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HomeMy WebLinkAboutCC Resolution 11004 (Traffic Signal Preventive Maintenance)RESOLUTION NO. 11004 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL AWARDING THE CONTRACT FOR TRAFFIC SIGNAL PREVENTIVE MAINTENANCE AND REPAIR PROGRAM 2002-2003, PROJECT NO. 001-44- 33001-9231 (BID OPENING HELD ON TUESDAY, JANUARY 29, 2002) TO REPUBLIC ELECTRIC, IN THE AMOUNT OF $113,800.00 ANNUALLY (THROUGH JUNE 30, 2003) WHEREAS, on the 291h day of January, 2002, pursuant to due and legal notice published in the manner provided by law, inviting sealed bids for proposals for the work hereinafter mentioned, as more fully appears from the Affidavit of Publication thereof on file in the office of the City Clerk of the City of San Rafael, California, the City Clerk of said City did publicly open, examine, and declare all sealed bids or proposals for doing the following work in said City, to wit: "TRAFFIC SIGNAL PREVENTIVE MAINTENANCE AND REPAIR PROGRAM 2002-2003" PROJECT NO. 001-44-3-30-01-9231 in accordance with the plans and specifications therefore on file in the office of said City Clerk; and WHEREAS, the bid from Republic Electric at the unit prices stated in its bid was the lowest and best bid for said work and said bidder is deemed the lowest responsible and qualified bidder; NOW, THEREFORE, IT IS HEREBY ORDERED AND RESOLVED that the bid of Republic Electric is hereby accepted at said unit prices and that the contract for 01� ORIG151VAL .,� IT IS FURTHER ORDERED AND RESOLVED that the Mayor of said City be authorized and directed to execute a contract with Republic Electric for said work and to return the bidders bond upon the execution of said contract. BE IT FURTHER RESOLVED that the Director of Public Works is hereby authorized to take any and all such actions and make changes as may be necessary to accomplish the purpose of this resolution. I, JEANNE M. LEONCINI, City Clerk of the City of San Rafael, hereby certify that the foregoing resolution was duly and regularly introduced and adopted at a regular meeting of the Council of said City held on the 4th day of February, 2002, 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, City Clerk File No.: 18.04.01.06 City of San Rafael • California - Form of Contract Agreement for Traffic Signal Preventive Maintenance and Repair Program 2002-2003 Project No. 001-44-3-30-9231 This Agreement is made and entered into this 4th day of February, 2002 by and between the City of San Rafael (hereinafter called City) and Republic Electric (hereinafter called Contractor). Witnesseth, that the City and the Contractor, for the considerations hereinafter named, agree as follows: II - Scope of the Work The Contractor hereby agrees to furnish all of the materials and all of the equipment and labor necessary, and to perform all of the work shown on the plans and described in the specifications for the project entitled: Traffic Signal Preventive Maintenance and Repair Program, 2002/2003, 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 between February 2002 and June 30, 2003, and after the date of such notice and with such extensions of time as are provided for in the General Conditions. (c) At the discretion of the City, this contract can be renewed for up to three subsequent two year term sat the same costs with the contractor consent. IIII - Liquidated Damages It is agreed that, if the work required by the contract is not finished or completed within the specified time limits as set forth in the special provisions and 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, $500 per hour, as specified in the special provisions; 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. V - Payments The Contractor shall bill the City monthly for routine preventive maintenance, and as performed for all other work. AGREEMENT - 1 y Item 1 Monthly Routine Maintenance Costs for 81 Intersection 2 Quarterly Routine Maintenance Costs for 81 Intersections 3 Semi Annual Routine Maintenance Costs for 81 Intersections 4 Annual Routine Maintenance Costs for 81 Intersections Grand Total Bid Quantity Unit Unit Cost Total Cost 12 Months @ 6,050.00 = 72,600.00 4 Quarters @ 2,025.00 = 83100.00 2 Semi Annual @ 4,050.00 = 8,100.00 Perioids 1 Annually @ 25,000.00 = 25,000.00 ANNUALLY $113.800.00 ONE HUNDRED -THIRTEEN THOUSAND EIGHT HUNDRED DOLLARS ANNUALLY Written in words 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 (b) Before final payment is due the Contractor shall submit evidence satisfactory to the Engineer that all payrolls, material bills, and other indebtedness connected with work have been paid, except that in case of disputed indebtedness or liens the Contractor may submit in lieu of evidence of payment a surety bond satisfactory to the City guaranteeing payment of all such disputed amounts when adjudicated in cases where such payment has not already been guaranteed by surety bond. (c) The making and acceptance of the final payment shall constitute a waiver of all claims by the City, other than those arising from any of the following: (1) unsettled liens; (2) faulty work appearing within 12 months after final payment; (3) requirements of the specifications; or (4) manufacturers' guarantees. It shall also constitute a waiver of all claims by the Contractor, except those previously made and still unsettled. (d) If after the work has been substantially completed, full completion thereof is materially delayed through no fault of the Contractor, and the Engineer so certifies, the City shall, upon certificate of the Engineer, and without terminating the Contract, make payment of the balance due for that portion of the work fully completed and accepted. Such payment shall be made under the terms and conditions governing final payment, except that it shall not constitute a waiver of claims. IN WITNESS WHEREOF, City and Contractor have caused their authorized representatives to execute this Agreement the day and year first written above. ATTEST: anne M. Leoncini City Clerk APPIROVF,f7�AS Raggh' / City Attorney / CITY OF, FA Apert oro f - Mayor REPUB C E for File No: 18.04.01.06 AGREEMENT • 2 Bond Na,....5�CSBM6194 .. _ . Contract Bond1,166,00 _ Public Work — california THE HARTFORD Premium Charge........_ ._.. BOND ISSUED IN TRIPLICATE" PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS_ That we. REPUBLIC ELECTRIC , .. , as Principal, and the HAR`I'F ...F.If RE _M. LRAN._...�N�P�NaYrorporetion organized and existing under the laws ei the scale of ._CONNECTICUT and authorized to transact surety business in the State of California, as Surety, are held and firmly bound unto. . ............ ...... ____ - CITY OF SAN RAFAEL In the sum ot....... _ ........_......_.-..ONE HUNDRED THIRTEEN THOUSAND EIGHT H . _ _ ...... Dollars (013,800-0.0 .......... lawful money of the United States of America, forthe payment whereof, well and truly to be made, we hereby bind ourselves, our heirs, exec- utors, administrators, successors and assigns, Jointly and severally, firmly by these presents. HUNDRED AND NO/100ths-- SIGNED, sealed with our seals, and dated this__.___ 3th._.._.........,day of__.____...... FEBRUARY ............._.._ . _ The condition of the foregoing obligation is such that, whereas the above bounden Principal has entered Into a contract dated___.._..... .FEBRUARY 4th, 2002 —__- y - with said ..... _... ........ ..................---.__._..____.__. . CITY OF SAN RAFAEL td do and perform the following work, to -wit: TRAFFIC SIGNAL PREVENTIVE MAINTENANCE AND REPAIR PROGRAM, 2002 — 2003 PROJECT NO. 001-44-3-30-01-9231 NOW, THEREFORE, if the above bounden Pnncipal shall well and truly perform, or cause to be performed. each and all of the requirements and obligations of said contract to be performed by said Principal, as in sold contract set forth, then this bond shall be null and void; other- wise it shall remain in full force and effecL REPUBLIC ELECTRIC A._(SEAL) Principal HARTFORD FIRE INSURANCE COMPANY _...............�....................................._....---...... .............. Surety f By.................i .:..:... F_................._..........L ,.....:'r. Attorneyin-fact KEILY HOLTEMANN Form 94W.S•2 Printed in U.SA CALI-FORNIA ALL-PURPOSL ACKNOWLEDGMENT No. 5907 ((`irrrr rrrr �y -r rrrrrrrrrr rrr�r�rrrrrr. '.err rrrrrrrrrr. ,gin` !1 11t ` State of CALIFORNIA i County of SONOMA On 2-13-02 before me, BONNE K. FRYMIRE, NOTARY PUHLIC DATE NAME, TITLE OF OFFICER - E.G., -JANE DOE, NOTARY PUBLIC" personally appeared KFLLy HOLTEMANN t NAME(S) OF SIGNER(S) I ® personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(,K) whose nameg is subscribed to the within instrument and ac- knowledged• to me that)bD(sheMW-executed the same in A=her/f} Wff, authorized I capacity j, and that by KWher/ signature(Y.) on the instrument the person(, i or the entity upon behalf of which the t person*.acted, executed the instrument. OFFICIAL SEAL -1217287 BONNIE K.FRYMIRE Z WITNESS my hand and official seal. U ° NOTARY PUBLIC - CALIF. 0 , Z COUNTY OFSONOMA ` I My Comm; Exp. April 28, 2003 ��` L( SIGNATURE OF NOP?CRY 1 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. 11 i CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT j ❑ INDIVIDUAL ❑ CORPORATE OFFICER PERFORMANCE BOND 1 - TITLE OR TYPE OF DOCUMENT TrrLE(S) `. ❑ PARTNER(S) ❑ LIMITED 1. ❑ GENERAL ONE X ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEES) ❑ GUARDIAN/CONSERVATOR k, ❑ OTHER: FEBRUARY 13th, 2002 1 DATE OF DOCUMENT t i SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTIT-Y(IES) NIS HARTFORD FIRE INSURANCE COMPANY SIGNER(S) OTHER THAN NAMED ABOVE i Y �rrrlr.rrrrrr�+rr+rr 1 �. ..-.'•,.,...�,"","/-"' - - '7r" r rrrr 01993 NATIONAL NO-ARY ASSOCIATION - 8236 Rammel Ave., P.O. Box 7184 - Canoga Park, CA 91309-71 B4 Contract Bond Public Work — California KNOW ALL MEN BY THESE PRESENTS: That we, Jk THE HARTFORD "BOND ISSUED IN TRIPLICATE" LABOR AND MATERIAL PAYMENT BOND Bond No.-57-BOPM61,94................... Premium Charge Included In Premium Charged for Performance Bond REPUBLIC ELECTRIC ..........................................................................................................................,................................................................. as Principal, and ................. ARTFORD FIRE INSURANCE COMPANY ...................... .................................................................. , a Corporation organized and existing under the laws of the State of CONNECTICUT and authorized to transact surety business in the State of California, as Surely, are held and firmly bound unto the State of California for the use and benefit of the State Treasurer as ex officio treasurer and custodian of the Unemployment Fund and any and all materialmen, persons, companies or corporations furnishing materials, provisions, provender or other supplies used in, upon, for or about the perform- ance of the work contracted to be executed or performed under the contract hereinafter mentioned, and all persons, companies or corporations renting or hiring teams, or implements or machinery, for or contributing to said work to be done, and all persons performing work or labor upon the same and all persons supplying both work and materials as aforesaid, in the sum of ....ONE..HUNDRED THIRTEEN. THOUSAND ......... EIGHT. ... ... HUNDRED AND ..NO./1.00ths---.....--....—....---.... --....................................................... :�Dollars ($....1.3......... 800 ................. .00 ) ............................................................................................. lawful money of the United States of America, for the payment whereof well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. 3th FEBRUARY 02 SIGNED, sealed with our seals and dated this........1.3.th ................................... day of...........................................................,......................., The condition of the foregoing obligation is such that, whereas the above -bounden Principal has entered into a contract, dated ................................ FEBRUARY 200CITY OF SAN RAFAEL ............. ............................ .......... with ........................................................................................................................................................................... ........................................................................................................................................................................ to do and perform the following work, to wit: CALIFORNIA ALL-PURPOS irrrrrrrrr I State of CALIFORNIA I County of SONOW t On 2-13-02 DATE L .CKNOWLEDGMENT �r�r�rr-rrrr,� ...... 'rirrrr'rrr�r�rrrrr., before me, BONNIE K. FRYMIRE, NOTARY PUBLIC personally appeared KELLY HOLTEMANN l ND, 5907 NAME, TITLE OF OFFICER - E.G, -JANE DOE, NOTARY PUBLIC- ----------- -- (--------------------- t NAME 5 OF SIGNER(S)i k© personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(;) whose name(A ism I subscribed to the within instrument and ac- L i knowledged..to me thatshebt[-executed the same in AxWher/DbM authorized capacity , and that by KWher/NKW i signature(N) on the instrument the personM, k or the entity upon behalf of which the i persons acted, executed the instrument. OFFICIAL SEALEAL-12 T - BONNIE K. FRYMIRE z a/VIT ESS my hand and official seal. i ` U NOTARY PUBLIC - CALIF. Z COUNTY� SONOMA My Comm. Exp. A{iril 28,2003 1 } • i'"i ! 'r + + I M' j SIGNATURE OF NOTICRY l � i OPTIONAL 1 lThough the data below is not required by law, It may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER -nTLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL 0 ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DESCRIPTION OF ATTACHED DOCUMENT LABOR AND MATMU- L PAYMENT NT BOND TITLE OR TYPE OF DOCUMENT ONE NUMBER OF PAGES FEBRUARY 13th, 2002 DATE OF DOCUMENT 1 SIGNER IS REPRESENTING: 1 NAME OF PERSONS) OR ENTITY(IES) N/,S.' � HARTFORD FIRE INSURANCE COMPANY t SIGNER(S) OTHER THAN NAMED ABOVE 1 � 1 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmel Ave., P.O. Box 7184 - Canoga Park CA 91309-71S4 ZTFORD FIRE INSURANCE CONS ,NY Hartford, Connecticut POWER OF ATTORNEY Know all men by these Presents, That HARTFORD FIRE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Connecticut, and having its principal office in the City of Hartford, County of Hartford, State of Connecticut, does hereby make, constitute and appoint Lawrence J. Coyne, Goran G. E. Ryn, Bonnie K. Frymire, Kelly Holtemann Of Petaluma, CA Its true and lawful Attorneys) -in -Fad, with full power and authority to each of said Attomey(s}in-Fact, in their separate capacity if more than one is named above, to sign, execute and acknowledge any and all bonds and undertakings and other writings obligatory in the nature thereof on behalf of the Company in its business of guaranteeing the fidelity of persons holding places of public or private trust; guaranteeing the performance of contracts other than insurance policies; guaranteeing the performance of insurance contracts where surety bonds are accepted by states and municipalities, and executing or guaranteeing bonds and undertakings required or permitted in all actions or proceedings or by law allowed, and to bind HARTFORD FIRE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of HARTFORD FIRE INSURANCE COMPANY and sealed and attested by one other of such Officers, and hereby ratifies and confirms all that its said Attorney(s}in-Fact may do in pursuance hereof. This Power of Attorney is granted under and by authority of the By -Laws of HARTFORD FIRE INSURANCE COMPANY, ("the Company") as amended by the Board of Directors at a meeting duly called and held on May 13'h 1999, as follows: ARTICLE IV SECTION 7. The President or any Vice President or Assistant Vice President, acting with any Secretary or Assistant Secretary shall have power and authority to sign and execute and attach the seal of the Company to bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and such instruments so signed and executed, with or without the common seal, shall be valid and binding upon the Company. SECTION 8. The President or any Vice President or any Assistant Vice President acting with any Secretary or Assistant Secretary, shall have power and authority to appoint, for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, one or more resident Vice Presidents, resident Assistant Secretaries and Attomeys4n-Fact and at any time to remove any such resident Vice President, resident Assistant Secretary, or Attomey-in-Fact, and revoke the power and authority given to him. Resolved, that the signatures of such Officers and the seal of the Company may be affixed to any such power of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. In Witness Whereof, HARTFORD FIRE INSURANCE COMPANY has caused these presents to be signed by its Assistant Vice President, and its corporate seal to be hereto affixed, duly attested by its Assistant Secretary, this 14th day of May, 1999. Attest; HARTFORD FIRE INSURANCE COMPANY CFE SEAL '° * oX weg/ Paul A. Bergenholtz, Assistant Secretary Robert L. Post, Assistant Vice President STATE OF CONNECTICUT I ss. Hartford COUNTY OF HARTFORD On this 14th day of May, A.D. 1999, before me personally came Robert L. Post, to me known, who being by me duly swom, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Assistant Vice President of HARTFORD FIRE INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order. i ,,&- x i � >ttOlr�r ,. oPUDLIC. Jean H. Wozniak Notary Public CERTIFICATE My Commission Expires June 30, 2004 I, the undersigned, Assistant Vice President of HARTFORD FIRE INSURANCE COMPANY, a Connecticut Corporation, DO HEREBY CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force and has not been revoked; and furthermore, that Article IV, Sections 7 and 8 of the By -Laws of HARTFORD FIRE INSURANCE COMPANY, set forth in the Power of Attorney, are now in force. Signed and sealed at the City of Hartford. Dated the 1yy3th day of 14 VARY 2002 pFipE o!i Z: SEAL .o l 0 J. Dennis Lane, Assistant Vice President Form S-4054-2 Printed in U.S.A. L11CII1-4}: 17Ub1 xlL1i UbkLLh ACOfmT. CERTIFICA E OF LIABILITY INSU[ XNCE 0DATE (MWDDNY) 2/13/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Northern California/HOS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2199 S. McDowell Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 4409 Petaluma, CA 94955-4409 INSURED Republic Electric 7120 Redwood Blvd Novato, CA 94945-4114 INSURERS AFFORDING COVERAGE INSURERA Travelers INSURERS: State Compensation Insurance Fund INSURER C 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY DTEC0737X1065 04/21/01 04/21/02 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one I. re) s300, 000 CLAIMS MADE X OCCUR MED EXP (Any one person) $5 000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Cancellation: Except for ten day notice for non-payment of premium. RE: Project #001-44-3-30-01-9231, Traffic Signal Preventive Maintenance & Repair Program, 2002-2003 Additional Insured named per the attached GL endorsement. CERTIFICATE HOLDER ADDITIONAL INSURED•INSURERLETTER: CANCELLATION SHOULD ANYOFTH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION City of San Rafael DATE THEREOF, THE ISSUING INSURER WILL 3HQ563%AX¢LMAIL 3 0 DAYS WRITTEN 1400 Fifth Avenue NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFTjtVu 9 MRXMX5Q3mCKX San Rafael, CA 94915-1560 )aaexo�axcoeoorza�a>m� r�xssox AUTHORIZED REPRESENTATIV\ ACORD25-S(7/97)1 Of 2 ##S45438/M42695 R9S 0 ACORD CORPORATION 1988 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMTAPPLIES PER PRODUCTS -COMP/OP AGG s2,000,000 POLICY X jECOT- LOC A AUTOMOBILE LIABILITY DT 810 7 3 7X 10 6 5 04/21/01 04/21/02 COMBINED SINGLE LIMIT $1, 000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY- AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S $ DEDUCTIBLE $ RETENTION $ S B WORKERS COMPENSATION AND 315140201 10/01/01 10/01/02 WC STATIJ- X OER EMPLOYERS' LIABILITY TORY LIMITS E.L. EACH ACCIDENT $1, 000,000 E L DISEASE - EA EMPLOYEE S1, 000,000 E.L. DISEASE - POLICY LIMIT $1, 000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Cancellation: Except for ten day notice for non-payment of premium. RE: Project #001-44-3-30-01-9231, Traffic Signal Preventive Maintenance & Repair Program, 2002-2003 Additional Insured named per the attached GL endorsement. CERTIFICATE HOLDER ADDITIONAL INSURED•INSURERLETTER: CANCELLATION SHOULD ANYOFTH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION City of San Rafael DATE THEREOF, THE ISSUING INSURER WILL 3HQ563%AX¢LMAIL 3 0 DAYS WRITTEN 1400 Fifth Avenue NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFTjtVu 9 MRXMX5Q3mCKX San Rafael, CA 94915-1560 )aaexo�axcoeoorza�a>m� r�xssox AUTHORIZED REPRESENTATIV\ ACORD25-S(7/97)1 Of 2 ##S45438/M42695 R9S 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD25-s(7/97)2 of 2 ##S45438/M42695 000901 COMMERCIAL GENERAL LIABILITY POLICY 14rMER: D'I'ECO737X10b5 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY – CONTRACTORS COVERAGE PART 1. WHO IS AN INSURED – (Section Il) is amended tion with the general supervision of "your to include any person or organization you are re- work". quired to include as an additional insured on this e) This insurance does not apply to "bodily in - policy by a written contract or written agreement jury" or "property damage" arising out of in effect during this policy period and executed "your work" included in the "products - prior to the occurrence of any loss. completed operations hazard" unless you are 2. The insurance provided to the additional insured required to provide such coverage by written is limited as follows: contract or written agreement and then only a) The person or organization is only an addi- for the period of time required by the contract and in no event beyond the expiration date of tional insured with respect to liability arising "your the policy. out of work" for that additional insured. b) In the event that the limits of liability stated in f) This insurance does not apply to any person or organization for whom you have procured the policy exceed the limits of I'iability re- separate liability, insurance while such insur- quired by the written contract or written ance is in effect, regardless of whether the agreement, the insurance provided by this scope or limits of insurance in this policy ex- endorsement shall be limited to the limits of ceed those of such other insurance or liability required by the written contract. This whether such other insurance is valid or col - endorsement shall not increase the limits lectable. stated in Section III – LIMITS OF INSURANCE. 3. Subpart (1)(a) of the Pollution exclusion under c) The insurance provided to the additional in- "bodily Paragraph 2., Exclusions of Bodily Injury and Property Damage Liability Coverage (Section I – sured does not apply to injury", "personal Coverages) does not apply to you if the "bodily "property damage", injury" or injury" or "property damage" arises out of "your "advertising injury" arising out of an archi- work" performed on premises whicf-i are owned or tes, engineer's or surveyors rendering of or ct rented by the atlditional insured at the time "your failure to render any professional services work" is performed. including: 1. The preparing, approving or failing to 4. Any coverage provided by this endorsement to an additional insured shall be excess over any other prepare or approve maps, shop drawings, valid and collectible insurance available to the opinions, reports, surveys, field orders, additional insured whether primary, excess, con - change orders, or drawings and specifi- tingent or on any other basis un less a written cations; and contract or agreement specifically requires that II. Supervisory or inspection activities per- this insurance apply on a primary or contributory formed as part of any related architec- basis. tural or engineering activities. S. As soon as practicable, each additional insured d) Except when required by written contract or must give us prompt notice of any "occurrence" written agreement, the coverage provided to which may result in a claim, forward all legal Pa- the additional insured by this endorsement pers to us, cooperate in the defense of any ac - does not apply to "bodily injury" or "property tions, and otherwise comply with policy condi- damage" arising out of acts or omissions of tions. the additional insured other than in connec- CG D2 09 07 98 Copyright, The Travelers Indemnity Company, 1998 Page 1 of 1