HomeMy WebLinkAboutCC RESO 91-64RESOLUTION NO. 91-64
RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF NATIONAL CITY DECLARING DALEY CORPORATION
TO BE THE LOWEST RESPONSIVE BIDDER AND
AUTHORIZING THE MAYOR TO EXECUTE AN
AGREEMENT WITH DALEY CORPORATION FOR THE
WIDENING OF EUCLID AVENUE FROM 20th TO 22nd STREETS
(Engineering Spec. No. 1033)
WHEREAS, the Engineering Department of the City of
National City did in open session, on March 26, 1991, publicly
open, examine and declare all sealed bids for the widening of
Euclid Avenue from 20th to 22nd Streets.
NOW, THEREFORE, IT IS HEREBY RESOLVED, that the City
Council of the City of National City hereby awards the
contract for the widening of Euclid Avenue from 20th to 22nd
Streets to the lowest responsive bidder, to wit:
DALEY CORPORATION
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 Daley Corporation and the City of National City to
provide for the widening of Euclid Avenue from 20th to 22nd
Streets in accordance with the Engineering Department Plans
and Specifications.
PASSED and ADOPTED this 16th day of April, 1991.
GEORGE aH. WATERS, MAYOR
ATTEST:
Lorh Anne Peoples
City Clerk
APPROVED AS TO FORM:
Geoe H. 'Eiser,
City Attorney
CONTRACT AGREEMENT
SPECIFICATION NO. 1033
THIS AGREEMENT, made this 16th day of April , 19 91 , by and
between the City of National City, California hereinafter called "Owner",
acting herein through its Mayor, and Daley Corporation
an individual doing business San
(9n individual) (a partnership) (a
Corporation) of the City of an Diego County
'Of San Diego and State of California hereinafter
called "CONTRACTOR".
MITNESSETH: 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:
EUCLID AVENUE EXTENSION FROM 20TH TO 22ND STREETS
hereinafter called the Project, for the sum of Three hundred eighty four
thousand and nine hundred fiftv.three dollars (1 384053..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, superintendents, 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 the date to be specified in the OWNER'S written "Notice to Proceed"
and to fully complete the Project within , 75 working days thereafter.
The CONTRACTOR further agrees to pay, as liquidated damages, the sum of
350.00 for each consecutive calendar day that he/she is in excess of
the time specified for completion.'
The OWNER agrees to pay the CONTRACTOR in current funds for the performance
of the Contract, subject to additions and/or deductions, as provided in the
General Provisions of the Contract and to make payments on account thereof.
IN WITNESS WHEREOF, the parties to these presents have executed this
Contract in counterparts, each of which shall be deemed an
original, the year and day first mentioned above.
(Signature on Next Page)
Ctxxmci z.14.* t r : '.tractor ..
CB
.i
CONTRACT AGREEMENT
SPECIFICATION N0. 1033
CITY OF NATIONAL CITY
•
Licensed in accordance with )
an Act providing for the )
Registration of Contractors )
)
)
License No. '/7e Class )
)
Expiration Date 1 ,19d). )
)
City License No.4 331 t?5
Federal I.D. No. ^ O(o(n f / 4,t)
BY:
BY:
THOMAS D. SHADDOX, VICE PRESIDENT
OFFICIAL TITLE
P.O. 609018
San Dim, Caiif_ 99.16n
BUSINESS ADDRESS
T�9
CORPORATE CERTIFICATE
, certify that I am the Q.Lk-1 `'�e4
Secre ary of the Corporation named as the CONTRACTOR in the foregoing
Contract; that THOMASD.SHADDOX
signed said Contract ton behalf of the CONTRACTOR, was then
w of said Corporation; that said Contract was duly signed
for and in behalf of said Corporation by authority of its governing body
and is within the scope of its corporate powers.
(CORPORATE SEAL)
INDIVIDUAL/PARTNERSHIP CERTIFICATE
Subscribed and sworn to before me
this /7a day of
NOTARY PUBLIC IN AND FOR SAID
COUNTY AND STATE
199/.
(SEAL)
My Commission Expires __,
19 Q�
Print type nam f affiant
Dawn- A76.c.ls/f
, who
5&iI 4
Barbara Fallon
Assistant Secretary
OFFICAL SEAL
DONNA ENGLISH
NOTARY PUBLIC-CALIFORNIA
SAN DIEGO COUNTY
My Comm. Exp. October 13, 1994
C9
EXECUTED IN DUPLICATE
CONTRACT S OND — CITY OF NATIONAL CITY
FAITHFUL PERFORMANCE SOND
PUBLIC WORKS
NAME OF CONTRACTOR:
-DATE OF AGREEMENT:
TITLE OF AGREEMENT:
PROJECT:
Specification No. 1033
DALEY CORPORATION
04/16/91
CONTRACT AGREEMENT
EUCLID AVENUE EXTENSION FROM 20TH TO 22ND STREETS
NAME OF SURETY:
THE AMERICAN INSURANCE COMPANY
AMOUNT OF BOND: $384,953.00
BOND NUMBER: 111 3288 3270
PREMIUM: $2,772.00
EFFECTIVE DATE: 04/16/91
WHEREAS, the City of National City, State of California, hereinafter
referred to as City, and the Contractor named on Page C10 hereof,
hereinafter referred to as CONTRACTOR, have entered into and agreement
whereby CONTRACTOR agreed to install and complete certain public works and
improvements, which said agreement, dated as shown on Page C10 hereof and
entitled as shown on Page C10 hereof, is hereby referred to and made a part
hereof; and
WHEREAS, said CONTRACTOR is required under the terms of said agreement
to furnish a bond for the faithful performance of said agreement;
NOW, THEREFORE, WE, the CONTRACTOR and the Surety named on Page C10
hereof, hereinafter referred to as SURETY, are held and firmly bound unto
CITY in the Penal sum of the amount stated on Page C10 hereof, lawful money
of the United States, forthe payment of which sum well and truly to be
made, we bind ourselves, our heirs, successors, executors, jointly and
severally, firmly by these present.
C10
The condition of this obligation is
such that if the above bounden
CONTRACTOR, his/her c. its heirs, executors, administrators, successors or
assigns, shall in all things stand to and abide by, and well truly keep and
perform the covenants conditions and
' provisions in the said agreement and
any alteration thereof made as therein provided, on his/her or their part,
to be kept and performed at the time and in the manner therein s
and in all res Pacified,
pacts according to their true intent and meaning, and shall
indemnity and save harmless the CITY, its officers ag
ents and employees,
as therein stipulated, then this obligation shall become null and void;
otherwise, it shall be remain in full force and effect.
As a part of the obligation secured hereby and in addition to the face
amount specified therefor,
there shall be included costs and reasonable
expenses and fees, including reasonable attorney's fees, incurred by the
CITY in successfully enforcing such obligations, all to be taxed as costs
and included in any judgement rendered.
The SURETY hereby stipulates and agrees that no change, extension of
time, alteration or addition to the terms of the agreement or work to be
performed thereunder or the specifications accompanying the same shall in
any way affect its obligations on this bond, and it does hereby waive of
any change, extension of time, alteration or addition to the terms of the
agreement or to the work or to the specifications.
C10-a
STATE OF CALIFORNIA
COUNTY OF San Diego
OFFICAL SEAL
4Ii DONNA ENGLISH
r9. NOTARY PUBLIC-CALIFORNIA
SAN DIEGO COUNTY
t—Pral. My Comm. Exp. October 13, 1994
ACKNOWLEDGMENT —Corp..... & Ss.—Mloleolb ram 222CA—IW. 11-83
491863 W OLCOTTS. INC. IPraa lose 8-2)
}SS.
On this 17th , day of May , in the year 19.1,
before me, the undersigned, a Notary Public in and for said State, personally appeared
Thomas D. Shaddox
1Qpx
personally known to me
(or proved to me on the basis of satisfactory evidence) to be the personxwho executed the
within instrument as Vice President NV
of the Corporation therein named, and acknowledged to me that the Corporation
executed it pursuant to its by-laws or a resolution of its board of directors.
WITNESS my hand and official seal.
Notary Public in and for State.
State of California[ Qi
()arty of San Diegol
OFFICIAL S7 At
- c 9
CrxTraik A. Ccnias
NOTARY PUBLIC (ALIFOR:U4
PR!NC!PAL OFF;CE ,rI
SAN DiEGO COUNTY
M Commission Expires June 11, 1993
MAY 14, 1991
Cynthia A. Combs
the trifersigni Nbtaiy Public, pE'rscral ly a
rearecl
Jack G. Lupien
[ pe sQal ly kraal to BP
[) Raked to ire cn the tssis of sat'
�sfactQy evil.
to to the perxn[S) ovatEd the within instilment as
Attorney -in -Fact a- ai the iif cap:ra
tte ejn raved, aIj Warwi�ut1Q1
c�jEd to rte that ta'm corpQ-atirn exerted it.
HiI9t� :_ ariofficial sEa1.
Rbta►y's
before re
SIGNED, SEALED and DATED this
1991.
THE AMERICAN INSURANCE COMPANY
Surety
(At ney-in
J 0. G. Lup . n
(Attach Notary Acknowledgment
for Attorney -in -Fact)
Address to which notices to
Surety should be sent:
THE A ERICAN INSURANCE COMPANY
.P.O. BOX 85351
SAN DIEGO, CALIFORNIA
2138
APPROVED TO FORM:
BY:
GE•RGE H. EISER III
CITY ATTORNEY
14th
day of
MAY
DALEY CORPORATION
(Name of Principal)
Title THOMAS Q SHADDOX VICE PRESIDENT
(SEAL)
(NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY CONTRACTOR AND SURETY MUST BE
ATTACHED)
C10-b
eNERAL
LOWER OF
ATTORNEY THE AMERICAN INSURANCE COMPANY
KNOW ALL MEN BY THESE PRESENTS: That THE AMERICAN INSURANCE COMPANY, a Corporation incorporated under the laws of the State of
New Jersey on February 20, 1846, and redomesticated to the State of Nebraska on June 1, 1990, and having its principal office in the City of Omaha, State of
Nebraska, has made, constituted and appointed, and does by these presents make, constitute and appoint JACK G. LUPIEN, DALE G.
HARSHAW, SIOUX MUNYON, DEBRA J. NIEMEYER, JEROME L. HREN and LAURA M. EHRLICH, jointly
or severally
its'fn(f'an3 iawlfdAttbS'ttey(s)-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver any
and all bonds, undertaking, recognizances or other written obligations in the nature thereof
and to bind the Corporation thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the
Corporation and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys) -in -Fact may do in the premises.
This power of attorney is granted pursuant to Article VII, Sections 45 and 46 of By-laws of THE AMERICAN INSURANCE COMPANY now in full force and
effect.
"Article VD. Appointment and Authority of Resident Secretaries, Attorneys -in -Fact and Agents to accept Legal Prncessaad Make Appearances.
Section 45. Appointment. The Chairman of the Board of Directors, the President, any Vice -President or any other person authorised by the Board of
Directors, the Chairman of the Board of Directors, the President or any Vice -President may, from time to time, appoint Resident Assistant Secretaries and
Attorneys -in -Fact to represent and act for and on behalf of the Corporation and Agents to accept legal process and make appearances for and on behalf of the
Corporation.
Section 46. Authority. The authority of such Resident Assistant Secretaries, Attorneys -In -Fact and Agents shall be as prescribed in the instrument evidencing
their appointme t. Any such appointment and all authority granted thereby may be revoked at any time by the Board of Directors or by any person empowered to
make such a
This power of attorney is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of THE AMERICAN
INSURANCE COMPANY at a meeting duly called and held on the 31st day of July, 1984, and said Resolution has not been amended or repealed:
"RESOLVED, that the signature of any Vice -President, Assistant Secretary, and Resident Assistant Secretary of this Corporation, and the seal of this
and or powermof attorney,y be aned ory rinsed on revocation f wer of attorney, on any revocation of any power of attorney, or on any certificate relating thereto, by facsimile,
upon the Co any power of attorney, or certificate bearing such facsimile sig
nature tgnature or facsimile seal shall be valid and binding
IN WITNESS WHEREOF, THE AMERICAN INSURANCE COMPANY has caused these presents to be signed by its Vice -President, and its corporate seal to
be hereunto affixed this 1st day of June 19 90
qa .I
STATE OF CALIFORNIA
COUNTY OF MARIN
ismnuaraanunnna aaaauunnunnoi�
STATE OF CALIFORNIA
COUNTY OF MARIN
By
1 ss
On this 1st day of June 19 90 before me R. D. Farnsworth
to me known, who, being by me duly sworn, did deposePersonally �e
described in and which executed the above instrument; that he knows the seal d oa THE AMERICAN INSURANCE COMPANY, the such Corporationrp
seal; that it was so affixed by order of the Board of Directors of said Corporationthat he signedgnthat the seal affixedto like
the said instrument is corporate
and he his name thereto by like order.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year herein first above written.
UrususssnsasssasnsuuD wumsumawnsanssasn
= OFFICIAL SEAL
1. M. VANDEVORT
1' NOTARY PUBLIC- CALIFORNIA
��� Principal Office in Marin County
My Grnmiuion Expires Auq. 28. 1992 I<
THE AMERICAN INSURANCE COMPANY
Via -President
} ss
I, the undersigned, Resident Assistant Secretary of THE AMERICAN INSURANCE COMPANY, a NEBRASKA 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 VII, Sections 45 and 46 of the
By-laws of the Corporation, and the Resolution of the Board of Directors; set forth in the Power of Attorney, are now in force.
Signed and sealed at the County of Marin. Dated the 14th day of MAY 91
, 19
CERTIFICATE
Notary Public
Resident Assistant Secretary
360711-TA-6-90 (REV)
EXECUTED IN DUPLICATE
CONTRACT BOND
CITY OF NAT 2 ONAL CITY
PAYMENT BOND — P U BL 2 C WORKS
Specification No. 1033
NAME OF CONTRACTOR: DALEY CORPORATION
DATE OF AGREEMENT: 04/16/91
TITLE OF AGREEMENT: CONTRACT AGREEMENT
PROJECT:
EUCLID AVENUE EXTENSION FROM 20TH TO 22ND STREETS
NAME OF SURETY:
THE AMERICAN INSURANCE COMPANY
AMOUNT OF BOND: $192.476.50
BOND NUMBER: 111 3288 3270 EFFECTIVE DATE: 04/16/91
PREMIUM: INCLUDED
WHEREAS, the City of National City, State of California, hereinafter
referred to as City, and the Contractor named on Page C11 hereof,
hereinafter referred to as CONTRACTOR, have entered into an agreement
whereby CONTRACTOR agrees to install and complete certain public works and
improvements, which said agreement, dated as shown on Page C11 hereof and
entitled as shown on Page C11 hereof, is hereby referred to and made a part
hereof; and
WHEREAS, the condition of the foregoing obligation is such that the
above bounden Principal has entered into a contract, dated APRIL 16
1991 with the Obligee to do and perform the following work, to wit:
EUCLID AVENUE EXTENSION FROM 20TH TO 22ND STREETS
NOW, THEREFORE, it the above -bounden Principal or his subcontractors
fail to pay any of the persons 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 under the contract, or for any
amounts required to be deducted, withheld, and paid over to the Employment
Development Department from the wages of employees oZ the contractor and
his subcontractors pursuant to Section 13020 of the Unemployment Insurance
C11
State of
California
Clarity of
San Diego
CYICTIii .. A. CUMI3S
Y: '1' NOTARY PUBLIC CALIrORaf4
PB:NCIPAL CH': iN
SAN DIEGO COUNTY
Commission Expires June 11, 1993
ss. MAY 14, 1991 , hefare ne
Cynthia A. Combs
the urrkrsigni Notary Rblic, persrul ly
Jack G. Lupien
[ $ persaal ly 1Qu n to me
[ ] Fromd to ne cri the basis of satisfactay eviderrn_
to ize the person(s) W o elECillsci the within irstrumnt as
Attorney -in -Fact ar ai tie behalf cif the ctrixrataal
ttErein Iwd, ad adatralaiTcl tD me that the curEualicn E cutEd
WHIMS fry rare and official a e1.
Notary's
COUNTY OF San fan
4
kitt
OFFICAL SEAL
"DONNA ENGLISH
'9 NOTARY PUBLIC-CALIFORNIA
SAN DIEGO COUNTY
My Comm. Exp. October 13, 1994
'EOGMNbkN
ENT —Corp, —Oyes. ; Soc.—N Form 222CA—Mv. It-81
1983 9E3 W OLCOTTS, INC.
once ruts 8-2)
STATE OF CALIFORNIA
.}ss.
On this 1� day of A,1ev
before me, the saidState. in theallart9_j,
Thomas D. Shad undersigned, a Notary Public in and for personally appeared
�iftlr
(or proved to me on the basis of satisfactory evidence) to be the
personally known to me
within instrument as Vice persom[who executed the
NiVrialtWegof the Corporation tporation theein named and Ident acknowledged to me that the Corporation
executed it pursuant to its by-laws or a resolution of its board of directors.
WITNESS my hand and official seal.
Notary Public in and for # State.
1
Code of the State of California, with respect to such work and labor, the
Surety will pay for the same, in an amount not exceeding the sum specified
in this bond, and also, in case suit is brought upon this bond, a
reasonable attorney's fee, to be fixed by the Court.
This bond shall insure to the benefit of any and all persons,
companies or corporations entitled to file claims under 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.
SIGNED, SEALED and DATED this 14th day of MAY
1991.
THE AMERICAN INSURANCE COMPANY
Surety
By:
Jack G. en, At
(Attach Not Acknowledgment
for Attorney -in -Fact)
Address to which notices to
Surety should be sent:
THE AMERICAN INSURANCE COMPANY
P.O. BOX 85351
SAN DIEGO, CALIFORNIA 92138
APPROVED AS TO FORM:
By:
George H. Eiser, III
City Attorney
DALEY CORPORATION
(Name of Principal)
By:
Title THOMAS D. SHADDOX, VICE PRESIDENT
(SEAL)
(NOTARIAL ACKNOWLEDGMENT Oi EXECUTION BY CONTRACTOR AND -SURETY MUSS
BE ATTACHED)
C11-a
,
.,ENERAL
POWER OF
ATTORNEY
THE AMERICAN INSURANCE COMPANY
KNOW ALL MEN BY THESE PRESENTS: That THE AMERICAN INSURANCE COMPANY, a Corporation incorporated under the laws of the State of
New Jersey on February 20, 1846, and redomesticated to the State of Nebraska on June 1, 1990, and having its principal office in the City of Omaha, State of
Nebraska, has made, constituted and appointed, and does by these presents make, constitute and appoint JACK G. LUPIEN, DALE G.
HARSHAW, SIOUX MUNYON, DEBRA J. NIEMEYER, JEROME L. HREN and LAURA M. EHRLICH, jointly
oo�rr�tNtseverally
f��ee
its7At!'ana AWitdAttdWey(s)-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver any
and all bonds, undertaking, recogttirances or other written obligations in the nature thereof
and to bind the Corporation thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the
Corporation and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the premises.
This power of attorney is granted pursuant to Article VII, Sections 45 and 46 of By-laws of THE AMERICAN INSURANCE COMPANY now in full fora and
effect.
"Article VII. Appointment and Authority of Resident Secretaries, Attorneys -in -Fact and Agents to accept Legal Process and Matte Appearances.
Section 45. Appointment. The Chairman of the Board of Directors, the President, any Vice -President or any other person authorised by the Board of
Directors, the Chairman of the Board of Directors, the President or any Vice -President may, from time to time, appoint Resident Assistant Secretaries and
Attorneys -in -Fact to represent and act for and on behalf of the Corporation and Agents to accept legal process and make appearances for and on behalf of the
Corporation.
Section 46. Authority. The authority of each Resident Assistant Secretaries, Attorneys -in -Fad and Agents shall be as prescribed in the instrument evidencing
their appointment. Any such appointment and all authority greeted thereby may be revoked at any time by the Board of Directors or by any person empowered to
make such appointment."
This power of attorney is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of THE AMERICAN
INSURANCE COMPANY at a meeting duly called and held on the 3lst day of July, 1984, and said Resolution has not been amended or repealed:
"RESOLVED, that the signature of any Vice -President, Assistant Secretary, and Resident Assistant Secretary of this Corporation, and the seal of this
•Corporation may be affixed or printed on any power of attorney, on any revocation of any power of attorney, or on any certificate relating thereto, by facsimile,
and any power of attorney, any revocation of any power of attorney, or certificate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Corporation:'
IN WITNESS WHEREOF, THE AMERICAN INSURANCE COMPANY has caused these presents to be signed by its Vice -President, and its corporate seal to
be hereunto affixed this 1st day of June 19 90
'a
1^c
L`\;FCE
STATE OF CALIFORNIA
COUNTY OF MARIN
ss.
By
THE AMERICAN INSURANCE COMPANY
Vice -President
On this 1st day of June 19 90 before me personally came R. D. Farnsworth
to me known, who, being by me duly sworn, did depose and say: that he is Vice -President of THE AMERICAN INSURANCE COMPANY, the Corporation
described in and which executed the above instrument; that he knows the seal of 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.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year herein first above written.
isseaunxasem isemme sesaeweesente neaanasare.
= OFFICIAL SEAL .I. M. VANDEVORT I , /
G
i NOTARY PUBLIC-CALIFORNIA i 0 w
*►' Principal Office in Marin County i Notary Public
1 My Camminion Expires Aug. 211. 1992 i
IlmUNmeemmeamammaam utemon nnitiemj
STATE OF CALIFORNIA
COUNTY OF MARIN
CERTIFICATE
ss.
I, the undersigned, Resident Assistant Secretary of THE AMERICAN INSURANCE COMPANY, a NEBRASKA 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 VII, Sections 45 and 46 of the
By-laws of the Corporation, and the Resolution of the Board of Directors; set forth in the Power of Attorney, are now in force.
Signed and sealed at the County of Marin. Dated the 14th day of MAYday91
360711-TA-6-90 (RED')
ISSUE DATE (MM/DD/YY)
CODE
INSURED
AC01:11 CERTIFICATE OF INSURANCE
PRODUCER
John Burnham & Company
P.O.WBox 2910st Ash strilMAY 30 1,4
l 59
San Diego, CA 92112-4215/
IJAT r)
SUB -Code
Daley Corporation
P.O. Box 609018
San Diego CA
92160-9018
5/30/91*
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
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY `.
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
COMPANIES AFFORDING COVERAGE
AI Surplus Lines, Inc.
c/o_AMERICAN_INTERNATIONAL GROUP
National Union Fire Ins. Co.
c/o AMERICAN.INTERNATIONAL GROUP
Industrial__ Indemnity Company
COVERAGES
CO
LTR
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.
TYPE OF INSURANCE
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE x OCCUR.
OWNER'S & CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY
X
X
X
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
POLICY NUMBER
GL7700738
By Authority of Bob Huntley at
American International Group
CA1184560
By Authority of Jeff Bryant at
American International Group
WORKER'S COMPENSATION C J 9 0 6 7 8 9 8
AND
EMPLOYERS' LIABILITY
OTHER
5/01/91 5/01/92
*REVISED CERTIFICATE ISSUED IN
LIEU OF CERTIFICATE DATED 5/14/91
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
ALL LIMITS IN THOUSANDS
5/01/91 5/01/92 GENERAL AGGREGATE $
PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any one tire) $
MEDICAL EXPENSE (Any one person) $
5/01/91 5/01/92 SINGLE COMBINED $
LIMIT
BODILY
INJURY $
(Per person)
BODILY
INJURY $
(Per accident)
PROPERTY
DAMAGE
EACH
OCCURRENCE
STATUTORY
1000
2000,
2000
1000
1000
50
EXCL
AGGREGATE
2000 (EACH ACCIDENT)
2000 (DISEASE —POLICY LIMIT)
2000 (DISEASE —EACH EMPLOYEE)
RE: WIDENING OF EUCLID AVE., FROM 20TH TO
22ND STREETS. THE CERTHOLDER IS ADD'L INSURED UNDER LIABILITY
('OVF.RACF; FOR WORK DONE RV THE NAMED INSURED FOR THE CERTHOLDER.
CERTIFICATE HOLDER CANCELLATION
ITY OF NATIONAL CITY
OFFICE OF THE CITY ENGINEER
1243 NATIONAL CITY BLVD.
NATIONAL CITY, CA 92050
ACORD 25-S (11/89)
10 DAY NOTICE FOR _PREMIUM NON -PAY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DAT` THEREOF, THE ISSUING COMPANY WILL 242610$7MLOPK TZ
MAIL 10 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.
AUTHORIZED REPRESE
RE
CO D CORPORATION 1989
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