HomeMy WebLinkAboutCC RESO 91-155RESOLUTION NO. 91-155
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
NATIONAL CITY DECLARING ROCA CONSTRUCTION, INC.
TO BE THE LOWEST RESPONSIVE BIDDER AND
AUTHORIZING THE MAYOR TO EXECUTE AN AGREEMENT
WITH ROCA CONSTRUCTION, INC. FOR BACKFLOW PREVENTION
DEVICES AND TO CORRECT POTABLE WATER DEFICIENCIES
(Engineering Spec. No. 91-6)
WHEREAS, the Engineering Department of the City of
National City did in open session, on July 18, 1991, publicly
open, examine and declare all sealed bids for backflow
prevention devices and to correct potable water deficiencies.
NOW, THEREFORE, IT IS HEREBY RESOLVED, that the City
Council of the City of National City hereby awards the
contract for backflow prevention devices and to correct
potable water deficiencies to the lowest responsive bidder, to
wit:
ROCA CONSTRUCTION, INC.
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 Roca Construction, Inc. and the City of National City
to provide for backflow prevention devices and to correct
potable water deficiencies in accordance with the Engineering
Department Plans and Specifications.
PASSED and ADOPTED this 6th day of August, 1991.
GEORGE . WATERS, MAYOR
ATTEST:
.
Lor Anne Peoples
City Clerk
APPROVED AS TO FORM:
44/44s.
Geofge H. Eiser, III
City Attorney
CONTRACT =RtINERT
SPECIFICATION NO. Ala.
—tins bCR==t acHT, sods this 6th day of AUGUST . 19_. by and
between the City of National City, California TBDchTIO�INer galled "Omer=.
eating herein through its Mayor, and
asn Individual doing business .as (aiixx 1) ( R F ) (a
Corporation) of the City of SPRING VALLEY • County
of SAN DIEGO and State of u:an.irvxriia hereinafter
Called *CONTRACTOR".
12TNZSSr?H: That for and in Consideration of the payments and agreements
hereinafter mentioned, to be made and performed by the OWNER, the
CONTRACTOR bereby agrees with the ONTIZR to commence and Complete the
construction described as follows:
INSTALLATION OF WATER LINES AT IIl3ALL PARK
*ereinafter called the Project, for the susof FORTY YLVk THOUSAND NLNt
HUNDRED SEVENTY FIVE dollars ($ 4S,9/.uu ) and all
extra Work in connection therewith, sander the terms as stated in the
General and Special provisions of the Contract; and at his (its or their)
own props 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 constitut. the Contract.
?he CONTRACTOR hereby agrees to commence Work loader 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 30 working days thereafter.
The CONTRACTOR further agrees to pay, as liquidated damages, the sum of
$300.00 for each consecutive calendar day that be/she is in excess of
the time specified for completion.
?he OWNER agrees to pay the CONTRACTOR in current funds for the perforaance
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.
TN WITNESS ffl3£RTOi, the parties to these presents have executed this
Contract in , 2 counterparts, each of which shall be deemed an
original, the year and day first mentioned above.
(Signature on Next Page)
* Correct mast of Contractor
CB
CONTRACT AQRaZMSNT
SPZCITICATION hh>l0. 91-6
=TT of RATIONAL »r
SY:
SY:
Licensed in accordance with )
an Act providing for the )
Registration of Contractors )
)
)
License No.4994�, class A )
)
expiration Date 6/30 ,,19_ )
)
City License No. 150541
federal I.D. No. 95-4048338
Jot Candticaa
PRESIDENT
OTTICZAL ?Ins
1135 SWEETWATER LANE
1USIN(LSS ADDRLSS
SPRING VALLEY, CALIFORNIA
91977
. who
signed said Contract on behalf of the CONTRACTOR, was than PAtz.Ldtxti
of said Corporation; that said Contract was duly signed
for and in behalf of said Corporation by authority of its govarning body
and is within the scope of its corporate powers.
CORPORATE CERTIFICATE
Jot Candtxas , certify that I am the Lonpahat
Secretary of the Corporation maned as the CONTRACTOR in the foregoing
Contract; that Joe Caxdtxaz•
(CORPORATE SEAL)
INDIVIDUAL/PARTNERSHIP CERTIFICATE
Subscribed and sworn to before ae
this day of Q_t4cyca41- , 19yL.
VOTARY PUSLIC IN AND TOR SAID
120uNTY AND STATE
(SEAL)
Sly Commission expires,��� d/
19 /a_.
rhecs-t Co;, tAi,14.erS
Print type aaas of affiant
c.,_ C,e,—
OFFICIAL SEAL
CHERYL GAY WALTERS
Notary PublANI jQ
IV Comm. Exp. Dom 1,1992
EXECUTED IN DUPLICATE
CONTRACT BOND C=TY OP' I ATZONl1L C=TY
7'l1.=THFUL WER.FO7iMANCLr MOND
"U8L=C %iO1tKS
Specification No. 91.6
ape OF CONTRACTOR: ROCA CONSTRUCTION, INC.
DATE of AGREZNENT: AUGUST 6, 1991
TITLE 0! AGRLEI+TNT: CONTRACT AGREEHENT PUBLIC WORKS
isazzeT: INSTALLATION OF WATER LINES AT KIMBALL PARK
810E OF SURETY:
AMOK OF $OND: $45,975.00
BOND SUNRER: 1193091 !?PLCTTVE DATE: 8 - 19 - 9 1
$1,149.00
INSURANCE COMPANY OF THE WEST
SHERL.S, the City of National City, State of California, hereinafter
referred to as City, and the Contractor -awed on sage CIO hereof,
hereinafter referred to as CONTRACTOR, have entered into and agreement
whereby CONTRACTOR agreed to install and couplets certain public works and
improvements, which said agreement, dated as shown on Page CIO hereof and
entitled as shown on Page C10 hereof, is hereby referred to and made a part
hereof; and
IIHEREAS, said CONTRACTOR is required snider the terms of said agreement
to furnish a bond for the faithful performance of said agreement;
NOW, THEREFORE, ter, 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 CID hereof, lawful money
of the United States, for the payment of which sum well and truly to be
wade, we bind ourselves, our heirs, successors, ax eutors, jointly and
severally, firmly by these present.
C10
•
'The condition of this obligation is such that if the above bounden
CdeTMCTOR, his/her or 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 !.heir pert,
to be kept and performed at the time and in the *inner therein specified,
and in all respects according to their true intent and meaning► and shall
indemnify and save harmless the CITY, its officers, agents 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 fess, 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
0 ,.,4II:it
1:444...;1'`;e,
Dia 4, 1002
c
OFFICIAL SEAL.
CHERYL GAY WALTERS
Now/ Publio-Cdfomis
SAN MOO COUNTY
ATTORNEY IN FACT ACKNOWLEDGMENT
}SS.
On this 2144 t day of AuguAt , in the year 19_9_1
before me, the undersigned, a Notary Public in and for said State, personally appeared
Jot Laitclettaz
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person_ whose name_
subscribed to the within instrument, and acknowledged to me that _he_
executed it.
WITNESS my hand and official seal.
7 1p'J
STATE OF CALIFORNIA
County of BAN .D IE GO 1ss.
19TH AUGUST 1991
On this SAN DIEof
.. in the year _...........before me. a Notary Public in and for said
ta
...County. State of California. residing therein. duly commissioned and sworn. personally
HELEN- MALONEY -
appeared ....... ... _ .. ..... .......... KJ personally known to me, 0 proved to nse an the basis of satisfactory evidence
to be the person whose name is subscribed to this instrument as the attorney in fact of .IIIS.U.RAN.C.E......C.OMP.ANY _OF TRRST..
and acknowledged to me that 0 he E she subscribed the name of ...I.N.S.URA.NCE......C.O.M.RA.NYGE_TE.E......W.E.S_I _thereto as
surety. and 0 his Other own name as attorney in fact.
IN WITNESS WHEREOF. I have hereunto set my hand and affixed ms official seal. the day and year stated in this certificate above.
Notary Pu
2— 6 — 9 5
My commission expires .....
1100042 - -43
SIGNED, SEND D End DATED this 20TH toy of _AUGUST
1991.
•
INSURANCE COMPANY OF THE WEST ROCA CONSTRUCTION. INC.
Surety (Name of Principal)
Sy: r'axru
(Attorney -in -Pact)
HELEN MALONEY
(attach Notary Acknowledgeeft
for Attorney -in -Pact)
Address to which notices to
Surety should be sent:
2645 FINANCIAL COURT, SUITE D
5AN DIEGO, CA 92117
APPROVED TO FORM:
goott
NY: v✓ix
GEO GE H. ZISER, III
CITY ATTORNEY
Sy:
Title
JOE CARDENAS
PRESIDENT
(SEAL)
(NOTARIAL ACXNOWLLDGMENT OF EXECUTION SY CONTRACTOR AND SURETY MUST SE
ATTACHED)
C10-b
INSURANCE COMPANY OF THE WEST
HOME OFFICE: SAN DIEGO, CALIFORNIA
Certified Copy of
POWER OF ATTORNEY
unto affixed and these presents to be signed by its
KNOW ALL Mand EN BY THESE PRESENTS: That INSURANCE COMPANY OF THE WEST, a Corporation dul
authorofficeiindthe City of San Diego, under the
ornia, doesf the ah•rebyof Cnaminate, ornia constitute its and ppoint:
appoint:
HELEN MALONEY
its true and lawful Attorneys) -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,
undertakings, recognizances or other written obligations in the nature thereof.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the
authority of the following Resolution adopted by the Board of Directors of INSURANCE
whichsaidResolution haST at a seneto been a ended or led and rescinded hand of which of
fhe foliowing1is3a
true, full, and complete copy:
'RESOLVED: That the President or Secretary may from time to time appoint Attorneys -in -
Fact to represent and act for and on behalf of the Company, and either the President or
Secretary, the Board of Directors or Executive Committee may of any time remove such
Attorneys -in -Fact and revoke the Power of Attorney given him or her; and be it further
RESOLVED: That the Attorney -in -Fact may be given full power to execute for and in the
name of and on behalf of the Company any and all bonds and undertakings as the business of
the Company may require, and any such bonds or undertakings executed by any such Attorney -
in -Fact shall be as binding upon the Company as if signed by the President and sealed and
attested by the Secretary.'
IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused
26th day of NOVEMBER 1990.INSURANCE
s
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO 55'
4. Alt
t
1
its official seal to be here -
duly authorized officers this
COMPANY OF THE WEST
On this 26th day of NOVEMBER 1990 before the subscriber, a Notary Public of the State
of California, in and for the County of San Diego, duly commissioned and qualified, came
BERNARD M. FELDMAN, President of INSURANCE COMPANY OF THE WEST, to me personally known to
be the individual and officer described in and who executed the preceding instrument, and
he acknowledged the execution of the some, and being by me duly sworn, deposeth and saith,
that he is the said officer of the Corporation aforesaid, and that the seal affixed to the
preceding instrument is the Corporate Seal of the said Corporation, and that the said
Corporate Seal and his signature as such officer were duly affixed and subscribed tb the
said instrument by the authority and direction of the said Corporation.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my Official Seal, at the City
of San Diego, the day and year first above written.
OFFICIALOORTER
::c:cry Public -California
SAN DIEGO COUNTY
My Comm. FAD. Jac. 6. 1992
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO
I, the undersigned, JAMES W. AUSTIN,
hereby certify that the original POWER
and correct copy, is in full force and
„ZN WITNESS WHEREOF, I have hereunto
rporate Seal of the Corporation, this
IOW CAL 37(REV.-5/87)
_ • fl).22e/t) 4tizt-)
etary Public
III, Secretary of INSURANCE COMPANY OF THE WEST, do
OF ATTORNEY, of which the foregoing is a full, true
effect, and has not been revoked.
subscribed my name as Secretary, and affixed the
19TH day of AUGUST 1991..
Secretory
EXECUTED IN DUPLICATE
CONTRACT MOND — CITY O?' 1NAT=ONAL CSTy
'PAYMENT BOND — S'V311102C WORKS
Specification Ito. 91.6
ma OF CONTRACTOR: IDCA CONSTRUCTION, INC.
•
EMT OF ACAL'L?�N'T: AUGUST 6, 1991
TITLE of AGREEMENT: sONTRACT AGREEMENT - PUBLIC WORKS
monk; INSTALLATION OF WATER LINES AT = ALL PARK
10: of EURmTY: INSURANCE COMPANY OF THE WEST
AMOUNT of BOND: $22,987.50
SOND 1CM8ER: 1193091 lo�C.j, taT: 8- 19-91
WHEREAS, the City of National City, state of California, hereinafter
referred to as City, and the Contractor Lased 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 aide a part
hereof; and
WHEREAS, the condition of the foregoing obligation is such that the
above bounden Principal has entered into a contract, dated AUGUST 6,
19 .22_, with the Obligee to do and perform the following work, to wit:
INSTALLATION OF WATER LINES AT KIMBALL PARK
POw, THEREFORE, if the above -bounden Principal or his subcontractors
fail to pay any of the parsons maned in Section 31E1 of the Civil Code of
the state of .California, -or amounts due under the eassoployment Insurance
-Code with respect to work or labor performed tinder the contract, or for anY
-amounts required to be deducted, withheld, Arid paid over to the zoployeent
Development separtasnt trim the hales of asplo?ees of the contractor and
his subcontractors pursuant to Section 13020 of the Unemployment Insurance
Cii
1
On this .
SAN DIi3x0ot
STATE OF CALIFORNIA
COUNTY OF SAN D I EGO
OFFICIAL SEAL
CHERYL GAY WALTERS '
S �N �,
SA' COMM bp, Dx 4,1992
ATTORNEY IN FACT ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of S.AN..... DIE.G.O. ss'
19TH AUGUST
}SS.
On this 21Azt day of Augu4t in the year 19 91
before me, the undersigned, a Notary Public in and for said State, personally appeared
Jac CandLI.az
personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person_ whose name_
subscribed to the within instrument, and acknowledged to me that _he_
executed R.
WITNESS my hand and official seal.
1 9 9 I
in the year ...
._ _......__._......_._..._._. before me. a Notary Public in and for said
appeared .___UE.L.ENMALIINE.3C.
....County. State of California. residing therein, duly commissioned and sworn. personally
. _._ ..__._.__ J personally known to me,
0 proved to be the person whose name is subscribed to this instrument as the attorney in fact of......PI...1.....AN E C to me on the basis of HEsatiWory evidence
INSURANCE COMPANY OF THE WEST and acknowledged to me that p hen she subscribed the name of INSURANCE COMPANY OF THE WEST_ ._.__
surety. and 0 his ($her own name as attorney in fact. �' thereto as
IN WITNESS WHEREOF. 1 have hereunto set my hand and affixed my official seal. the day and year stated in this certificate above.
340041— I -ea
OFFICIAL SEAL
JOHN G. MALONEY
HOMY'MIX CAUm at4tA
SAN DIE00 COUNTY
MY COM, EXP. 241995
Notar
2-6-95
My commission expires
Code of the State of California, with respect to such 'cork and labor, the
Surety will pay for the same, in an amount uuot exceeding the sots specified
sa this bond, and also, in case suit is broaight upon this bond, a
seasonable attorney's fee, to be fixed by the Court.
• ?his 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 sight of action to
them or their assigns in any suit brought upon this bond.
19TH AUGUST
SIGNED, UL11LLD and DATED this day of •
1991.
INSURANCE COMPANY OF THE WEST
Surety, In n,.-
HELEN MALONEY,ATTO EY-IN-FACT
(Attach Notary Acknowl dgment
for Attorney -in -Tact)
Address to which notices to
Surety should be sent:
2645 FINANCIAL COURT,,SUITE D
SAN DIEGO, CA 92117
APPROVED AS TO !ORM:
Ay:
Ge rge 1i. Laser, :II
City Attorney
ROCA CONSTRUCTION, INC.
(Name of Principal)
$
JOE CARDENAS
Title PRESTTVNT
(SIAL)
ANCITARIAi ACKNONIXDONINT CT lkZCOTION CY CONTRACTOR AND SURLT7 MUST
DE ATTACiILD )
c11-a
INSURANCE COMPANY OF THE WEST
its true and lawful Attorney(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,
undertakings, recognizances or other written obligations in the nature thereof.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the
authority of the following Resolution adopted by the Board of Directors of INSURANCE
whichNs id THEWEST
Resolution has notmeeting
b been dulyanended or alled and held
o ci on
the
of Sixthday
ofFebruary,
followinglis3a
true, full, and complete copy:
fact *RESOLVED:
E OLVED: That
d act eside t or on Secretary
of may
the time to time ap
point Attorneys -in-
fect
Secretory, the Board of Directors or Executive Committee mays at either
t� President or
Attorneys-in-Fact and revoke the Power of Attorney given him or her; and be it further
RESOLVED: That the Attorney -in -Fact may be given full power to execute for and in the
name of and on behalf of the Company any and all bonds and undertakings as the business of
Attorney -
in -Fact Company
o sQbindingnuponyth eh Company as ifnds or s
ignedby the s uPresidentysuch and sealed nand
attested by the Secretary.
IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST hos caused
un
26th day of NOVEMBER 1990
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO SS'
HOME OFFICE: SAN DIEGO, CALIFORNIA
Certified Copy of
POWER OF ATTORNEY
'KNOW ALL MEN BY THESE PRESENTS: That INSURANCE COMPANY OF THE WEST, a Corporation duly
authorized and existing under the laws of the State of California and having its principal
office in the City of San Diego, California, does hereby nominate, constitute and appoint:
HELEN MALONEY
to affixed and these presents to be signed by its
INSURANCE
its official seal to be here -
duly authorized officers this
COMPANY OF THE WEST
rasa. ent
On this 26th day of NOVEMBER 1990 before the subscriber, a Notary Public of the State
of California, in and for the County of San Diego, duly commissioned and qualified, came
BERNARD M. FELDMAN, President of INSURANCE COMPANY OF THE WEST, to me personally known to
be the individual and officer described in and who executed the preceding instrument, and
he acknowledged the execution of the same, and being by me duly sworn, deposeth and saith,
that he is the said officer of the Corporation aforesaid, and that the seal affixed to the
preceding instrument is the Corporate Seal of the said Corporation, and that the said
Corporate Seal and his signature as such officer were duly affixed and subscribed tb the
said instrument by the authority and direction of the said Corporation.
IN WITNESS WHEREOF, I hove hereunto set my hand and affixed my Official Seal, at the City
of Son Diego, the day and year first above written.
'
PI My Comm.
Em..isn. 8.1892
NORMSEAL
AAL PORTER
ry Pubiie-Cdilomis
SAN DIEGO COUNTY
! i /?Alen�j' aCV
otary Public
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO SS
I, the undersigned, JAMES W. AUSTIN, III, Secretary of INSURANCE COMPANY OF THE WEST, do
hereby certify that the original POWER OF ATTORNEY, of which the forgoing is a full, true
and correct copy, is in full force and effect, and has not been revoked.
?tit WITNESS WHEREOF, I have hereunto gubscribed my name as Secretary, and affixed the
rporate Sal of the Corporation, this 1Y TH day of AUGUST 1t
7g 91.,
ICW CAL 37(REV. 5/87)
4440.00
r *L4
ocretory
AC:ORDD. CERTIFICATE OF INSURANCE
PRODUCER
John Burnham & Company
„ifOLK West Ash Street
D. Box 2910
San Diego, CA 92112-4215
CODE •UB-CODE
INSURED
Roca Construction, Inc.
1135 Sweetwater Lane
Spring Valley CA 92077
COVERAGES
CO
LTR
A
ISSUE DATE (MM/DDM')
9/11/91
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 THICEDLICIESOLOVOII
COMPANIES AFFORDING CctERAGE
>= ='m
� G
COMPANY A
LETTER Maryland Casualty._
COMPANY
LETTER B Maryland Casualty__
COMPANY
LETTER C
COMPANY D
LETTER
LETTER COMPANY E
CO
a
N
CD
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
GENERAL UABILm
X COMMERCIAL GENERAL LIABILITY
CLAIMS MA3E OCCUR.
X OWNER'S A CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
POLICY NUMBER
EPA09863771
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD/VY) DATE (MM/DD/YY)
6/01/91 6/01/92
ECA09856684 6/01/91 6/01/92
MEDICAL. EXPENSE (Any one person) S
COMBINED
SINGLE $
LIMIT
BODILY
INJURY $
(Per person)
BODILY
INJURY i
(Per accMent)
PROPERTY
DAMAGE
.1000
EACH
OCCURRENCE
I
STATUTORY
I
S
$
ALL LIMITS pN THOUSANDI
GENERAL AGGREGATE $2000
PRODUCTS.COMP/OPS AGGREGATE $ 10 0 0
PERSONAL 6 ADVERTISING INJURY 110 0 0
EACH OCCURRENCE $10 0 0
FIRE DAMAGE (My one fire) $ 50
5
AGGREGATE
(EACH ACCIDENT)
(DISEASE —POLICY OMIT)
(DISEASE —EACH EMPLOYEE
THIS CERTIFICATE REVISES & REPLACES PREVIOUS CERTIFICATE DATED 8/16/91
DESCRIPTION OF OPERATIONSAOCATKNISNE/SCLEIVRESTRICTIONWSPECIAL ITEMS
CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL
]NSURED UNDER POLICY "A" AS RESPECTS: INSTALLATION OF WATER LINES AT
HIMBALL PARK. SPECIFICATION 491-6. FROM CG 20 09 ATTACHED.
CERTIFICATE HOLDER CANCELLATIOli0 MAY _NOTICE ;FOR ,PREMIUM NON -PAY
- SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE
' EXPIRATION DATE THEREOF, THE ISSUING -COMPANY WILL feiDjaWidbaix
MA DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, 9 :7f itinkllKII]@kl f]IMM€7[MPAPiclA i€
AUTHORIZED REPRESENTAt y
TIDE CITY OF NATIONAL CITY
ICE OF THE CITY ENGINEER
1443 NATIONAL CITY BLVD.
NATIONAL CITY, CA 91950
ALL Dz WL,Fi
' ACORD CORPORATION 1988
AACORD 254 (3/88)
A/C01111. CERTIFICATE OF INSURANCE
PRODUCER
John Burnham & Company
A10 West Ash Street
.0. Box 2910
San Diego, CA 92112-4215
CODE RUB -CODE
INSURED
Roca Construction, Inc.
1135 Sweetwater Lane
Spring Valley CA 92077
COVERAGES
CO
LTR
LETTER Y B
COMPANY
LETTER C
COMPANY D
LETTER
COMPANY E
LETTER
ISSUE DATE (MMIDD/YY)
9/16/91
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 POUCIES BELOW
COMPANIES AFFORDIN4OVEIBG0
LETTER COMPANY A 10 'TI
— ITi
= y rt.!CD
Industrial Indemnity Company
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
iBNERAL UABILTTY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR.
OWNER'S i CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
PJAPLOYERS' LABIUTY
OTHER
POLICY NUMBER
CJ9062808
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD/YY) DATE (MM/DD/YY)
ALL LIMITS IN THOUSANDS
GENERAL AGGREGATE S
PRODUCTS-COMP/OPS AGGREGATE S
PERSONAL A ADVERTISING INJURY S
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
COMBINED
SINGLE $
OMIT
BODILY
INJURY S
(Per person)
BODILY
INJURY S
(Per accident)
PROPERTY
DAMAGE
2/01/91 2/01/92
•
S
EACH
OCCURRENCE
$
STATUTORY
2000
2000
2000
AGGREGATE
S
(EACH ACCIDENT)
(DISEASE —POLICY LIMIT)
(DISEASE —EACH EMPLOYEE
THIS CERTIFICATE REVISES & REPLACES PREVIOUS CERTIFICATE DATED 8/21/91
DESCRIPTI N OF OPERATIONB/LOCATIOw CIAL ITEMS
RE: INSTALLATION OF WATER LINES AT KIMBALL
PARK. SPECIFICATION #91-6
CERTIFICATE HOLDER
THE CITY OF NATIONAL CITY
!TICE OF THE CITY ENGINEER
1243 NATIONAL CITY BLVD.
NATIONAL CITY, CA 91950
ACORD 25-S (3/88)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL litEttlanCAXX
MAIL30 . DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT,
AUTHORIZED REPRESENTATIVE,y� HALL W_ ELL-_
A*/rr}�r/ *MALL
CORPORATION 1988
11- 14
POLICY NUMBER: EPA09863771
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM A)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization (Additional Insured):
THE CITY OF NATIONAL CITY
Bodily Injury and Premium Basis
Property Damage Cost
Liability
Rates Per
Per
$1000 of cost
Location of
Covered Operations
INSTALLATION OF
WATER LINES AT
KIMBALL PARK
SPECIFICATION *91-6
Advance Premium
T.B.D. T.B.D.
Total Advance Premium $
(If no entry appears above, information required to complete this
endorsement will be shown in the Declarations as applicable to this
endorsement.)
1. WHO IS AN INSURED (Section II) is amended to include as an insured
the person or organization (called "additional insured") shown in
the schedule but only with respect to liability arising out of:
A. "Your work" for the additional insured(s) at the location
designated above, or
B. Acts or omissions of the additional insured(s) in connection
with their general supervision of "your work" at the location
shown in the Schedule.
2. With respect to the insurance afforded these additional insureds,
the following additional provisions apply:
A. None of the exclusions under Coverage Al except exclusions (a)
(d), (e), (f), H2), (i), and (m), apply to this insurance.
CG 20 09 11 85
AE/AR: NJG
T.B.D.
PAGE 1 OF 2
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POLICY NUMBER: EPA09863771 COMMERCIAL GENERAL LIABILITY
B. Additional Exclusions. This insurance does not apply to:
(1)
"Bodily injury" or "property damage" for which the
additional insured(s) are obligated to pay damages by
reason of the assumption of liability in a contract or
agreement. This exclusion does not apply to liability for
damages that the additional insured(s) would have in the
absence of the contract or agreement.
(2) "Bodily injury" or "property damage" occurring after:
(a) All work on the project (other than service, maintenance
or repairs) to be performed by or on behalf of the
additional insured(s) at the site of the covered opera-
tions has been completed; or
(b) That portion of "your work" out of which the injury or
damage arises has been put to its intended use by any
person or organization other than another contractor or
subcontractor engaged in performing operations for a
principal as a part of the same project.
"Bodily injury" or "property damage" arising out of any act
or omission of the additional insured(s) or any of their
employees, other than the general supervision of work per-
formed for the additional insured(s) by you.
"Property damage" to:
(a) Property owned, used or occupied by or rented to the
additional insured(s);
(b) Property in the care, custody, or control of the
additional insured(s) or over which the additional
insured(s) are for any purpose exercising physical
control; or
(c) "Your work" for the additional insured(s).
NAMED INSURED: ROCA CONSTRUCTION, INC.
CG 20 09 11 85
AE/AR: NJG
PAGE 2 OF 2