HomeMy WebLinkAboutCC RESO 92-34RESOLUTION NO. 92-34
RESOLUTION OF THE CITY COUNCIL
OF THE CITY OF NATIONAL CITY
DECLARING MCR ELECTRICAL CONTRACTORS, INC.
TO BE THE LOWEST RESPONSIVE BIDDER AND
AUTHORIZING THE MAYOR TO EXECUTE AN
AGREEMENT WITH MCR ELECTRICAL CONTRACTORS, INC.
FOR THE INSTALLATION OF A TRAFFIC SIGNAL
AT HIGHLAND AVENUE AND DELTA STREET
(Engineering Spec. No. 92-11)
WHEREAS, the Engineering Department of the City of National City did
in open session, on February 20, 1992, publicly open, examine and declare all sealed bids
for the installation of a traffic signal at Highland Avenue and Delta Street.
NOW, THEREFORE, IT IS HEREBY RESOLVED, that the City Council
of the City of National City hereby awards the contract for the installation of a traffic
signal at Highland Avenue and Delta Street to the lowest responsive bidder, to wit:
MCR ELECTRICAL CONTRACTORS, 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 MCR Electrical Contractors, Inc. and the City of National City to
provide for the installation of a traffic signal at Highland Avenue and Delta Street in
accordance with the Engineering Department Plans and Specifications.
PASSED and ADOPTED this 3rd day of March, 1992.
George H. Waters, Mayor
ATTEST:
Lori Anne Peoples
City Clerk
APPROVED AS TO FORM:
George H. Eiser, III
City Attorney
CONTRACT AGREEMENT
SPECIFICATION NO. 92-11
,PSIS AGREEMENT, made this 3.3 a_ day of
March • 79_92 • by and
between the City of National CityCalifornia, ez iifMCR Ef a of Ce referred
ddato
as "Owner", acting herein through (a
cttors
an individual doing business as ( County of
Corporation) of the City of Im erial Beach • hereinafter
San Diegoo and State Of California
referred to as Contractor".
WITNESSETH: That for and in consideration of the payments and
agreements hereinafter mentioned, to be made and perforaed by the
OWNER, the CONTRACTOR hereby agrees with the OWNER to commence and
complete the construction described as
EfolloLTA TRREET hereinINSTALL ATIONleOF
the
TRAFFIC SIGNAL AT BIGEII+AND
Project, for the sum of s •xtv five hou saann1dd •
l a workf in v connection
dollars ($ 65 940.00
therewith, under the terms as stated in the General and Sre�st
Provisions of the contract; and at his (its or their) own proper
ro ineo
and expense to furnish all the materials, supplies
equipment, tools, superintendents, labor, insurance, sales tax and
other accessories and services necessary to complete the said Project
in accordance with conditions visionsnd andrices Specialted in Provisioons he bidder's
fethe
proposal. plats, blueprints other
contractwins and and printedior ch iwritten nclude alexplaanatoy matter thereof, the
drawings, p
specifications
anand d collectively evidence andents reonstituteltheiContract. e a
pa
The CONTRACTOR hereby agrees Ito commence work under this Contract to
on
or before the date to be specified in the OWNER'S written "Notice to
Proceed" and to fully complete the Project within _ 5 ___liquorking
days thereafter. The CONTRACTOR further agrees to pay. that
he/shesisthe sum in excess fofStheOti timer each consecutive
specified for completion.
day
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 sake
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)
* Current acme of Contractor
CONTRACT AGREEMENT
Cl SPECIFICATION NO. 92-11
CONTRACT AGREEMENT - cont.
SPECIFICATION IO. 92-11
CITY OF AT
SY
Licensed in accordance with ) •+
an Act providing for the )
8egiitration of Contractors )
)
)
License No.461111 , Class C-10 )
Expiration Date 8-31 ,199 )
MCR ECTRIC,A'1 CO CTORS t.
BY : � MAYOR
VICE PRESIDENT
OFFICIAL TITLE
P.O. BOX 1515
BUSINESS ADDRESS
TMP&RIAI RRACM
City License No.12941
Federal I.D. No.33-0050337
CORPORATE CERTIFICATE
I, MARY ANN RAMIREZ , certify that I am the S',ORPORATF
Secretary of the Corporation named as the CONTRACTOR in the foregoing
Contract; that MARTIN G. RAMIREZ , who signed
said Contract on behalf of the CONTRACTOR, was then
VICE PRESIDENT 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 co3pprate powers.
a £_'
(CORPORATE SEAL)
INDIVIDUAL/PARTNERSHIP CERTIFICATE
Subscribed and swornyto before me
this% day oftAk I , 192
NOTARY PUBLIC IN AND FOR SAID
COUNTY AND STATE
(SEAL):
94 ission Expires — -;
19`ZS .
c-Dor...)n)-fk S .64_1Sor
Print or type name of affiant
CONTRACT AGREEMENT
OFFICIAL SEAL
(`' }\_ DONNA S. HUDSON
{I. ": 'I NOTARY PUBLIC -CAUFORNIA
PRiNCIFAL OFFICE IN
�•_>-% SAN DIEGO COUNTY
My Commission Expires February 23, 1223
C2 SPECIFICATION NO. 92-11
CITY OF NAT S ONAL CSTY
PAYMENT MONO
Specification No. 92-11
NAME OF CONTRACTOR: MCR Electrical Cot tractors, Inc.
DATE OF AGREEMENT: March 3, 1992
TITLE OF AGREEMENT: INSTALT.ATION OF A TRAFFTC STGNAT,
PROJECT: HIGHLhND AVFNTTF AND DELTA STREET
NAME OF SURETY: INSURANCE COMPANT OF THE WEST
AMOUNT OF BOND: $ 65, 940.00
BOND }EMBER: 120 12 91 EFFECTIVE DATE: 3-18-92
PREMIUM: $620.00
WHEREAS, the City of National City, State of California,
hereinafter referred to as City, and the Contractor name on Page C6
hereof, hereinafter referred to as CONTRACTOR, have entered into an
agreement whereby CONTRACTOR agreed to install and complete certain
public works and improvements, which said agreement, dated as shown on
Page C6 hereof and entitled as shown on Page C6 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
MARCH 3 , 19 92 , with the Obligee to do and perform the following
work, to wit: Installation of a Traffic Signal at Highland Avenue and
Delta Street.
PAYMENT BOND
C6 SPECIFICATION NO. 92-11
Payment Bond - Continue or his
FOW, RE, if the above -bounden Principal
subcontractors fail to pay any of the persons named in Section 3181 of
the Civil Code of the State of California, or amounts due and
er the
Unemployment Insurance Code with respect to work or labor performed
under the contract, or for any amounts required to be deducted,
withheld, and pai
d over to the Employment Development Department form
the wages of employees of the contractor and his subcontractor's
pursuant to Section 13020 of the,Unemployment Insurance Code of the
State of California, with respectito 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 18TH day of MARCH
1992.
INSURANCE COMPANY OF THE WEST MCR ELECTRICAL CONTRACTORS, INC.
Surety
By: /1'i��i/>• u� �►�+�ea2_
BETTIE L. GARCIA, ATT�'� -IN-FACT=-�
(Attach Notary Acknowledgement Title V%«' 4`?"-4`A9 03`7T
for Attorney -in -Fact)
STATE OF CALIFORNIA )
) ss.:
CITY AND COUNTY OF SAN DIEGO )
(SEAL)
•
y
18TH da of 19 92, before me, the undersigned
Notary
Punlic
eared BETTIE L. GARCIA a pen
rson On this personally appeared MARCH to be the person who executed the
memeand pfor eState, p
(or provedd toomme on the basis of satisfactory evidence),
written instrument as Attorney -in -Fact on behalf of the corporation therein named and
knowledged to me that the corporation executed it.
hand and Notarial Seal this 1� day of
Given under my ,�, �,� ^,.... ,.,a-0'
i , -_ , OFFICIAL SEAL
VA 6- E M. PEARCE
My commission expires
COUNTY
ij
MARCH
Notary Public
A.D., 19 92
.A04 at
Payment Bond - Continued
Address to which notices to
Surety should be sent:
INSURANCE COMPANY OF THE WEST
2645 FINANCIAL COURT, SUITE D
SAN DIEGO, CA 92117
APPROVED AS TO FORM:
BY:
GE GE H. EISER, III
CITY ATTORNEY
(NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY CONTRACTOR AND SURETY MUST SE
ATTACHED)
CORPORATE ACKNOWLEDGMENT
i
State of
CALIFORNIA
SS.
County of
SAN DIEGO
• g,-�-.,...� ''-ate"'.,
OFFICIAL SEAL
DONNA S. HUDSON
NOTARY PUBLIC- CALIFORNIA
PRINCIPAL OFFICE IN
SAN DIEGO COUNTY
7120 122
':.oninThrbn Expires February 23, 1993
NO. 202
On this the _11U11day of MAR('N 19 92 before me,
DONNA S. HUDSON
the undersigned Notary Public, personally appeared
MARTIN G. RAMIREZ
xiapersonally known to me
proved to me on the basis of satisfactory evidence
to be the person(s) who executed the within instrument as
VICE PBESIDE/TT or on behalf of the corporation therein
named, and acknowledged to me that the corporation executed it.
SS my hand and official se
Notary's Signature DONNA S. HUDSON
PANT BOND
NATIONAL NOTARY ASSOCIATION • 23012 Ventura B
• P.O. Box 4e25 • Wooalano Hills, CA 9135
C8 SPECIFICATION NO. 92-11
INSURANCE COMPANY OF THE WEST
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:
Bettie L. Garcia
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
authority of the following Resolution adopted
COMPANY OF THE WEST at a meeting duly called and
which said Resolution has not been amended or
true, full, and complete copy:
and sealed by facsimile under and by the
by the Board of Directors of INSURANCE
held on the Sixth day of February, 1973,
rescinded and of which the following is a
"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 at 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 its official seal to be here-
unto affixed and these presents to be signed by its duly authorized officers this
20th day of July, 1990
STATE OF CALIFORNIA 5S-
COUNTY OF SAN DIEGO •
INSURANCE COMPANY OF THE WEST
resident
0n this 20th day, of July, 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 sucn officer were duly affixed and subscribed to 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 Son Diego, the day and year first above written.
OFFICIAL SEAL
NORMA PORTER Y
Notary Pudic -Ca' stoma �(
SAN OIEGO COUNTY
STATE OF CALIFORNIA S5:
COUNTY OF SAN DIEGO
I, the undersigned, JAMES W. AUSTIN.
hereby certify that the original POWER
and correct copy, is in full force and
IN WITNESS WHEREOF, I have hereunto
Corporate Seal of the Corporation, this
:Cw CAL 37( EV. 5/87`
III, Secretary
OF ATTORNEY. of
effect, and has
/)
Notary Public
of INSURANCE COMPANY OF THE WEST, do
which the foregoing is a full, true
not been revoked.
subscribed my name as Secretary, and affixed the
18TH day of MARCH 1992
1
Secretary
•
CS TY OF NATS OVAL CSTY
FASTHFUL PERFORMANCE BOND
Specifications No. 92-11
NAME OF CONTRACTOR: MCR Electrical Contractors, Inc.
DATE OF AGREEMENT:
March 3, 1992
TITLE OF AGREEMENT: Installation of a Traffic Signal
PROJECT: Highland Avenue and Delta Street
NAME OF SURETY: INSURANCE COMPANY OF THE WEST
AMOUNT OF BOND: $65,940.00
BOND NUMBER: 120 12 91 EFFECTIVE DATE: 3-18-92
PREMIUM: $620.00
WHEREAS, the City of National City, State of California,
hereinafter referred to as City, and the Contractor named on Page C3
hereof, hereinafter referred to as CONTRACTOR,
have entered into an
agreement whereby CONTRACTOR agreed to install and complete certain
public works and improvements, which said agreement
Page C3 hereof and entitled as shown on Page C3
referred to and made a part hereof; and
WHEREAS, said CONTRACTOR is required under the terms
agreement to furnish a bond for the faithful performance
agreement;
PERFORMANCE BOND
dated as shown on
hereof, is hereby
of said
of said
C3 SPECIFICATION N0. 92-11
Faithful Performance - continued
NOW, THEREFORE, WE, the CONTRACTOR and the Surety named on Page
C3 hereof, hereinafter referred to as SURETY, are held and firmly
bound Unto CITY in the Penal sum of the amount stated on Page C3
hereof, lawful money of the Unitef States, for the payment of which
sum well and truly to be made, we bind ourselves; our heirs,
successors, executors, jointly and severally, firmly by these present.
The condition of this obligation is such that if the above bounden
CONTRACTOR, 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 their part, to be kept and performed at the
time and in the manner therein specified, and in all respects
according to their true intent and meaning, and shall indemnify and
save harmless the CITY, its officers, agents and employees, as therein
stipulated, then this obligation shall become null and void;
otherwise, it shall remain in full force and effect.
As a part of the obligation secured hereby and in addition to the
face amount specified therefore, there shall be included costs and
reasonable expenses and fees, including reasonable attorney's fees,
incurred by the CITY in successfully enforcing such obligations,
to be taxed as costsjand included in any judgement rendered.
PERFORMANCE BOND
C4 SPECIFICATION NO. 92-11
all
Faithful Performance Bond - continued
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.
1992.
SIGNED, SEALED AND DATED this 18TH day of. MARL
MCR ELECTRICAL CONTRACTORS, INC.
(Name of Principal)
By:
J DY.
�-C�
.(A torney-in-Fa )
BETTIE L. GARCIA, ATTO -IN-FACT
(Attach Notary Acknowledgement
for Attorney -in -Fact)
Address at which notices to
Surety should be sent:
INSURANCE COMPANY OF THE WEST
2645 FINANCIAL COURT, SUITE D
SAN DIEGO, CA 92117
APPROVED TO FORM .
BY: eb
GEORGE H. EISER, III
CITY ATTORNEY
Titled ' arS'3T
(SEAL)
(NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY CONTRACTOR AND SURETY MUST BE
ATTACHED)
PERFORMANCE BOND
C5 SPECIFICATION NO. 92-11
STATE OF CALIFORNIA )
) ss.:
CITY AND COUNTY OF SAN DIEGO )
On this 18TH day of MARCH 19 92, before me, the undersigned Notary Public
in and for the State, personally appeared BETTIE L. GARCIA a person known to
me (or proved to me on the basis of satisfactory evidence), to be the person who executed the
w""tten instrument as Attorney -in -Fact on behalf of the corporation therein named and
iowledged to me that the corporation executed it.
Given under my hand
My commission expires
and Notarial Seal this 18TH
VA E '=
ci
L c �L
1. P ARCE ar
C F::A ft
C!EGO COUNTY
j 3i L; Tission Expire; ia-..fa.ry 10, 1995
CORPORATE ACKNOWLEDGMENT
Ci CE I,J
kt
day of
MARCH A.D., 19 92
V
711. tig a_e,
Notary Public
NO. 202
llllflJ!./1�./l_/,111111111J.i —��� 1^I1J,/Illlfff./J.l!/fllffld_I.liflfl_lll./,lJ11I11�.11J,llfl 11�
State of CALIFORNIA
County of SAN DIEGO
_ OFFICIAL SEAL
r� ,fir -;� DONNA S. HUDSON
e.i„I' NOTARY PL3LIC - CALFORNIA
t� t I PRiNCiPAL GFICE IN
, \� ..,'7
4 \ SAN DIEGO COUNTY
f r"i Commi;si3n Expires February 23, 1993
On this the 18THday of MARCH
DONNA S. HUDSON
19 92 before me,
the undersigned Notary Public, personally appeared
MARTIN G. RAMIREZ
personally known to me
proved to me on the basis of satisfactory evidence
to be the person(s) who executed the within instrument as
VICE PRESIDENT
al.
Notary's Signature DONNA S. HUDSON
1Yr—teaIEr.G
7120 ISS NATIONAL NOTARY ASSOCIATION • 23012 Ventura Blvd. • P.Q. So. 4625 • Woodland Mn13. CA 91364
or on behalf of the corporation therein
named, and acknowledged to me that the corporation executed it.
ITNESS my hand and officia
INSURANCE COMPANY OF THE WEST
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:
Bettie L. Garcia
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 artd all bonds,
undertakings, recognizances or other written obligations in the nature thereof.
This Power of Attorney is granted and is signed
authority of .the following Resolution adopted
COMPANY OF THE WEST at a meeting duly caned and
which said Resolution has not been amended or
true, full, and complete copy:
and sealed by facsimile under and by the
by the Board of Directors of INSURANCE
held on the Sixth day of February, 1973,
rescinded and of which the following is a
"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 at 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 Secretory."
IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused its official seal to be here-
unto affixed and these presents to be signed by its duly authorized officers this
20 th day of July, 1990
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO
On this 20th day of July, 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 to the
said instrument by the outnerity 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.
CFFICAL SEAL
NORMA PORTER
Notary Pudse-Cahtoma 1(
INSURANCE COMPANY OF THE WEST
resident
SAN O{EGO COUNTY
my Comm. E.. is 3 1492
i)
Notary Publle
STATE OF CALIFORNIA SS.
COUNTY OF SAN DIEGO
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 foregoing is a full, true
and correct copy, is in full force and effect, and has not been revoked.
IN WITNESS WHEREOF. I have hereunto
Corporate Seal of the Corporation, this
:Cd CAL 37(?EV. 5/87`
137NP4, ,\
{
z \ `• +
subscribed my name as Secretary, and affixed the
18TH day of MARCH 1992
ilt/T6,1
(c)
Secretary
.
Form e■ W
9
(October 1983)
Department of the Treasury
internal Revenue Service
Name as shown on account 01 joint account, also give joint owner's name)
MCR ELECTRICAL CONTRACTORS, INC
Address
P.O. BOX 1515
City, State. and ZIP code
IMPERIAL BEACH, CA 91933
Payer's Request for Taxpayer
Identification Number
Please print or type
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 for guidelines on which
number to give the payer.
Social security number
•
OR
Employer identification number
33 00503.37
PART II. —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 P.
Instructions (Section references are to the Internal Revenue Code.)
Highlight for Interest or Dividend Accounts Opened After
12/31/83—Backup Withholding
You 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
havbeen so notified. check the box ile n PART 11. Note: Backup t or dividend payment. lf withholtlou mg mT
ay
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
witriholomg. 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 11 you fail to furnish
baers with the correct txpayer identification number (this is ack p withholding). Fora most individual taxpayers, the erred to as
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(a)(1)(C).
You may use this form to certify that the taxpayer identification ni. Tiber
you are giving the payer is correct and, for accounts opened after
December 31, 1983, 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: OR
(1) You fail to furnish your taxpayer identification number to the payer,
(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 withholding (under
section 3406(a)(1)(C)), 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
witnholdng 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
W ithholdng.")
(Give this form to the payer, not to the Internal Revenue Service)
Date ► 3-24-92
Payments of Interest, Dividends, 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 I, sign and date the form
and return it to the payer.
Accounts Opened Atter December 31, 1983
To certify that the taxpayer identification number is correct and that you are
not subject to backup withholding under section 3406(a)(1XC) for accounts
opened after December 31, 1983, fill out your name and address. enter
your account numbers) (if applicable), complete Parts I and II, 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, fin 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 ihis form. Fill out your name and address,
enter your account number(s) (if applicable), complete Part I and return
the form to the payer.
Accc,Jnt Numbers
tf 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. tf 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
1f 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 local
office of the Social Security Administration or the Internal Revenue Service
and apply for a number. Write 'applied tor' in Part I in place of your
number. When you get a number, submit a new Form W-9 to the payer.
corm W9 (1a93)
PreCMRGENCY r?OT=FSCAT=ON Z.28T
Project: Installation of a Traffic Signal at Eighland Avenue and Delta
ptreet
Spec. so. 21:1l
The Contractor shall provide the names, addresses and telephone
slumbers of three (3) different responsible persons who can be
contacted in an emergency situation who will have the authority to act
in the Contractor's absence.
{ TELEPHONE NO.
During After
Working Hours Working Hours
1. NAME: Carlos Ramirez 575-4601 575-21R7
ADDRESS:753 10th St
Imperial Beach, Ca 91932
2. NAME: Martin G. Ramirez 575-4601 261-4791
ADDRESS:753 10th St
Imperial Beach, Ca 91932
3. NAME: E. Scott Horn 575-4601 426-2172
ADDRESS:
=ENGENCY NOTIFICATION LIST C9 SPECIFICATION NO. 92-11
HOME PHONE NO.:
3. JOB FOREMAN:
NAME: E. SCOTT HORN
MOBILE PHONE:
EMERGENCY:
NONE
CITY OF RATIONAL CITY
ENGINEERING DEPARTMENT
TT
1243 RATIONAL CITY BOULEVARD
!RATIONAL CITY, .CA 91950
PROJECT: Installation of a Traffic Signal at Highland Avenue
and Delta Street
SPEC. MO. 92-11
SUBJECT: IMPORTANT INFORMATION RELATING TO TEE PROJECT
1. THE NAME: MCR ELECTRICAL CONTRACTORS. INC
ADDRESS: 753 10TH ST., IMPERIAL BEACH, CA 91932
!SAILING ADDRESS (IF DIFFERENT) :P•0. BOX 1515, IMPERIAL BEACH CA
PHONE NO. 575-4601 FAX NO. 575-1643
FEDERAL TAX I.D. NO.
2. JOB SUPERINTENDENT:
NAME: CARLOS RAMIREZ
33-0050337
MOBILE PHONE: 980-1860
EMERGENCY: CARLOS RAMIREZ
HOME ADDRESS: 1371 CALIFORNIA ST., IMPERIAL BEACH, CA
575-2387
NOME ADDRESS: 191 THERESA WAY. CHTTT,A VTiTA rA
NOME PHONE NO.: 426-2172
PROJECT INFORMATION SHEET
C10 SPECIFICATION N0. 92-11
4. OFFICE CONTACT PERSON:
NAME:
MARTIN G. RAMIREZ
MOBILE PHONE: 980-1862
11XERGENCY:
SOME ADDRESS: 7122 LISBON ST., SAN DIEGO, CA
80[a PHONE NO. 26314791
5. PERSON AUTHORIZED TO SIGN DAILY EXTRA WORK REPORTS AND CONTRACT
CHANGE ORDERS:
1RAME: CARLOS RAMIREZ
M :MARTIN G. RAMIREZ
NAME:
• TITLE: PRESIDENT
TIME: VICE PRES.
TITLE:
6. OFFICERS RESPONSIBLE FOR PAYROLL AND EEO
NAME: CARLOS RAMIREZ TITLE: PRESIDENT
ANY CHANGES ON THE ABOVE INFORMATION WILL BE S IZTED IN WRITIJ G.
:7SIGNATUREE 4v Cam...;:',
NAME:MARY AN RAMIREZ
PROJECT INFORMATION SHEET
TITLE: SECRETARY
DATE: 3 / 24 / 92
C11 SPECIFICATION NO. 92-11
COMPLETE LIST
CT SUBCONTRACTORS
(INCLUDING SURVEYORS)
PROJECTTITLE: Installation of a Traffic Signal at NW:land Avenue and
Delta Street
SPECIFICATION NO.: aurimm, ACTOR MCR ELECTRICAL CONTRACTORS, INC
ADDRESS P . O . BOX 1515
IMPERIAL BEACH, CA 91933
TELEPHONE NO. 575-4601
FAX NO. 575-1643
BID ITEM DIVISION OF SUBCONTRACTOR MAILING TELEPHONE
NO. WORK NAME ADDRESS NO.
1
STRIPING MARKINGS & PAYCO SPECIALTIES, INC 120 NORTH SECOND 422-9204
REMOVAL CH[JLA VISTA, CA 91910
RAMPS, CURB, GUTTER
1 SIDEWALK, PADS BACK OF VARA & ALBARRON, INC P.O. BOX 8060 477-5609
RAMPS & FENCE CHULA VISTA, CA 92012
SUBCONTRACTORS
C12 SPECIFICATION NO. 92-11
The fact that existing utilities and iaproveaents, either above
or below the ground surface, are not shown on the drawings shall
not relieve the Contractoriof liability for complete and careful
protection of said improvements from damage as specified herein.
All repairs to damaged utilities and improvements shall be
inspected and approved by an authorized representative of the
improvement Owner before being concealed by backfill or other
work.
In all cases of alteration orlrelocation of service connectional
the Contractors shall notify the residence being affected a
minimum of four (4) hours prior to said alteration or relocation,
and service connection shall be returned to service in an amount
of time not to exceed four (4) hours.
Section 6 - Prosecution, Progress end Acceptance of the Work
6-1 Construction Schedule and Commencement of Work
In accordance with Section 6-1, the Contractor shall submit to
the Engineer a proposed schedule of work within fifteen (15)
calendar days of execution of the Contract and prior to
commencement of the work, and upon request of the Engineer,
update the schedule accordingly.
The City reserves the right to make reasonable changes in the
work schedule to avoid conflict with special events.
Section 7 - Responsibilities of the Contractor
7-3 Liability Insurance Policy
Liability insurance shall be per Section 7.3, as amended by the
Regional Supplement Amendments, Part 1 - General Provisions, Page
2, setting the following limits of insurance for Bodily Injury.
$500,000.00 each person
$1,000,000.00 each occurrence
$1,000,000.00 aggregate products and complete operations
Property Damage:
$250,000.00 each occurrence
:$500,000.00 aggregate
D12 SPECIFICATION NO. 92-11
A combined single limit policy with aggregate limits in the
amount of $2,000,000.00 will be considered equivalent to the
required minimum limits. Attention is directed to the fifth
paragraph of Section 7.3 of the Standard Specifications
which states that the Contractor shall furnish the City a
policy or certificate of liability insurance in which the
City is named as an additional insured with the Contractor.
The Policy shall state that the City be given 30 days
minimum notification by „registered mail in the event of
expiration or proposed cancellation of the policy.
7-8 Project Site Maintenance •
7-8.1 Clean up and Dust Control: Add the following
Dust control shall conform to the provisions in Subsection 7-8.1
"Clean-up and Dust Control", and these supplemental provisions.
No separate payment will be made for any work performed or
material used to control dust resulting from the Contractor's
performance of the work, or by public traffic, either inside or
outside the right-of-way. Full compensation for such dust
control will be considered as included in the prices paid for the
various items of work involved.
7-8.8 Project Appearance
The Contractor shall maintain a neat appearance to the work.
In any area visible to the public, the following shall apply:
When practicable, broken concrete and debris developed
during clearing and grubbing shall be disposed of
concurrently with its removal. If stockpiling is necessary,
the material shall be removed or disposed of weekly.
The Contractor shall furnish trash bins for all debris from
structure construction. All debris shall be placed in trash
bins daily. Forms of .falsework that are to be re -used
shall be stacked neatly concurrently with their removal.
Forms and falsework that are not to be re -used shall be
disposed of concurrently with their removal.
Full compensation for conforming to the provisions in this
section, not otherwise provided for,- shall be considered as
included in prices paid for the various contract items of
work involved and no additional compensation will be allowed
therefore.
D13 SPECIFICATION NO. 92-11
I CERTIFICATE OF INSURANCE
PRODUCER
OBERT F. DRIVER CO., INC.
1620 5TH AVENUE
SAN DIEGO, CA 92101-2703
INSURED
M C R ELECTRICAL CONTRACTORS
INCORPORATED
P 0 BOX 1515
IMPERIAL BEACH CA
COVERAGES
CO
LTR
91932-0950
ISSUE DATE (MMDD 'Y)
3/1
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ON AND/ 9
I 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
LETTER
COMPANIES AFFORDING COVERAGE
FIREMAN'S FUND INS. COMPANY
FIREMAN'S FUND INS. COMPANY
ZENITH
INSURANCE 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
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
X OWNERS & CONTRACTORS PROT.
X
X
X
X
TOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
LIMITS
MXX80482427
MXA80102301
4/08/91
4/ 0 8/ 9 2 GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
4/08/91 4/08/92
MED. EXPENSE (Any one person)
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
$ 2,000,000
$ 1,000,000
S 1,000,000
$ 1,000,000
$ 50,000
$ 5.000
$ 1,000,000
$
PROPERTY DAMAGE $
P56933
1/01/92 1/01/93
EACH OCCURRENCE
AGGREGATE
(STATUTORY LIMITS
EACH ACCIDENT
DISEASE —POLICY LIMIT
DISEASE —EACH EMPLOYEE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESSPECIAL ITEMS
JOB: INSTALLATION OF A TRAFFIC SIGNAL @ HIGHLAND AVENUE AND DELTA ST.
*IN THE EVENT OF NON PAY, 10 DAYS APPLIES
CERTIFICATE HOLDER
C i OF NATIONAL CITY
Orr'ICE OF CITY ENGINEER
1243 NATIONAL CITY BLVD.
NATIONAL CITY, CA 92050-4397
ACORD 25-S (7/90)
$
$
$ 1,000,000
$ 1,000,000
$ 1,000.000
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLXacaigJ{X
MAIL * 3 °DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT
ZED REPRESENTATIVE
A.dditional Insured - ON. _ers, Lessees or Contractors orm 13)
CG20101185
Policy A hndment General Liability
Insured MCR ELECTRICAL CONTRACTORS
producer ROBERT F. DRIVER CO
Policy Number MXX 80482427
Effective Date 4-8-91
Schedule
Name of Person or Organization
CITY OF NATIONAL CITY
OFFICE OF CITY ENGINEER
1243 NATIONAL CITY BLVD
NATIONAL CITY, CA 92050-4397
(If no entry appears above, information required to complete this Endorsement will be shown in the Declarations
as applicable to this Endorsement.)
Who is an Insured (Section II) is amended to include
as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out
of your work for that insured by or for you.
JOB: INSTALLATION OF A TRAFFIC SIGNAL AT HIGHLAND AVENUE & DELTA STREET
This Form must be attached to Change Endorsement when issued after the policy is written.
One of the Fireman's Fund Insurance Companies as named in the policy
President
CG2010 1145
Contains Copyrighted Material of inntrance Services Office, Inc.. 1984