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HomeMy WebLinkAboutCC Resolution 12146 (Margarita Park ADA Compliance; Ghilotti Bros)RESOLUTION NO. 12146
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
AWARDING THE CONTRACT FOR SUN VALLEY PARK AND SANTA
MARGARITA PARK ADA COMPLIANCE, PROJECT NO. 11041, TO
GHILOTTI BROS., INC. IN THE AMOUNT OF $473,269.00.
WHEREAS, on the 24`h day of October, 2006, pursuant to due and legal notice
published in the manner provided by law, inviting sealed bids for proposals for the work
hereinafter mentioned, as more fully appears from the Affidavit of Publication thereof on
file in the office of the City Clerk of the City of San Rafael, California, the City Clerk of
said City did publicly open, examine, and declare all sealed bids or proposals for doing
the following work in said City, to wit:
"SUN VALLEY PARK AND SANTA MARGARITA PARK ADA COMPLIANCE"
PROJECT NO. 11041
in accordance with the plans and specifications therefore on file in the office of said City
Clerk; and
WHEREAS, the bid of Ghilotti Bros., Inc. at the unit prices stated in its bid was
and is the lowest and best bid for said work and said bidder is the lowest responsible
bidder therefore;
NOW, THEREFORE, IT IS HEREBY ORDERED AND RESOLVED that the
bid of Ghilotti Bros., Inc. and the same is hereby accepted at said unit prices and that the
contract for said work and improvements be and the same is hereby awarded to said
Ghilotti Bros., Inc. at the unit prices mentioned in said bid.
RESOLVED FURTHER, that the Mayor of said City be authorized and
directed to execute a contract with Ghilotti Bros., Inc. for said work and to return
the bidders bond upon the execution of said contract.
RESOLVED FURTHER, that the Director of Public Works is hereby
authorized to take any and all such actions and make changes as may be necessary
to accomplish the purpose of this resolution.
I, JEANNE M. LEONCINI, City Clerk of the City of San Rafael, hereby
certify that the foregoing resolution was duly and regularly introduced and adopted
at a regular meeting of the Council of said City held on the 6th day of November,
2006, by the following vote, to wit:
AYES: COUNCIL MEMBERS: Cohen, Heller, Miller, Phillips & Mayor Boro
NOES: COUNCIL MEMBERS: None
ABSENT: COUNCIL MEMBERS: None
JEANA M. LEONCINI�iClerk
File No. 22.04.38
City of San Rafael + California
Form of Contract Agreement
for
SUN VALLEY PARK & SANTA MARGARITA PARK
ADA COMPLIANCE Project No.: 11041
This Agreement is made and entered into this 6"' day of November 2006 by and between
the City of San Rafael (hereinafter called City) and GHILOTTI BROS. INC.
(hereinafter called Contractor). Witnesseth, that the City and the Contractor, for the
considerations hereinafter named, agree as follows:
lI - Scope of the Work
The Contractor hereby agrees to furnish all of the materials and all of the equipment and
labor necessary, and to perform all of the work shown on the plans and described in the
specifications for the project entitled: Sun Valley Park & Santa Margarita Park ADA
Compliance, Project No: 11041, all in accordance with the requirements and provisions
of the Contract Documents as defined in the General Conditions which are hereby made a
part of this Agreement.
III- Time of Completion
(a) The work to be performed under this Contract shall be commenced within five (5)
calendar days after the date of written notice by the City to the Contractor to
proceed.
(b) The work shall be completed within sixty (60) working days after the date of such
notice and with such extensions of time as are provided for in the General
Conditions.
111I - Liquidated Damages
It is agreed that, if all the work required by the contract is not finished or completed
within the number of working days as set forth in the contract, damage will be sustained
by the City, and that it is and will be impracticable and extremely difficult to ascertain
and determine the actual damage which the City will sustain in the event of and by reason
of such delay; and it is therefore agreed that the Contractor will pay to the City, the sum
of $500 for each and every calendar day's delay in finishing the work in excess of the
number of working days prescribed above; and the Contractor agrees to pay said
liquidated damages herein provided for, and further agrees that the City may deduct the
amount thereof from any moneys due or that may become due the Contractor under the
contract.
IV - The Contract Sum
The City shall pay to the Contractor for the performance of the Contract the amounts
determined for the total number of each of the units of work in the following
schedule completed at the unit price stated. The number of units contained in this
schedule is approximate only, and the final payment shall be made for the actual
number of units that are incorporated in or made necessary by the work covered by
the Contract.
AGREEMENT • 1
ITEM
Mobilization
Demolition
a) Restroom building removal, Sun Valley
b) Restroom building removal, Santa
Margarita
c) AC paving removal, including base
d) Existing arbor and conc. Picnic table
removal
Earthwork
Aspahlt Concrete Paving (includes base)
Concrete
a) Concrete curb/retaining wall
b) Concrete paving, including base
c) Concrete steps, including base
d) Concrete curb ramp, including base
Site Furnishings
a) Drinking fountain
b) Post and cable barrier
c) Handrails
d) Picnic Tables
e) Accessible parking signage, striping,
wheel stop
f) Shade structure (including footings)
Utilities
Restroom Buildings
a) Restroom at Sun Valley Park
b) Restroom at Santa Margarita Park
Turf sod and irrigation adjustment
V - Progress Payments
UNIT I EST QTY I UNIT PRICE, $ I TOTAL, $
LS
1
29,759.00
29,759.00
LS
1
15,000.00
15,000.00
LS
1
15,000.00
15,000.00
LS
1
18,000.00
18,000.00
LS
1
5,000.00
5,000.00
LS
1
15,000.00
15,000.00
SF
2,200
8.50
18,700.00
LF
95
270.00
25,650.00
SF
1,100
11.00
12,100.00
LS
1
7,000.00
7,000.00
LS
1
5,000.00
5,000.00
EA
2
3,500.00
7,000.00
LF
42
80.00
3,360.00
LF
260
95.00
24,700.00
EA
3
2,500.00
7,500.00
LS
1
1,500.00
1,500.00
LS
1
30,000.00
30,000.00
LS
1
4,000.00
4,000.00
LS
1
113,000.00
113,000.00
LS
1
110,000.00
110,000.00
LS
1
6,000.00
6,000.00
Grand
Total
173,269.00
(a). On not later than the 6th day of every month the Public Works Department shall
prepare and submit an estimate covering the total quantities under each item of work
that have been completed from the start of the job up to and including the 25th day of
the preceding month, and the value of the work so completed determined in
accordance with the schedule of unit prices for such items together with such
supporting evidence as may be required by the City and/or Contractor.
(b). On not later than the 15th day of the month, the City shall, after deducting previous
payments made, pay to the Contractor 90% of the amount of the estimate as approved
by the Public Works Department.
AGREEMENT • 2
(c). Final payment of all moneys due shall be made within 15 days after the expiration of
35 days following the filing of the notice of completion and acceptance of the work
by the Public Works Department.
(d).The Contractor may elect to receive 100% of payments due under the contract from
time to time, without retention of any portion of the payment by the public agency, by
depositing securities of equivalent value with the public agency in accordance with
the provisions of Section 4590 of the Government Code. Such securities, if deposited
by the Contractr, shall be valued by the City's Finance Director, whose decision on
valuation of the securities shall be final.
VI - Acceptance and Final Payment
(a) Upon receipt of written notice that the work is ready for final inspection and
acceptance, the Engineer shall within 5 days make such inspection, and when he
finds the work acceptable under the Contract and the Contract fully performed, he
will promptly issue a Notice of Completion, over his own signature, stating that the
work required by this Contract has been completed and is accepted by him under the
terms and conditions thereof, and the entire balance found to be due the Contractor,
including the retained percentage, shall be paid to the Contractor by the City within
15 days after the expiration of 35 days following the date of recordation of said
Notice of Completion.
(b) Before final payment is due the Contractor shall submit evidence satisfactory to the
Engineer that all payrolls, material bills, and other indebtedness connected with work
have been paid, except that in case of disputed indebtedness or liens the Contractor
may submit in lieu of evidence of payment a surety bond satisfactory to the City
guaranteeing payment of all such disputed amounts when adjudicated in cases where
such payment has not already been guaranteed by surety bond.
(c) The Contractor shall provide a "Defective Material and Workmanship Bond" for 50%
of the Contract Price, before the final payment will be made.
(d) The making and acceptance of the final payment shall constitute a waiver of all
claims by the City, other than those arising from any of the following: (1) unsettled
liens; (2) faulty work appearing within 12 months after final payment; (3)
requirements of the specifications; or (4) manufacturers' guarantees. It shall also
constitute a waiver of all claims by the Contractor, except those previously made and
still unsettled.
(e) If after the work has been substantially completed, full completion thereof is
materially delayed through no fault of the Contractor, and the Engineer so certifies,
the City shall, upon certificate of the Engineer, and without terminating the Contract,
make payment of the balance due for that portion of the work fully completed and
accepted.
Such payment shall be made under the terms and conditions governing final payment,
except that it shall not constitute a waiver of claims.
AGREEMENT • 3
IN WITNESS WHEREOF, City and Contractor have caused their authorized
representatives to execute this Agreement the day and year first written above.
ATTEST:
li
anne M. Leoncini
City Clerk
CITY OF SAN RAFAEL:
r l
A ert koro
Mayor
CONTRACTOR: GMOM IMES., INC.
ary T. W,ianti
City Ay for / � K GHIL M
File No.: 22.04.38
FRANKMA RUONA
SENIOR VICE PRESIDENT
AGREEMENT • 4
BOND EXECUTED IN TRIPLICATE
FAITHFUL PERFORMANCE BOND Bond Nn 08446267
PUBLIC WORK
(The premium charged on this bond is $ 3,324.00 , being at
the rate of % 100r 000 (a 83 75%M per thousand of the contract price)
373,269 @ 6.56/M
KNOW ALL MEN BY THESE PRESENTS:
THAT, WHEREAS the CITY OF SAN RAFAEL
State of California, entered into a contract dated NOVEMBER 6TH 2006 with
GHILOTTI BROS., INC.
hereinafter designated as the "Principal,"
for the work described as follows: SUN VALLEY PARK & SANTA MARGARITA PARK ADA COMPLIANCE
PROJECT NO: 11041
and
WHEREAS, the said Principal is required under the terms of said contract to furnish a bond for the faithful
performance of said contract.
NOW, THEREFORE, We, the Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND ,
corporation organized and existing under the laws of the State of MARYLAND , and duly authorized to transact
business under the laws of the State of California, as Surety, are held and finely bound unto
CITY OF SAN RAFAEL in the penal sum of
FOUR HUNDRED SEVENTY THREE THOUSAND TWO HUNDRED * Dollars ($ 473,269.00 ),
lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our
heirs, executors, administrators, and successors, jointly and severally, firmly by these presents.
RROIV;MA 8F THIRUDLIGATION IS SUCH, That, if the above bounden Principal, his or its heirs,
executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and
perform the covenants, conditions and agreements in the said contract and any alteration thereof made as therein
provided, on his or their part, to be kept and performed at the time and in the manner therein specified, and in all
respects according, to their true intent and meaning, and shall indemnify and save harmless the
CITY OF SAN RAFAEL its officers and agents, as therein stipulated, then this obligation
shall become null and void; otherwise it shall be and remain in full force and virtue.
And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration
or addition to the terms of the contract or to the work to be performed thereunder or the specifications accompanying
the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change,
extension of time, alteration or addition to the terms of the contract or to the work or to the specifications.
IN WITNESS WHEREOF, We have hereunto set our hands and seals this 6TH day of NOVEMBER 2006
PRF71001 CA0201 f
GHILOTTI BROS., INC.
Principal
By
MICHAEL M. GHILOTTI, �RESIDENT/TREASURER
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By t�t��_
LAWRENCE J. 21YNE� Attonney-in-Fact
I
ACKNOWLEDGMENT
State of California
County of Marin
pn November 6, 2006 before me, Lori J Nelson, Notary Public ,
(here insert name and title of the officer)
personally appeared Michael M. Ghilotti
President/Treasurer
.1 I
personally known to me ) to be
the person(&) whose name(a) is/aFe subscribed to the within instrument and
acknowledged to me that he/%he/tbey-executed the same in hisAer/tl4etr authorized
capacity(4es), and that by his/bw-4thak-signature(eyon the instrument the person(4,,
or the entity upon behalf of which the person(.&) -acted, executed the instrument.
LORI J. NELSON
WITNESS my hand and official seal. Commission # 1660746
-m s Notary Public - California
Marin County
Signature /lam MY Comm. Expires Apr 25,201 4
(Seal)
ACKNOWLEDGMENT
State of California
County of SONOMA
On 11/6/06 before me,
personally appeared
J. DeLUCA, NOTARY PUBLIC
(here insert name and title of the officer)
LAWRENCE J. COTNE,
ATTQMTW.TN-FA rm
personally known to me (or proved to me on the basis of satisfactory evidence) to be
the person(s) whose name(e) is/tee subscribed to the within instrument and
acknowledged to me that he/she_41:�-_y executed the same in hisht eUthai� authorized
capacity(+_-�, and that by his/#;eFA#eir signature(&) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
U
_ J. DE
CA
COMM. #115
U - NOTARY PUBLIC -CALIFORNIA j
• SONOMA COUNTY
My Cumm Expires -Ort 24, 2008
V � Y
(Seal)
,
13OND EXECUTED IN TRIPLICATE
Bond No. 08446267
PAYMENT BOND
PUBLIC WORK
Section 3247-3252 inclusive, Civil code)
(Premium included in Faithful Performance Bond)
KNOW ALL MEN BY THESE PRESENT:
That, Whereas
CITY OF SAN RAFAEL
has awarded to
GHILOTTI BROS., INC.
as Principal, a contract for the work described as follows: SUN VALLEY PARK & SANTA MARGARITA
PARK ADA COMPLIANCE, PROJECT NO: 11041
AND WHEREAS, said Principal is required ad to furnish a bond in connection with said contract, to secure the
payment of claims of laborers, mechanics, materialmen, and other persons as provided by law:
NOW, THEREFORE, We the undersigned Principal and Surety are held and firmly bound unto the
CITY OF SAN RAFAEL
in the amount required by law, the sum of
FOUR HUNDRED SEVENTY THREE THOUSAND TWO HUNDRED SIXTY NINE & 00/100 --
Dollars (S 473,269.00 ) for which payment well and truly be made we bind ourselves, our heirs,
executors and administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, That if said Principal, his or its heirs, executors,
administrators, successors or assigns, or subcontractors, shall fail to pay any of the persons named in Civil Code
Section 3181, or amounts due under the Unemployment's Insurance Act with respect to work or labor performed
by any such claimant, or for any amounts required to be deducted, withheld, and paid over the Employment
Development Department from the wages of employees of the principals and his subcontractors pursuant to
section 13020 of the Unemployment Insurance Code, with respect to such work and labor, that the Surety or
Sureties herein will pay for the same in the amount not exceeding the sum specified in this bond, otherwise the
above obligation shall be void. In case suit is brought upon this bond, the said surety will pay a reasonable
attorney's fee to be fixed by the court.
PAY71001 CA0202f
In witness Whereof, We have hereunto set our hand and seals this 6TH
day of NOVEMBER 2006
GHILOTTI BROS., INC.
Principal
By:
MICHAEL M. GHIL=, RESIDENT/TREASURER
FIDELITY -AND ND D1qOS T C (DMPANY OF MARYLAND
By: r.
LAWRENCE 1 COYNE-' , Attorney -In -Fact
I
ACKNOWLEDGMENT
State of California
County of Marin
before efore me,
November 6, 2006 Lori J Nelson, Notary Public
(here insert name and title of the officer)
personally appeared Michael M. Ghilotti
President/Treasurer
personally known to me ) to be
the person(&) whose name(&) is/are subscribed to the within instrument and
acknowledged to me that he/she/they-executed the same in his/her/their authorized
capacity(4es), and that by his/heatbeif-signature($�-on the instrument the person(4,
or the entity upon behalf of which the person(er -acted, executed the instrument.
WITNESS my hand and official seal.
Signature
lu
LORI I NELSON
QNotoCommission # 1660746
Public
ry
Marin County
My Comm. Expires Apr 25, 20101
(Seal)
ACKNOWLEDGMENT
State of California
County of SONOMA
On 11/6/06 before me,
personally appeared
J. DeLUCA, NOTARY PUBLIC
(here insert name and title of the officer)
LAWRENCE J. CO-YNE,
ATTQPTTP7-T-NT-FA nT
personally known to me (or proved to me on the basis of satisfactory evidence) to be
the persons) whose name(s) is/=aFe subscribed to the within instrument and
acknowledged to me that he/sheil-t#ey- executed the same in his/hec/fheir authorized
capacity(is�, and that by his/,1eF##eixF signature(&) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
E°
J. UE LUCA
COMM. #1521691 3
= NOTARY PUBLIC CALIFORNIA n
SONOMA COUNTY -�
My Comm. Expires OCI.24, 2008
r � y, V•
(Seal)
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by THEODORE G. MARTINEZ, Vice President, and GERALD F. HALEY, Assistant
Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said ny, which are set forth on
the reverse side hereof and are hereby certified to be in full force and effect on the d tQ ereby nominate,
constitute and appoint Goran G.E. RYN, Lawrence J. COYNE, Kell d LUCA, all of
Petaluma, California, EACH its true and lawful agent and ma d deliver, for, and on
its behalf as surety, and as its act and deed: any an o n e i xecution of such bonds or
undertakings in pursuance of these prese 1 in , as fully and amply, to all intents and
purposes, as if they had been dt ac ularly elected officers of the Company at its office
in Baltimore, Md., Per attorney revokes that issued on behalf of Goran G.E. RYN,
Lawrence J. CO 0� ELUCA, dated June 27, 2005.
The said Assistant C eseby certify that the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By- s said Company, and is now in force.
IN WITNESS WHEREOF, the said Vice -President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 21st day of April,
A.D. 2006.
ATTEST:
'gyp utpo'r
O O
r rwrr ;
W T
Im 1:
q v,nml•
State of Maryland1 ss:
City of Baltimore f
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
,4-a -� ��
Gerald F. Haley Assistant Secretary
By:
Theodore G. Martinez
On this 21st day of April, A.D. 2006, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came THEODORE G. MARTINEZ, Vice President, and GERALD F. HALEY, Assistant
Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals
and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same,
and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company
aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said
Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority
and direction of the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year fust above
written.
Maria D. Adamski Nota(y Public
My Commission Expires: July 8, 2007
POA -F= 016-3366
Client#: 15858 VHILOBRO
ACORD. CERTIFICATE OF LIABILITY INSURANCE 1DATE (MMID
1/13/06D�)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
USI Northern California
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1670 Corporate Circle, #201
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
P.O. Box 4409
Petaluma, CA 94955-4409
INSURERS AFFORDING COVERAGE NAIC #
INSURED
INSURER Zurich American Ins Co IL 27855
Ghilotti Bros., Inc.
I INSURER B.
525 Jacoby Street
I
San Rafael, CA 94901
INSURER C.
I INSURER D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
CLAIMS.
INSR ADD'
LTR INSR TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE IMMIDD/YYI DATE IMM/DD/YYI LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED $
PREMISES (Ea occurrencel_
CLAIMS MADE FlOCCUR
MED EXP (Any one person) $
PERSONAL 8 ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER.
I PRODUCTS - COMP/OP AGG $
POLICY JEC F-1 LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
I AUTO ONLY - EA ACCIDENT I $
ANY AUTO
I OTHER THAN EA ACC I $
AUTO ONLY: AGG I $
EXCESSIUMBRELLA LIABILITY
I EACH OCCURRENCE I $
7 OCCUR FICLAIMS MADE
I AGGREGATE I $
I$
DEDUCTIBLE
I
I $
RETENTION $
I I+
$
A WORKERS COMPENSATION AND WC4277614
10/01/06 10/01/07 X I TORY I IIMIT OTR
EMPLOYERS' LIABILITY
I E.L. EACH ACCIDENT I
$1,000,ODU
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
I E.L. DISEASE - EA EMPLOYEE1
$1,000,000
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT 1$1,000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Cancellation: Except for ten day notice for non-payment of premium.
Re: GBI Job No. 06430 Sun Valley Park & Santa Margarita Park ADA
Compliance - Project #: 11041
CERTIFICATE HOLDER
City of San Rafael
Dept. of Public Works
P.O. Box 151560
San Rafael, CA 94915-1560
ACORD 25 (2001108) 1 of 2 #S87921/M87076
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL RVa0MJtXJt MAIL gyp_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, AXJtR%17 X
Rdw+s,:.9A..d 1A, dARX
AUTHORIZED REPRESENTATIVE
J9RJM ©ACO CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-S (2001/08) 2 Of 2 #S87921/M87076
ACORD„ CERTIFICATE _)F LIABILITY INSURANC CSR SD DATE (MM/DD/YYYY)
GHILO-1 1 11/14/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Don Ramatici Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 551 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Petaluma CA 94953
Phone : 707-782-9200 Fax: 707-782-9300 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A Valley Forge Insurance
INSURER B Transportation Ins. Co.
Ghilotti Bros., Inc. INSURER C
525 Jacoby Street INSURER D
San Rafael CA 94901
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INbK 4UU'I.
LTR NSRL TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE [MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A X COMMERCIAL GENERAL LIABILITY TCP2 0 8 6 95 954 6
UAMAL.L IUNtNItU
10/01/06 10/01/07 PREMISES (Ea occurence)
$ 100 000
,
CLAIMS MADE OCCUR
I MED EXP (Any one person)
$ 5,000
X Contrctl/Brd Frm
(PERSONAL&ADV INJURY
$1,000,000
X XCU Incl. $10,000 PD DED - PER OCC
I GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
I PRODUCTS - COMP/OP AGG
s2,000,000
POLICY ] JECT F-]LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$1,000,000
B X ANY AUTO BUA2087746336
10/01/06 10/01/07 (Ea accident)
ALL OWNED AUTOS
BODILY INJURY
$
(Per person)
SCHEDULED AUTOS
X HIRED AUTOS
BODILY INJURY
$
X NON -OWNED AUTOS
(Per accident)
X Ded. $1000 APD
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY AGG
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$10,000,000
A X� OCCUR F-1 CLAIMSMADE CUP2087746286
10/01/06 10/01/07 AGGREGATE
$ 10,000,000
DEDUCTIBLE
$
X RETENTION $10,000
$
UER
WORKERS COMPENSATION AND
I TORY LIMITS I I
EMPLOYERS' LIABILITY
E L EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E L DISEASE - EA EMPLOYEE
$
If yes, describe under
SPECIAL PROVISIONS below
E L DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROOSIONS
RE: Operations of the Named Insured for the Certificate Holder.
*Ten day notice would be sent on non payment.
**officers, agents, empl., its elective & appointive boards & commissions
JOB:Sun Valley Pk & Santa Margarita Pk ADA Compliance Proj.#11041, NBC#06430
30*XG140331A99
CERTIFICATE HOLDER
City of San Rafael, its **
Dept. of Public Works
P.O. Box 151560
San Rafael, CA 94915
ACORD 25 (2001/08)
CANCELLATION
SANRAF4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILLriHBE4VBRMAIL 30* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, L
AUED RESE E
A" �`�` 0`O ,ciATION 1988
C6RD CORPORA
CNA Ghilotti Bros., Inc.
For All Commitments You Make*
G -140331-A99
(Ed. 10/1)
#TCP2086959546
IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE
ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT.
SEE PARAGRAPH C.I. OF THIS ENDORSEMENT FOR THESE DUTIES.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED
ENDORSEMENT WITH PRODUCTS - COMPLETED OPERATIONS COVERAGE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
City of San Rafael, its officers, agents, employees
its elective & appointive Boards & Commissions
Designated Project:
JOB: Sun Valley Park, Santa Margarita Park
ADA Compliance Project #11041, GBI #06430
(Coverage under this endorsement is not affected by an entry or lack of entry in the Schedule above.)
A. WHO IS AN INSURED (Section 11) is amended to include as an insured any person or organization, including
any person or organization shown in the schedule above, (called additional insured) whom you are required to add as
an additional insured on this policy under a written contract or written agreement; but the written contract or written
agreement must be:
1. Currently in effect or becoming effective during the term of this policy; and
2. Executed prior to the "bodily injury," "property damage," or "personal and advertising injury."
B. The insurance provided to the additional insured is limited as follows:
1. That person or organization is an additional insured solely for liability due to your negligence and
specifically resulting from "your work" for the additional insured which is the subject of the written contract
or written agreement. No coverage applies to liability resulting from the sole negligence of the additional
insured.
2. The Limits of Insurance applicable to the additional insured are those specified in the written contract or
written agreement or in the Declarations of this policy, whichever is less. These Limits of Insurance are
inclusive of, and not in addition to, the Limits of Insurance shown in the Declarations.
3. The coverage provided to the additional insured by this endorsement and paragraph f. of the definition of
"insured contract" under DEFINITIONS (Section V) do not apply to "bodily injury" or "property damage"
arising out of the "products -completed operations hazard" unless required by the written contract or written
agreement.
4. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or
"personal and advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or
failure to render any professional services including:
G -140331-A99
(Ed. 10/01)
G -140331-A99
(Ed. 10/1)
a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; and
b. Supervisory, or inspection activities performed as part of any related architectural or engineering
activities.
C. As respects the coverage provided under this endorsement, SECTION IV — COMMERCIAL GENERAL
LIABILITY CONDITIONS are amended as follows:
1. The following is added to the Duties In The Event of Occurrence, Offense, Claim or Suit Condition:
e. An additional insured under this endorsement will as soon as practicable:
(1) Give written notice of an occurrence or an offense to us which may result in a claim or
"suit" under this insurance;
(2) Tender the defense and indemnity of any claim or "suit" to us for a loss we cover under
this Coverage Part;
(3) Tender the defense and indemnity of any claim or "suit" to any other insurer which also
has insurance for a loss we cover under this Coverage Part; and
(4) Agree to make available any other insurance which the additional insured has for a loss
we cover under this Coverage Part.
f. We have no duty to defend or indemnify an additional insured under this endorsement until we
receive written notice of a claim or "suit" from the additional insured.
1. Paragraph 4.b. of the Other Insurance Condition is deleted and replaced with the following:
4. Other Insurance
b. Excess Insurance
This insurance is excess over any other insurance naming the additional insured as an
insured whether primary, excess, contingent or on any other basis unless a written contract
or written agreement specifically requires that this insurance be either primary or primary
and noncontributing to the additional insured's own coverage. This insurance is excess
over any other insurance to which the additional insured has been added as an additional
insured by endorsement.
When this insurance is excess, we will have no duty under Coverages A or B to defend the
additional insured against any "suit" if any other insurer has a duty to defend the additional
insured against that "suit." If no other insurer defends, we will undertake to do so, but we
will be entitled to the additional insured's rights against all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the sum of:
(1) The total amount that all such other insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self-insured amounts under all that other
insurance.
We will share the remaining loss, if any, with any other insurance that is not described in
this Excess Insurance provision and was not bought specifically to apply in excess of the
Limits of Insurance shown in the Declarations of this Coverage Part.
G -140331-A99
(Ed. 10 01)