Loading...
HomeMy WebLinkAboutCC RESO 15,987 Horizon's Construction Engineering Project No. 1030RESOLUTION NO. 15,987 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY DECLARING HORIZON'S CONSTRUCTION THE LOWEST RESPONSIBLE BIDDER AND AUTHORIZING THE MAYOR TO EXECUTE AN AGREEMENT WITH HORIZON'S CONSTRUCTION (ENGINEERING PROJECT NO 1030) WHEREAS, the Engineering Department of the City of National City did in open session on May 30, 1989, publicly open, examine and declare all sealed proposals or bids for the drainage improvements for Alley No. 7 between 4th and 5th Streets, from "B" to "D" Avenues in the City of National City, (Engineering Project No. 1030). NOW, THEREFORE, IT IS HEREBY RESOLVED that the City Council of the City of National City hereby rejects all of said bids except that herein mentioned, and hereby awards the contract for the drainage improvements for Alley No. 7 between 4th and 5th Streets, from "B" to "D" Avenues in the City of National City, (Engineering Project No. 1030) to the lowest responsive bidder, to wit: HORIZON'S CONSTRUCTION BE IT FURTHER RESOLVED by the City Council of the City of National City, California, that the Mayor is hereby authorized to execute on behalf of the City, a contract between HORIZON'S CONTRUCTION and the City of National City to provide for the drainage improvements for Alley No. 7 in accordance with Engineering Project No. 1030. PASSED and ADOPTED this 13th day of June, 1989. AfttgWATERS, MAYOR ATTEST: LOR ANNE PEOPLES, CITY CLERK APPROVED AS TO FORM: /340, gotc_wit. GEORGE H. EISER, III CITY ATTORNEY CONTRACT SPECIFICATION NO, 1030 THIS AGREEMENT, made this, the 13th day of June , 19 by and between City of National City hereinafter called "OWNER", acting ere n through its Mayor, and (1) Horizon Constr. , an individual dothg business as (en -individual) (a partnersbip) (a corporation o the City of San Diego County of San Diego and State of California hereinafter called "CONTRACTOR". WITNESSETH: That for and in consideration of the payments and agreements hereinafter mentioned, to be made and performed by the OWNER, the CONTRACTOR hereby agrees with the OWNER to commence and complete the construction described as follows: DRAINAGE IMPROVEMENTS FOR ALLEY NO. 7 hereinafter called the project, for the sum of Forty Nine Thousand, Two Hundred fifteen dollars and 00/100 Dollars ($ 49,215.00 ) and all extra work in connection therewith, under the terms as stated in the General and Special Provisions of the Contract; and at his (its or their) own proper cost and expense to furnish all the materials, supplies, machinery, equipment, tools, superintendence, labor, insurance, sales tax, and other accessories and services necessary to complete the said project in accordance with the conditions and prices stated in the Bidder's Proposal, the General Provisions and Special Provisions of the Contract, the Plans, which include all maps, plats, blueprints, and other drawings, and printed or written explanatory matter thereof, the specifications and contract documents therefore, all which are made a part hereof and collectively evidence and constitute the Contract. The CONTRACTOR hereby agrees to commence work under this contract on or before a date to be specified in a written "NOTICE TO PROCEED" of the OWNER and to fully complete the project within 45 working days thereafter. The CONTRACTOR further agrees to pay, as liquidated damages, the sum of $ 20040 for each consecutive calendar day that he is in excess of the time specified for completion. The contractor further agrees to pay as liquidated damages, the sum of $200.00 for each consecutive calendar day that he is in excess of drainage improvements, as described in Section 6-1 of Supplemental General Provisions. The OWNER agrees to pay the CONTRACTOR in current funds for the performance of the contract, subject to additions and deductions, as provided in the General Provisions of the Contract, and to make payments on account thereof. (1) Correct name of Contractor CONTRACT -11- IN WITNESS WHEREOF, the parties to these presents have executed this contract in four (4) counterparts, each of which shall be deemed an original, in the year and day first above mentioned. Licensed in accordance with an Act providing for the registration of Contractors. LICENSE NO. Q6--e2��Z LICENSE TYPE CITY LICENSE / 07 Z-/ CITY OF NATIONAL CITY By: 14•-'� /a. Mayor By: 46 Contdactor (.tom Official Title �. 40. 7- GJZ/O Business Address CORPORATE CERTIFICATE I, 117,1 ?--/L4/f''B, k' &-"," , certify that I am the GOr--Pfi/24-rz-" Secretary of the co oration names as CONTRACTOR in the foregoing contract; that is//22 %e- G- ge47- , who signed said contract on behalf of the CONTRACTOR, was then P S/D ?t 7 of said corporation; that said contract was duly signed for and in behalf of said corporation by authority of its gover::iing body and is within the scope of its corporate powers. (CORPORATE SEAL) INDIVIDUAL/PARTNERSHIP CERTIFICATE Subscribed and sworn f 3 day of 4i/./,4 NOTARY P BLIC 1N AND STATE o before me phis , 19 N14 FnB ,�AiR r.�uNT ..'.+ .,i1CIAL SEAL �'"'`• I AACIA L. PINKIE NOW( PulLIC-CALEat1NA SAN DIEGO CCUITY MY =SISSIES EXP. APR. 10.1922 (SEAL) My.L.Commissio9 Expires y//Of/ 99 - Print or type name of affia t CONTRACT -12- ORIGINAL ATTORNEY IN FACT POWER FILED WITH ORIGINAL BON D FINAL CONTRACT PRICE SNOW ALL MEN BY THESE PRESENTS; That hHEREAS CITY OF NATIONAL CITY, by Resolution No. 15,987 passed June 13ths19, 89 has awarded to MAJAK CORPORATION_DBA: HORIZONS CONSTRUCTION • hereinafter designated as the "Principal" a contract fors DRAINAGE IMPROVEMENTS FOR ALLEY NO. 7 PERFORMANCE BON D COPY 2 BOND #1187315 PREMIUM: $1,476.00* BONDS ISSUED IN QUADRIPLICATE SPECIFICATION .NO. 1030 WHEREAS, said Principal is required under the terms of said contract to furnish a bond for the faithful performance of said contract; NOW, THEREFORE, We the Principal, and AMWEST SURETY INSURANCE: COMPANY as Surety, are held and firmly bound unto CITY OF NATIONAL CITY, hereinafter called the "OWNER", in the penal sum of Forty Nine Thousand, Two Hundred, fifteen dollars and 00/100* DOLLARS ($ 49,215.00 * ), lawful money of the United States o1 America, for the payment of which sum well and truly to be made, we bind ourselves, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION IS SUCH that If the above -bounded Principal, shall perform the covenants, in the said contract in a manner that is satisfactory and acceptable to the Owner and if all materials and workmanship supplied by said Principal are free from original or developed defects appearing within one year from the date of acceptance of the work by the Owner, and If the Contractor at his own expense makes good such defects and failures and makes all replacements and adjustments required, within a reasonable time after being notified by the Owner so to do, and shall indemnify and save harmless the OWNER, 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 anywise affect its obligation of 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. This bond shall be' maintained by the contractor in full force and effect during the performance of the work of the contractor and for a period of one year after the date of acceptance of the work by the Owner. In the event suit is brought upon this bond by the OWNER and judgement is recovered, the surety shall pay all costs incurred by the OWNER in such suit including a reasonable attorney's fee to be fixed by the court. PERFORMANCE BOND (100% of Contract) -14 A- PROVIDED, FURTHER, that no final settlement betweenNER and claim the ereunder, CONTRACTOR shall abridge the right of any beneficiary whosey be unsatisfied. IN WITNESS %HEREOF, this instrument is executed in four (4) counterparts, each one of which shall be deemed an original, this the lOTH day of JUIjY , 19 .89 Eur;bed and rn to before me this day of _ 2(�(1 , 19 07 NOtARY PUBL COU FOR SAID � .3�oq IISARctA L. PENIOE t2 �^ se *WARYPIBB.IC-CALIFOI�A BBMDI OCOMITY l6Elk 10.1992 My Commission expires kA rkv L . -er) Print or type name of affiant Subscribed and sworn to before me this 10TH day of JULY , 19 89 / COT P U B1,LG�1N-=AY AND � D,- ORS-A-YD OFFICIAL SEAL LETICIA GONZALEZ NOTARY PUBLIC-CALIFORNIA SANPRINCIFICE IN DIECOUNTY *Commission bp. bay 31, 1992 (SEAL) July 31, 1992 My Commission expires PAMELA BENT LEY Print or type name of affiant NOTE: Date of Bond must not be prior to date of Contract MAJAK CORPORATION DBA: HORIZONS CONSTRUCTION Principal (Prince or Type) By: (Tit1 1868 ALTA MIRA PLACE SAN DIEGO, CA 92103 Address (619) 296-1130 Phone Number AMWEST SURETY INSURANCE COMPANY Surety (Print or Type) 1400 6T11. AVE. - STE. 209 Surety Address SAN DTRGO_ CA 92101 Surety P By: Attorney -in -fact PAMELA BEN L I 1400 6TH AVE. STE. #209 Address - Attorney -in -fact SAN DIEGO, CA 92101 (619)233-5893 Phone - Attorney -in -fact BURDEAU BONDS & INSURANCE Surety Agent for Service of Process 10405 SAN DIEGO MISSION RD. #203 Address SAN DIEGO, CA 92108 (619) 563-7808 PERFORMANCE BOND (10096 of Contract) -14B- BOND PREMIUM BASED ON FINAL CONTRACT PRICE BOND #1187315 BONDS ISSUED IN QUADRIPLICATE LABOR AND MATERIAL BOND KNOW ALL MEN BY THESE PRESENTS: That WHEREAS; CITY OF NATIONAL CITY, by Resolution No. 15,987 passed June 13 , 19 89 has awarded to MAJAK CORPORATION DBA: HORIZONS CONSTRUCTION hereinafter designated as the "Principal", a contract for: t._ FOR ALLEY NO. 7 DRAINAGE IMPROVEMENTS SPECIFICATION NO. 1030 WHEREAS, said Principal is required to furnish a bond in connection with said contract providing that if said Principal or any of his or its subcontractors shall fail to pay for any materials, provisions, provender or other supplies used in, upon, for, or about the performance of the work contracted to be done or for any work or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Act, the Surety on this bond will pay the same to the extent hereinafter set forth; NOW, THEREFORE, We the Principal and AMWEST SURETY INSURANCE COMPANY as Surety, are held and firmly bound unto CITY OF NATIONAL CITY, hereinafter called "OWNER", in the penal sum of Twenty Four Thousand, Six Hundred Seven Dollars and 50/100 DOLLARS ($ 24,607.50 ') lawful money of the United States of America, 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. THE CONDITION OF THIS OBLIGATION IS SUCH that if said Principal, his or its subcontractors, heirs, executors, administrators, successors, or assigns shall fail to pay for any materials, provisions, provender or other supplies used in, upon, for or about the performance of work contracted to be done, or for any work or labor thereon of any kind, or for amounts due under the Unemployment Insurance Act, as required by the provisions of Sections 4200 and 4208 inclusive Government Code, then said Surety will pay the same in or to an amount not exceeding the amount hereinabove set forth; and also will pay in case suit is brought upon this bond such reasonable attorney's fees, as shall be fixed by the Court, awarded and taxed as in the above -mentioned statute provided. This bond shall insure to the benefit of any and all persons companies and corporations entitled to file claims under Section 1192.1 of the California Code of Civil Procedure, so as to give a right of action to them or their assigns in any suit brought under this bond. 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 anywise 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 specification. LABOR -MATERIAL BOND (50% of Contract) -13A- SANG OOCONTY MY COMMISBWN DP. APR. 10.1991 • PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in four (4) counterparts, each one of which shall be deemed an original, this the 10TH day of JULY , 1,9 89 • 8{abscribed and sworn to before me this ri3th day of ( ' ,19j NOT '• ; t UBIAROaftWAND OR SAID aaau► COU (SLAL MyC mmissio expires 4/��©/i99a' {tr10 4. ��A Print or type name of affiant Subscribed and sworn t• before me this 1OTH,de of JULY MAJAK CORPORATION DBA: HORIZONS CONS'I`RUCTION Principal (Print or Type) BY: Titled f 1868 ALTA MIRA PLACE SAN DIEGO, CA 92103 Address (619) 296-1130 Phone Number AMWEST SURETY INSURANCE COMPANY 19 8• Surety (Print or type) FO D O NTY AND STAT OFFICIAL VJI LETICIA GONZALEZ NOTIFORNIA PRRIINCIP�AL OFFICE E IN SAN DIEGO COUNTY 1* Canniuion E". luy 31, 1992 (SEAL) My Commission expires July 31, 1992 Pamela Bentley Print or type name of affiant NOTE: Date of Bond must not be prior to date of Contract LABOR & MATERIAL BOND (50% of Contract) -13B- 1400 6TH AVE. STI!.. #209 Surety Addres SAN DIEGO, CA 92101 By: Attorney -in -act PAMELA BEiTLEY SAME AS SURETY Address -Attorney-in-fact SAME AS SURETY Phone -Attorney-in-fact BURDEAU BONDS & INSURANCF Surety Agent for Service of Process 10405 SAN DIEGO MISSION RD. $AN DIwO. CA 92108 Address (619) 563 3808 Phone POWER NUMBER E24335 AMWEST SURETY INSURANCE COMPANY P.O. BOX 4500, WOODLAND HILLS, CA 91365-4500 (818) 704.1111 JANUARY 1, 1990 BOND NUMBER ]187315 This Power of Attorney has been delivered in connection with the above bond number. LIMITED POWER OF ATTORNEY (READ CAREFULLY) To be used only in conjunction with the bond specified No Power ,tiger on this form shag a 6 Whines. under- hki1W AROPfilellaas or other wfltt itafigetbntii the nature thereof executed on or alter said 'ration data MAJAS NAME OF PRINCIPAL' NAME OF OBLIGEE' CITY OY IATI01tAL This Power of Attorney may not be used i Is primed on blue paper with black and of this Power of Attorney ere herd- No officer et AMWEST SURETY to AMWEST SURETY MNSU Department. This Power 01 by AMWEST SURETY. of attorney forms issued by KNOW ALL MEN BY TH make, constitute and COMPANY, A BENTLEYI AS EMPLOYEE OF AMWEST SURETY 5.�„'.,'-ga'tff -1s �r •'.;..- ..opc =i' 1� w ' • * �c :7.: t' its true and lawful • :t. nMl latNd puler net irk on' tiro, for and an b01 0 the Compnyi. iffrii410 exadur antl*Wa amp 11110Ih• seat al d,. Company thereto @ a eef isrMmrad lekda Wdsn+idnSsap . rallances or other written obgg.ttorr In the mauve thereat. ti tattoos: . 10; try s i3` s wawrer.a*.. ;�r Bid BonbS�tlO ds ' $'.; �- � >�`"?-ai �.�•—�••• Combat:. Court -A Eubdhlebbn Ronde to 760opea ,.. Sm.' Buililes AdmiNMeatlon Guaranteed Kends aC to 81,250000: Usersa. Perelt & MY S5W Ou Bondi -up, to 11260100. and to band AMWEST SUETY INSURANCE COMPANY thereby. This appointment is made under and by authority or the 1tllorgq provisions of the By -Laws of the Company. which are now M full force and effect: Miele III. Section 7 gaits Bylaws of AMWEST SURETY INSURANCE COMPANY This Paver of Attorney is signed end fated by faciimile under and by the authority of the following vesohalons adopted by the bard of directors of AMWEST SURETY INSURANCE COMPANY at a meeting duly held on December 15, 1975. RESOLVED that the president or any vice-president, in conjunction with the secretary or any assistant secretary, may appoint attorneys -in -tact or agents with authority as defined or fimited in the instrument evidencing the appointment in etch base, for and on behalf of the Company to execute and deliver and affix the seal of the Company to bonds, undertakings, reWpN7ances, and suretyship obligations of all kinds: and said officers may remove any such atorneyin-fact or agent and revoke any pow of attorney previously grate b such pawn. RESOLVED FURTHER the any bond, underhWng, recognance, or suretyship obligation shall be valid and binding upon the Compaq (i) when signed by the president or any vice-president and attested and sealed (If a sell be required) by any secretary or assistant secretary: or (ii) when signed by the president or any vice-president or secretary or insistent serntary, and countersigned and sealed (if a seal be required) by a duly authorized attorney -in -fact or agent;' or (iii) when duly wound and sealed (If a seat be required) by one or more attorneys -in -fact or agents pursuant to and within the limits of the authority evidenced by the power of attorney issued by the Company to such person or persons. RESOLVED FURTHER that the signature al any authorized officer and the seal of the Company my be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and sell when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, AMWEST SURETY INSURANCE COMPANY has caused these presents to be signed by its proper officers, and its Corporate seal to be hereunto affixed this 21 dy of February 19 89 '_This document ly originate uthorized reseed rig dewy hereby Gov R. Now. meow /" "•"_-- "•" _-- ---___ Karen G. Wien. SMmto. STATE OF CAUFORNIA. COUNTY OF L05 ANGELES — se On this _ 21 day of Fa1lrUary A G 19 89 personally came bean me Gary R. Peterson one Karen G. Cohen to me known to be the individuals and officers of AMWEST SURETY INSURANCE COMPANY, CAUFORNIA who executed the above instrument, and they °act atknowlsdged the execution of the same. and being by me duly sworn, did amorally depose and say: that they an the said officers of the corporation aforesaid and that the seal affixed to the above irWrumernt is the seal of the corporation, and that said corporate Nal all their signelunse as such offices were duly amxer and subscribed to the said instrument by the authority of the ban of direClas of said wnporation. -sea OGREN T. NOWTA .M. R.M. amig,t MGM&e.t.a to rim STATE OF CAUFORNIA. COUNTY OF LOS ANGELES — as (SEAL) .6)114_.1 viz t NOW/ Rub, CERTIFICATE t, the undersigned. secretary of the AMWEST SURETY INSURANCE COMPANY, a California corporation. DO HEREBY CERTIFY that thk foregoing and attached Power of Attorney remains in full fora and has not been revoked, and furthermore. that the provisions of the By -Laws of the Compare and the Resolutions of the hoard of directors sat forth in the Pan Of Attorney, are now in lord. Signed and sealed at Can TITTiM this 1Q1$_ day of JULY 19 UN-&.00I,REV 22491 EMERGENCY NOTIFICATION LIST The Contractor shall provide the names, addresses and telephone numbers of three different responsible persons who can be contacted in an emergency situation who will have the authority to act in the Contractor's absence. NAME 1. /eBy7I4 2. / °ems tek-6 "I% S. Opt/ /72 GZ✓Ill ADDRESS s PHONE During After Working hours Working hours ,g68�7,t--1,1~6 5.D c o3 nk 36 i-73 -1857 v/C vyu-ey --i130 p yam' U42 • EMERGENCY NOTIFICATION LIST -15- Form 119 r`�ctober 1983) -..1,reoartment of theTreasury 'Memel Revenue Service Payer's Request for Taxpayer Identification Number ,s s Name asshown onaccqurtl(itpalsogive ifjo �joiner's��j���S C����7 Address 1 g6 f-1-7, /91 Peel -- City. State, and ZIP code. • ..., Gr�T Zi4 5 List account number(s) here (See Instructions) ► PART I. —Taxpayer Identification Number Enter the taxpayer identification number in the appropriate box. For most individual taxpayers, this is the social security number. Note: If the account is in more than one name. see the chart on page 2 forguidelines on which number to give the payer. Social security number • • • • OR Employer identification number �3 0— 3r7 PART IL —Backup Withholding On Accounts Opened After 12/31/83 Check the box if you are NOT subject to backup withholding under the provisions of section 3406(a)(1XC) of the internal Revenue Code ► (See Highlight below.) Certification. —Under the penalties of perjury, I certify that the information provided on this form is true, correct, and complete. Signature ► Instructions (Section references are to th Internal Revenue Code.) Highlight for Interest or Dividend Accounts Opened After ,12/31/83—Backup Withholding !au may be notified that you are subject to backup withholding under section 3406(a)(1)(C) because you have underreported interest or dividends or you were required to but failed to file a return which would have included a reportable interest or dividend payment. If you have NOT been so notified, check the box in PART I1. Note: Backup withholding may apply to existing accounts as well as accounts opened after December 31, 1983. Caution: There are other situations where you may be subject to backup withholding. Please read the instructions below carefully. Purpose of Form Use this form to report the taxpayer identification number (TIN) of the record owner of the account to the payer (or broker). Beginning January 1. 1984. payers must generally withhold 20%of taxable interest. dividend. and certain other payments if you fail to furnish payers with the correct taxpayer identification number (this is referred to as backup withholding). For most individual taxpayers. the taxpayer identification number is the social security number. To prevent backup withholding on these payments, be sure to notify payers of the correct taxpayer identification number and. for accounts you open after December 31, 1983, properly certify that you are not subject to backup withholding under section 3406(aX1XC). You may use this form to certify that the taxpayer identification number you are giving the payer is correct and, for accounts opened after December 31, 3983. that you are not subject to backup withholding.. If the payer provides a different form than Form W-9 to request the taxpayer identification number. please use it. Backup Withholding You are subject to backup withholding if: (1) You fail to furnish your taxpayer identification number to the payer, OR (2) The Internal Revenue Service notifies the payer that you furnished an incorrect taxpayer identification number, OR (3) You are notified that you are subject to backup w..hholding (under section 3406(aX1XC)), OR (4) For an interest or dividend account opened after December 31, ' 1983, you fail to certify to the payer that you are not subject to backup .vrthhotding under (3) above, or fail to certify your taxpayer identification number. For payments other than interest or dividends, you are subject to backup withholding only if (1) or (2) above applies. (See the section on the back titled "Payees Exempt from Backup Withholding.") Date ► Di dends /a Payments of Interest, , and Patronage Dividends Accounts Opened Before January 1, 1984 To certify that the taxpayer identification number is correct for accounts opened before January 1. 1984, fill out your name and address, enter your account number(s) (if applicable), complete Part 1, sign and date the form and retum it to the payer. Accounts Opened After December 31, 1983 To certify that the taxpayer identification number is correct and that you are not subject to backup withholding under section 3406(aX1XC) for accounts opened after December 31. 1983, fill out your name and address, enter your account number(s) (if applicable), complete Parts I and 11, sign and date the form and return it to the payer. If you are subject to backup withholding and are merely providing your correct taxpayer identification number to the payer, fill out your name, address, enter your account number(s) (if applicable). and complete Part I. Other Payments If you are merely providing your correct taxpayer identification number to the payer for payments other than interest, dividends, and patronage dividends. you need not sign this form. Fill out your name and address, enter your account number(s) (if applicable), complete Part 1 and retum the form to the payer. Account Numbers If you have more than one account with the same payer (for example. a savings account and a certificate of deposit at the same bank), the payer may request a separate Form W-9 for each account depending on how the payer's records are kept. What Number to Give the Payer Give the payer the social security number or employer identification number of the record owner of the account. If the account belongs to you as an individual, give your social security number. If the account is in more than one name or is not in the name of the actual owner, see the chart on page 2 for guidelines on which number to report. Obtaining a Number If you don't have a taxpayer identification number or you don't know your number, obtain Form SS-5. Application for a Social Security Number Card, or Form SS.4, Application for Employer Identification Number. at the focal office of the Social Security Administration or the Internal Revenue Service and apply for a number. Write -applied for" in Part 1 in place of your number. When you get a number, submit a new Form W-9 to the payer. (Give this form to the payer, not to the internal Revenue Service) Form W-9 (10-83) Az -Ley A44,- 7 ec.,#-,03 • MitOltl). CERTFICAlti INSURANCE ISSUE DATE (MM/DD/YY) 7/17/09 PRODUCER CODE TIED S. JAMES 6 COMPANY E.R. BOX $9269 i11IDIE00, CA $2130 INSURED SUB -CODE 1110112011S CONSTRUCTION CO. MAME CORPORATION 1$U ALTAMIRE PLACE SAN DIEGO, CA 92103 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 COMPANIES AFFORDING COVERAGE OWYN SOLDER EAOLE COMPANY B Y/IttMAIIIS now COMPANY LETTER 90 COMPANY r, LETTER COMPANY LETTER -COVERAGES 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 REOUIREMENT, 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. POLICY EFFECTIVE POUCY EXPIRATION DATE (MM/DD/YY) DATE (AM/DD/YY) AU. UNITS IN THOUSANDS GENERAL AGGREGATE $t,tet 4, 19/90 ; PRODUCTS-COMP/OPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ 1 , t-3 EACH OCCURRENCE $10° 2 FIRE DAMAGE (Any one fire) MEDICAL EXPENSE (Any one person) $ CO TYPE OF INSURANCE LTR GENERAL LIABIUTY A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS GARAGE LIABILITY EXCESS UABILITY OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' UABILITY OTHER POLICY NUMBER CPPON6151 5/19/09 10941E0345444 COMBINED NL$ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE STATUTORY 7/01/69 7/0 / 909 $ -10)00 (EACH ACCIDENT) *VW $ DESCRIPTION OF aPiREAECffr/liCriliNarCLIS/RiEtTlidy10BsisrrttaITEMS cr IMPIOVEMENTS FOR ALLEY 177 _ * EXCEPT 10 DAYS TOI NOMPAYMENT OP PREDIUm. 5 (DISEASE —POLICY LIMIT) (DISEASE —EACH EMPLOYEE; CERTIFICATE HOLGER CITY OP NAT/ONAL CITY 1243 NATIORAL CITY BLVD. NATIONAL CITTc CA 92050 ADDITIONAL INSURED: DX311? SHOVNY OF THE ABOVE DESCRIBED POLICIES BE EXPI CANCELLEIMMISCINev N DATE THEREOF, THE ISSUING COMPANY WILL by register MAIL *30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ACORD 25-S (3/88) AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1988