE FIOCCUR
MED EXP (Any one peEson) S
PERSONAL & ADV INJURY $
GENERAL AGGREGATE f
PRODUCTS. COMPEOPAGG S
GEN'L AGGREGATE LIMIT APPLIES PER
PRO LOC
POLICYEI ET
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ee occldenl) f
ALL OWIIED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(PER PERSON) S
HIRED ALTOS
BODILY INJURY S
NON OWNED AUTOS
(PER ACCIDENT)
PROPERTY DAMAGE f
(PER ACCIDENT)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT S
OTHER THAN EA ACC S
ANY ALTO
AUTO ONLY AGG f
EXCESS I UMBRELLA LIABILITY
EACH OCCURRENCE f
AGGREGATE $
OCCUR FICLAIMS MADE
f
S
DEDUCT�BLE
f
RETENTION S
WORKERS COMPENSATION
)( I WCSTATU- DTH•
TO Y L HITS E
A
AND EMPLOYERS' LIABILITY YIN / N�
E L EACH ACCIDENT f 1.000.00
ANY PROPRIETOREPARTNEREEXECUTIVE
82550971014
10/0112014
10101/2015
OFFICER&EI/BER EXCLUDED9 L J
(MendelorylnNH)
EL DISEASE -EA EMPLOYEES 1,000i 00
11 yes dounbounder
SPECIAL FROVISIONSbdoH
100000
E L DISEASE. POLICY LIMIT ,
S r
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
•10 days notice for nonpayment of premium.
RE: Operations of the named insured for the certificate holder
Job: B Street Community Center Siding Replacement
Address: 562 B Street, San Rafael, CA 94901r
CERTIFICATE HOLDER CONCELLOTInN
SANRA13
SHOULOANY OFTHE ABOVE 13ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
City of San Rafael, Its agents
officers & employees
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Public Works
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
111 Morphew Street
REPRESENTATIVES.
San Rafael„ CA 949154580
AUrNORIZEDREPRESENTATIVE
ACURD 25 (2009101) O 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
WEDGE -2 OP ID: CM
CERTIFICATE OF LIABILITY INSURANCE
D0412812015Iry
TYPE OF INSURANCE
04/28/2015
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 cerliticate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER
Don Ramallcl Insurance, Inc.
P.O. Box 551
Petaluma, CA 94953
Tony ROSSOtil
NAME: CONTACT Tony ROSSOttI
PHONEAIX Nol: 707-782-9300
c No :707-782-9200
EMAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC
INSURERA:AMTrUst North America, Inc.
INSURED Wedge Roofing, Inc.
5 Casa Grande Road
Petaluma, CA 94954-5653
INSURER B: Nati Fire Ins. Co. of Hartford 20478
INSURER C:
INSURER D.
X
INSURER E .
PAL105384900
INSURER F :
02104/2016
I.UVtKAL9tb CFRTIFIT'ATF NIIMRFR• Oealiv IeW L111 nen.
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.
L
TYPE OF INSURANCE
AULX
INSRPOLICY
NUMBER
POLMY EFF
MMID
POLICY EXP
MMIDONYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE f 1,000,09
A
X
X COt.11.1ERCIALGENERAL LIABILITY
CLAII.ISAIADE l_'J OCCUR
X
PAL105384900
02/04/2015
02104/2016
PREMISES Eeoccurrence S 100,00
MED EXP (Any one parson) S 5,00
$5000 PD Ded
PERSONAL LADV IN.AIRY S 1,000,00
Per Occur
GENERAL AGGREGATE f 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY X PRO LOC
PRODUCTS- COMP/OP AGG $ 2,000,00
Emp Ben. $ 1,000,00
AUTOMOBILE LIABILITY
COr.1 NEDSINGLELIMIT
Ee accident S
BODILY INJURY (Per person) S
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY Per accident f
( I
HIRED AUTOS NON OWNED
AUTOS
TY D CAGE
PER ACCIDE f
f
UMBRELLA LtIAB)(
OCCUR
EACH OCCURRENCE f 1,000,00
B
X
EXCESS LIAR
CLAMAS.&I DE
BE032114032
02/04/2015
02/04/2016
AGGREGATE f 1,000,00
DEC) I I RETENTION S
f
WORI(ERSCOMPENSATION
AND EMPLOYERS' LIABILITYTORY
ANY PROPRIETORIPARTNER�CUTIVE YIN
OFFICERAVISEREXCLUDED?
NIA
YCSTATU OTH.
LIMITS FR.
E L EACH ACCIDENT $
E L DISEASE - EA EMPLOYEE S
(Mandatory In NH)
I f yes, descnbe under
E L DISEASE- POLICY LIMIT I S
DESCRIPTION OF OPERATIONS belan
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more apace Is required)
Please see holder notes.
Job: B Street Community Center Sidingg Re laaement
Address: 562 B Street, San Rafael, CA 94301
SANRAI3
City of San Rafael, Its agents
officers 8r employees
Public Works
111 Morphew Street
San Rafael„ CA 94915-1560
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988.2010 ACORD CORPORATION. All fiahte Tee
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER-PAL1053849 00
COMMERCIAL GENERAL UABILITY
CG 2010 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s)
Locations Of Covered Operations
The City of San Rafael, its officers, employees,
B Street Community Center
agents and volunteers
Information required to complete this Schedule, If not shown above will be shown In the Declarations.
A. Section i) — Who Is An Insured is amended to
include as an additional Insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage' or "personal and advertising injury'
caused, in whole or In part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf,
In the performance of your ongoing operations for
the additional insureds) at the location(s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
Insurance afforded to such additional Insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional Insured.
B. With respect to the insurance afforded to these
additional Insureds, the following additional
exclusions apply:
This Insurance does not apply to "bodily Injury" or
'property damage" occurring after:
1. All work, Including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insureds) at the
location of the covered operations has been
completed; or
2. That portion of "your work" out of which the
Injury or damage arises has been put to Its
intended use by any person or organization
other than another contractor or subcontractor
engaged In performing operations for a
principal as a part of the same project.
CG 2010 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 2
C. With respect to the insurance afforded to these
additional Insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional Insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured Is the
amount of insurance:
I . Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown In the Declarations;
whichever is less.
This endorsement
applicable Limits of
Declarations.
shall not Increase the
Insurance shown in the
Page 2 of 2 V Insurance Services Office, Inc., 2012 CG 2010 0413
POLICY NUMBER: PAL1053849 00
COMMERCIAL GENERAL LIABILITY
CG 20 37 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s)
Location And Description Of Completed Operations
The City of San Rafael, its officers, employees,
agents and volunteers
B Street Community Center
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to
Include as an additional Insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for 'bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described In the Schedule of this endorsement
performed for that additional insured and
Included In the "products -completed operations
hazard'.
However:
1. The Insurance afforded to such additional
Insured only applies to the extent permitted
by law; and
2. If coverage provided to the additional Insured
is required by a contract or agreement, the
insurance afforded to such additional Insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the Insurance afforded to these
additional insureds, the following Is added to
Section III— Limits Of insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional Insured is the
amount or insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever Is less.
This endorsement shall not Increase the applicable
Limits of Insurance shown in the Declarations.
CG 20 37 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1
Policy Number: PAL105384900
COMMERCIAL GENERAL LIABILITY
CG 20 0104 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
CG 20 0104 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1
MAYOR
CITY OF SAN RAF' AEL Gang O. Phillips
Department of VICE MAYOR
Andretu Cuyugan McCullough
Public Works COUNCIL MEMBERS
Maribeth Bushey
Kate Colin
John Gamblin
INSURANCE REQUIREMENTS SHEET
SUBJECT: COMMERCIAL GENERAL LIABILITY, AUTOMOBILE AND WORKERS'
COMPENSATION INSURANCE (MAJOR PUBLIC WORKS CONTRACTS)
The City of San Rafael requires that all Contractors and Subcontractors performing work under a Public
Works contract with the City carry commercial general liability, automobile, and workers' compensation
insurance. The Contractor and Subcontractors shall insure the City, its elective and appointive Boards,
Commissions, Officers, Agents and Employees, as follows:
Commercial General Liability:
Automobile Liability:
Workers' Compensation Liability:
Minimum of $1,000,000 per occurrence and
$2,000,000 aggregate coverage.
Minimum of $1,000,000 coverage.
Statutory coverage.
The required commercial general liability insurance policy shall provide or shall be endorsed to provide
that the City, its officers, employees, agents and volunteers are additional named insureds under the
policy, that such policy shall be primary and tion -contributory and will not seek contribution from the
City's insurance or self-insurance. The "primary and non-contributory" coverage shall be at least as broad
as CG 20 0104 13.
The limits of insurance required in this Agreement may be satisfied by a combination of primary and
mnbrella or excess insurance. Any umbrella or excess insurance shall contain or be endorsed to contain a
provision that such coverage shall also apply on a primary and non-contributory basis for the benefit of
City (if agreed to in a written contractor or agreement) before City's own insurance or self-insurance shall
be called upon to protect it as a named insured.
The insurance policies shall be specifically endorsed to provide that the insurance carrier shall not cancel,
terminate, or otherwise modify the terms and conditions of said insurance policies except upon ten (10)
days written notice to the City.
It shall be a requirement under the contract that any available insurance proceeds broader than or in
excess of the specified nlininunn insurance coverage requirements and/or limits shall be available to City
or any other additional insured party. Furthermore, the requirements for coverage and limits shall be: (1)
the nlininuon coverage and limits specified in the contract; or (2) the broader coverage and nlaximmnl
limits of coverage of any insurance policy or proceeds available to the named insured; whichever is
greater.