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Home My WebLink About2008 CON C.T. Georgiou Painting - Parks Rehabilitation Painting• CONTRACT NATIONAL CITY CITY PARKS REHABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A THiS CONTRACT, made and entered into this 20th day of May, 2008 by and between the City of National City, California, herein alter designated as the "City", and C.T. Georgiou Painting Co., hereinafter designated as the "Contractor". WITNESSETH: that the parties hereto do mutually agree as follows: I. For and in consideration of the payments and agreements hereinafter mentioned to he made and performed by the City, the Contractor agrees with the City to furnish all materials and labor for: NATIONAL CITY CiTY PARKS REHABILITATION PAINTING PROJECT and to perform and complete in a good and workmanlike manner all the work pertaining thereto shown on the plans and specifications therefore; to furnish at his own proper cost and expense all tools, equipment, labor and materials necessary therefore; and to do everything required by this agreement and the said plans and specifications. 2. For furnishing all said materials and labor, tools and equipment, and doing all the work contemplated and embraced in this Contract, also for all loss and damage arising out of the nature of the work aforesaid, or from the action of the elements, or from any unforeseen difficulties which may arise or he encountered in the prosecution of the work until its acceptance by the City and for all risks of every description connected with the work; also, for all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as in said specifications are expressly stipulated to be borne by the City and for well and faithfully completing the work and the whole thereof; in the manner shown and described in the said plans and specifications, the City will pay and the Contractor shall receive in full compensation therefore the sum of "twenty -Nine Thousand, Nine Hundred Seventy Dollars and no Cents ($29,970.00). 3. The City hereby promises and agrees to employ, and does hereby employ. said Contractor to provide the materials and to do the work according to the terms and conditions herein contained and referred to for the price aforesaid and hereby conditions set forth in the specification; and the said parties for themselves, their heirs, executors, administrators, successors and assigns, do hereby agree to the full performance of the covenants herein contained. CONTRACT (CONTINUED) NATIONAL CITY CITY PARKS REIIABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A 4. The Notice Inviting Bids, Instructions To Bidders, Bid Forms, Agreement and Bond Forms, Construction Administration Forms, Completion of the Project Forms, General Requirements and General Conditions, Drawings and Specifications, Addenda, Allowances. and all amendments thereof, are hereby incorporated in and made part of this Contract. 5. The City, the City's representative, the Architect, the Consultants and authorized volunteers shall not be answerable or accountable in any manner for any loss or damage that may happen to the work or any part thereof, or for any of the materials or other things used or employed in performing the work, of for injury or damage to any person or persons, either workers, employees of Contractor or its subcontractors or the public, or for damage to adjoining or other property, from any cause whatsoever arising out of or in connection with the performance of the work. The Contractor shall be responsible for any damage or injury to any person or property resulting from defects or obstructions or from any cause whatsoever arising out of or in connection with the performance of the work, provided, however, that the Contractor shall not be liable for the sole established negligence, willful misconduct or active negligence of the City, its representatives, employees, agents and authorized volunteers who are directly responsible to the City. a. Contractor shall indemnify the City, City Council, City officials, City employees, City representatives, and authorized volunteers against and will hold and save them and each of them harmless from any and all actions, claims, damages to persons or property, penalties, obligations or liabilities that may be asserted or claimed by any person, firm entity, corporation, political subdivision or other organization arising out of or in connection with the work, operation or activities of Contractor, its agents, employees, subcontractors or invitees, provided for herein, whether or not there is concurrent passive or active negligence on the part of the City, City Council, City officials. City employees, City representatives, and authorized volunteers, but excluding such actions, claims, damages to persons or property penalties, obligations or liabilities arising from the sole established negligence, willful misconduct or active negligence of the City, City Council, City officials. City employees, City representatives, authorized volunteers, or those who are directly responsible to them; and in connection therewith: I) Contractor will defend any action or actions tiled in connection with any of said claims, damages, penalties, obligations or liabilities and will pay all costs and expenses, including attorney's fees incurred in connection therewith. CONTRACT (CONTINUED) NATIONAL CITY CITY PARKS RFHARIJ II'ATION PAINTING PROJECT SPECIFICATION NO. 07-06-A 2) Contractor will promptly pay any judgment rendered against Contractor. the City, City Council, City officials, City employees, City representatives, and authorized volunteers covering such claims, damages, penalties, obligations and liabilities arising out of or in connection with such work, operations, or activities of Contractor hereunder and Contractor agrees to save and hold the City, City Council, City officials, City employees, City representatives, and authorized volunteers harmless there from. 3) In the event the City, City Council, City officials, City employees, City representatives, and authorized volunteers are made a party to any action or proceeding filed or prosecuted against Contractor for such damages or other claims arising out of or in connection with the Work, or operation or activities of Contractor hereunder, Contractor agrees to pay to the City, City Council, City officials, City employees, City representatives, and authorized volunteers any and all costs and expenses incurred by the City, City Council, City officials, City employees, City representatives, and authorized volunteers in such action or proceeding together with reasonable attorney's fees. 4) The City may retain, to the extent it deems necessary, the money due to the Contractor under and by virtue of the Contract Documents until disposition has been made of such actions or claims for damages as specified herein above. 6. Claims, disputes and other matters in question between the parties to this Contract, arising out of or relating to this Contract or the breach thereof, may be decided by arbitration if both parties to this Contract consent in accordance with the rules of the American Arbitration Association then obtaining unless the parties mutually agree otherwise. No arbitration arising out of or relating to this Contract, shall include, by consolidation, joinder or in any other manner, any additional person not a party to this Contract except by written consent containing a specific reference to this Contract and signed by CONTRACTOR, CITY, and any other person sought to be joined. (Any Consent to arbitration involving an additional person or persons shall not constitute consent of any dispute not described therein or with any person not named or described therein.) This agreement to arbitrate and any agreement to arbitrate with an additional person or persons duly consented to by the parties to this Contract shall be specifically enforceable under the prevailing arbitration law. Notice of the demand for arbitration is to be filed in writing with the other party to this Contract and with the American Arbitration Association. The demand is to be made within a reasonable time after the claim, dispute or other matter in question has arisen. In no event is the demand for arbitration to be made after the date when institution of legal CONTRACT (CONTINUED) NATIONAT. CITY CITY PARKS REHABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A or equitable proceedings based on such claim; dispute or other matter in question would be barred by the applicable statute of limitations. The award rendered by the arbitrators shall be final and judgment may he enter upon it in accordance with applicable law in any court having jurisdiction thereof. 7. 1'hc Contractor agrees to comply with all Local. State and Federal regulations and with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act of 1970 (42 U.S.C. 1857 et seq.) and the Federal Water Pollution Control Act (33 U.S.C. 1251 et seq.) as amended. 8. If any party brings a suit or action against the other party arising from any breach of any of the covenants or agreements or any inaccuracies in any of the representations and warranties on the part of the other party arising out of this Agreement, then in that event, the prevailing party in such action or dispute, whether by final judgment or out -of - court settlement, shall be entitled to have and recover of and from the other party all costs and expenses of suit, including attorneys fees. 9. Each and every provision of law and clause required to he inserted in this Contract shall be deemed to he inserted herein and this Contract shall be read and enforced as though it were included herein, and if through mistake or otherwise any such provision is not inserted or is not inserted correctly, then upon application of either party the Contract shall forthwith by physically amended to make such insertion or correction. 10. In accordance with Government Code, Section 8546.7, records of both the City and the Contractor shall be subject to examination and audit for a period of tiuce (3) years after final payment. CONTRACT (CONTINUED) NATIONAL CITY CITY PARKS REHABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed in three counterparts, each of which shall be deemed an original the day and year first above written. CONTRACTOR: By: CITY: I itle: [�/!�/✓ By:_. "Title: b-Oie4 /DGL Federal Ill. No. ✓ 90S-7/OS By: Title: Mayor, City of National City AT ES"I': By: Title: C'y Clerk, City o Na ional City (Notaries acknowledgement of execution by all PRINCIPALS OF CONTRACTOR shall be attached.) CONTRACT (CONTINUED) NATIONAL CITY CITY PARKS REI{ABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A CORPORATE CERTIFICATE I, certify that I am the Secretary of the Corporation named as Contractor in the foregoing Contract; that , who signed said contract on behalf of the Contractor, was then 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. certify that I am the Secretary of the Corporation named as Contractor in the foregoing Contract; that , who signed said contract on behalf of the Contractor, was then 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: CONTRACT (CONTINUED) NATIONAL CITY CITY PARKS REIIABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A PARTNERSIIIP CERTIFICATE STATE OF ) ) ss COUNTY OF ) On this day of , 200_, before me, the undersigned, a Notary Public in and for said County and State, personally appeared: (Notary Seal) Known to me to be of the partners of the partnership that executed the within instrument, and acknowledged to me that such partnership executed the same. Signature: Name (Type or Print): (Notary Public in and for said County and State) My Commission expires: $432.00 PREMIUM IS FOR CONTRACT TERM AND IS SUBJECT TO ADJUSTMENT BASED ON FINAL CONTRACT PRICE • Bond No. 6526084 EXECUTED IN TRIPLICATE PERFORMANCE BOND NATIONAL CITY crry PARKS REHABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A KNOW ALL MEN BY THESE, PRESENTS: That WHEREAS, the City Council of the City of National City, by Resolution No. 2008- 82 passed the 20th of May, 2008 has awarded to C.T. Georgiou Painting Co., hereinafter designated as the "Principal", the National City City Parks Rehabilitation Painting Project, WHEREAS, said Principal is required under the terms of said contract to furnish a bond for the faithful performance of said contract. NOW, THEREFORE, we, the Principal and First National Insurance Company of Americes surety, are held and firmly bound untD the City Council of the City of National City, hereinafter called the "Council", in the penal sum of Twenty Nine Thousand Nine Hundred and Seventy Dollars ($ 29,970.Oplawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, fu'wly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the above bounden Principal, his/her or its heirs, executors,. administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the said contract any alteration thereof made as therein prc vides, on his or their part, to be kept and performed at the time and in the amount therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City of National City, the City Council, their officers, agents, and employees, as therein stipulated, then this obligation shall become null and vc id; otherwise it shall be and remain in full force and virtue. And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the work to be performed there under or the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or additions to the terms of the contract or to the work or to the specifications. PERFORMANCE BOND (CONTINUED) NATIONA::, CITY CITY PARKS REHABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A In thy: event suit is brought upon this bond by the City of National City and judgment is recovered, the surety shall pay all costs incurred by the Council hi such suit, including a reasonable attorney's fee to be fixed by the Court. IN WITNESS WHEREOF three identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on the 2008. First National Insurance Company of America By: �^ Les . Mantle Attorney in Fact Surety 29th day of May AL) C.T. Georgiou Painting Co. (SEAL) By - Costae T. o (SEAL) Owner Principal (SEAL) , ."-i7 (SEAL) (SEAL) PERFORMANCE BOND (CONTINUED) NATIONAL CITY CITY PARKS REHABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A ATTORIV ;Y-IN-FACT' ACI{NOWLEDGEMIi;NT OF SURETY STATE OF California ) ) ss COUNTY OF orange On this 29th day of May , 2008, before me, the undersigned, a Notary Public in and for said County and State, personally appeared Les M. Mantle known to me to be the person whose name is subscribed to the within instrument as the attorney -in -fact of the First National Insurance Company of America , the corporation named as Surety in said instrument, and acknowledged to me that he subscribed the name of said corporation thereto as Surety, and his own name as attorney -in -fact. NOTE: Signature of those executing for Swety must be properly aclnowledged. Signature Name (Type or Print): Mary Martignoni NOTE: The Attorney -in -fact must attach a certified copy of the Power of Attorney. Notary Public in and for said County and State My Comm:.ssion expires: 9-9-2011 APPROVED AS TO FORM: By: itc George H. Eiser, III Cit:, Attorney fic MARY MARTIGNONI �;��_ COMM. # 1761251 NOTARY PUBLIC - CALIFORNIA 23 � ORANGE COUNTY m My Comm. Expires Sept. 9, 2011 PREMIUM INCLUDED IN PERFORMANCE BOND Bond No. 6526084 EXECUTED IN TRIPLICATE PAYMENT BOND NATIONAL CITY CITY PARKS REHABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A KNOW AIL MEN BY THESE PRESENTS: That WHEREAS, the City Council of the City of National City, by Resolution No.2008- 82 , passed the 20th day of May, 2008 has awarded to C.T. Georgiou Painting Co., hereinafter designated as the "Principal", the National City City Parks Rehabilitation Painting Project, WHEREAS, said Principal is required by Chapter 5 (commencing at Section 3225) and Chapter 7 (commencing at Section 3247), Title 15, Part 4, Division 3 of the California Civil Code to furnish a bond in connection with said contract; NOW, THEREFORE, we, the Principal and First National Insurance Company of America as surety, are held and firmly bound unto the City Council of the City of National City, hereinafter called the "Council", in the penal sum )f Twenty Nine Thousand Nine Hundred and Seventy Dollars ($29,970.00) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if said Principal, his/her or its subcontractors, heirs, executors, administrators, successors, or assigns, shall fail to pay any of the persons named in Section 3181 of the California Civil Code, or amounts due under the Unemployment Insurance Code with respect to work or labor performed 'y any such claimant, or for any amounts required to be deducted, withheld, and paid us, er to the Franchise Tax Board from the wages of employees of the Contractor and his subcontractors pursuant to Section 18806 of the Revenue and Taxation Code, with respect to such work and labor the Surety will pay for the same in an amount not exceeding the sum hereinafter specified, and also, in case suit is brought upon this bond, a reasonable attorney's fee, to be fixed by the Court. This Bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code, so as to give a right of action to such persons or their assigns in any suit brought upon this bond. PAYMENT BOND (CONTINUED) NATIONAL CITY CITY PARKS REHABILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A It is :3uther stipulated and agreed that the Surety on this bond shall not be exonerated or released from the obligation of this bond by any change, extension of time for performance, addition, alteration or modification in, to, or of any contract, plans, specifications, or agreement pertaining or relating to any scheme or work of improvement hereinabove described or pertaining or relating to the furnishing of labor, materials, or equipment therefore, not by any change or modification of any terms of payment or extension o:.' the time for any payment pertaining or relating to any scheme or work of improvement hereinabove described, nor by any rescission or attempted rescission of the contract, agreement or bond, nor by any conditions precedent or subsequent in the bond attempting to limit the right of recovery of claimants otherwise entitled to recover under any such contract or agreement or under the bond, nor by any fraud practiced by any person other than the claimant seeking to recover on the bond. and that this bond be construed most strongly against the Surety and in favor of all persons for whose benefit such bond i; given, and under no circumstances shall Surety be released from liability to those for whose benefit such bond has been given, by reason of any breach of contract between the owner of Public Entity and original contractor or on the part of any obliges named in st ch bond, but the sole conditions of recovery shall be that claimant is a person described it Section 3110 or 3112 of the California Civil Code, and has not been paid the full amount of his claim and that Surety does hereby waive notice of any such change, extension o:.'time, addition, alteration or modification herein mentioned. IN WITNE 3S WHEREOF three identical counterparts of this instrurrrent, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal ar.d Surety above named, on the 29th day of May , 2008. First National Insurance Company of America —(SEAL) C.I. Ceorgiou Painting Co. (SEAL) By: Les M. Mantle Attorney in Fact (SEAL) Surety (SEAL) By: Costas T. Owner ou Principal (SEAL) (SEAL) PAYMENT BOND (CONTINUED) NATIONAL CITY CITY PARKS REHABILITATION PAINTING PROJECT SPECIFICA"ION NO. 07-06-A ATTORNEY -IN -FACT ACKNOWLEDGEMENT OF SURETY STATE OF California COUNTY OF Orange ) ss On this day 29th of May , 2008, before me, the undersigned, a Notary Public in and for said County and State, personally appeared Les M. Mantle known to me to be the person whose namo is subscribed to the within instrument as the attorney -in -fact of the First National Insurance Company of America , the corporation named as Surety in said instrument, and acknowledged to me that he subscribed the name of said corporation :hereto as Surety, and his own name as attorney -in -fact. NOTE: Signature of those executing for Surety must be properly acknowledged. NOTE: The Attorney -in -fact shall attach a certified copy of the Power of Attorney. Name (Type: or Print): Mary Martignoni (Notary Public in and for said County and State) My Conuni ;sion expires: 9-9-2011 APPROVED AS TO FORM: By: George : I.-Eiser, III City AttDmey MARY MARTIGNONI COMM. # 1761251 NOTARY PUBLIC - CALIFORNIA ORANGE COUNTY My Comm. Expires Sept. 9, 2011 CO POWER OF ATTORNEY No, 9018 Finn, National Insurance Company of Amence Safaco Nara Seattle, WA 98185 KNOW ALL BY THESE PRESENTS: That FIRST NATIONAL INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint ""•'•"*LES M. MANTLE; Fullerton, California""""`"""'*"••"•"`••****"*"*****"'*""'"' its true and lawful attomey(s)-in-fad. with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar c,raracter issued by the company in the course of its business, and to bind FIRST NATIONAL INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duty executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, FIRST NATIONAL INSURANCE COMPANY OF AMERICA has executed and attested these presents this 15th -r .+k'4 /)otJLA. 4.1e►:r!eyje/q STEPHANIE DALEY-WATSON, SECRETARY day of May 2007 TIM MIKOLAJEWSKI, SENIOR VICE-PRESIDENT, SURETY CERTIFICATE Extract from the By -Laws of FIRST NATIONAL INSURANCE COMPANY OF AMERICA: "Article V, Section 13. - FIDELITY AND SURETY BONDS ... the President, any Vice President, the Secretary, and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attomeys-m-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of simdar character issued by the company In the course of its business... On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any Instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided. however, that the seal shall not be necessary to the valklity of any such instrument or undertaking.' Extract from a Resolution of the Board of Directors of FIRST NATIONAL INSURANCE COMPANY OF AMERICA adopted duly 28, 1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V, Section 13 of the By -Laws, and (II) A copy of the power -of -attorney appointment, executed pursuant thereto, and (iii) Certifying that saki power -of -attorney appointment is In full force and effect, the signature of the certifying officer may be by facsimile, arxl the seal of the Company may be a facsimile thereof." I, Stephanie Daley -Watson , Secretary of FIRST NATIONAL INSURANCE COMPANY OF AMERICA. do hereby certify that the foregoing extracts of the By -Laws and of a Resolution of tho Board of Directors of this corporation, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By -Laws, the Resolution and the Power of Attorney are still In full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation this 29th day of May , 2008 . 71, STEPHANIE DALEY-WATSON, SECRETARY S-1049/DF 4105 * • Safcme9 and the Sateco bge are registered trademarks et Safeco Cortxnatiun. WEB PDF STATE COMPENSATION INSURANCE CERTHOLDER COPY P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 05-28-2008 GROUP: 000713 POLICY NUMBER: 0022244-2007 CERTIFICATE ID: 57 CERTIFICATE EXPIRES: 01-01-2009 01-01-2008/01-01-2009 CITY OF NATIONAL CITY SG JOB:07-08-A 1243 NATIONAL CITY BLVD NATIONAL CITY CA 91950-4301 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This Poi cy is not subject to cancellation by the Fund except upon 45 days advance written notice to the employer. We will also give you 45 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the 'policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain. the insurance afforded by the policy described herein is subject to all the terms, exclusions. and conditions, of such policy. THORIZED REPRESENTATIVfs�) PRESIDENT UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER; EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 02-08-2008 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER GEORGIOU, COSTAS DBA: C T GEORGIOU PAINTING CO 433 LECOUVREUR AVE WILMINGTON CA 90744 (SGM,CS] SG PRINTED : 05-28-2008 (REV.2-051 From'Valerie Gonzales Faxlfl United Agenoes Inc Page 1 of Date:5/29/200B 03'.19 PM Page:1 of 3 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 11 CTGEO-1 DATE IIM/DD/1'YYYl 05/29/08 PRODUCER United Agencies, Inc. (1) CA License #0252636 301 E. Colorado Blvd. Ste. 200 Pasadena CA 91101 Phone:626-449-0301 Fax:626-564-6565 INSURED 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, INSURERS AFFORDING COVERAGE NAIC # C T Georggiou Painting Co. Costas Georgiou 433 7recouvieur Ave. Wilmington CA 90744 rsa?E;.1 Peerless Insurance Co. i 24198 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND COND/TIONS OF SUCH POLICIES. AGGREGATE LIMITS MOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1N�liy1UUL ' POCICVEFFECTIVE POLICY EXPIRA ON LTR INSRD TYPE OF INSURANCE POLICY NUMBER • DATE IIMIDDTYY) DATE (MM/DDM') UNITS GENERAL LIABILITY A -X !X -,• r,F-^-u-,X71,IT, 1 I ;GVIL Xl:'1 ::1 GL9814785 I 02/12/08: 02/12/09 L4_r Lr_I__:;.E'Y:F 11,000,000 L ki.,'sr< " EDE.,ro ,..... 5100 000 js5,000 L--dJrsLs..�.,u_;v 1;1,000,000 :fF1-T< 31''�F.33 f2,000,000 G. '. .L,nTF1'YIT 2•--_ESTER PPCt- Ii2,000,000 I I AUTOMOBILE LIABILITY r^ ;^L. .......... 1 -ra: FnF^ E IV?t F .LI' Fan. o(rl L) F ; ‘‘',-GE c . GARAGE LIABILITY 1 I ro nv r EXCESS/UMBRELLA LIABILITY ;,r-,,: _Lc,'S\YJ1, 1 nF-I C- ,,I F I ! I.>? ;;:_L J^^!..NJ- I I '" :R' -'TE f WORKERS COMPENSATION AND' EMPLOYERS' LIABILITY ;'.I.i✓�:-�._Ir.4':F,.k-•._gin <._, .J•., :_ Inl ;R.`1 G ,c'.. , -_- - - C_ _<._:., N:--.-: 1 f I r) -FAs_ O1I,.1•11 1 OTHER - DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Subject to all policy terms, exclusions and conditions. RE: National City Parks, Painting Project, Contract #07-06A; City of National City is named as an Additional Insured per contract on file; *PLEASE NOTE COPYRIGHT LAWS APPLY TO THE ACORD FORM PROHIBITING US FROM CROSSING OFF THE "ENDEAVOR TO CLAUSE" HOWEVER, PER UNITED AGENCIES, INC. PROCEDURES WILL ** SEE ATTACHMENT E HOLDER CANCELLATION CITYNAD City of National City 1243 National City Blvd, National City CA 91950 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY HIND UPON THE INSURER, ITS AGENTS OR REPRE ENTATIVES. AU PRES RAIN CORD CORPORATION 1988 From: Valerie Gonzales FaxID: United Agencies Inc Page 3 of 3 Date:5/29/2000 03:19 PM Page:3 of 3 frit3ri� ++ NOTIFY YOU WITHIN 30 DAYS IF THE }POLICY TE08,2s/Oe °rom Valene Gonzales FaxID-United Agencies Inc Page 2 of 3 Date.5292008 03 19 PM Page? of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s). authorized representative or producer. and the certificate holder. nor does it affirmatively or negatively amend: extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Jun 02 08 12:18p Chet Stewart - Suite Farm 1310) 326-8119 p.2 uwu ,Air 411011111 CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: ❑ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ® STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas [] STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or ❑ STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: 1 NAMED INSURED: Costas Georgiou DBA: CT Georciou Painting ADDRESS OF NAMEJINSURED: 3412 Palo VisLa Dr., Rancho Palos Verdes, CA 90275-6758 POLICY NUMBER p76-2077-030-75F. 093 5308-A13- 75B ,- 102 8451-F15-7513 111 1891-C23-75 EFFECTIVE DATE OF POLICY 04/30/08 10/30/08 01/10/08 07/13/08 1z/15/07 06/15/08 03/23/08 09/23/0B DESCRIPTION OF VEHICLE (including VIM) 1996 TOYOTA JT4RN55R2G0177236 1999 FORD 1FTNX20S8XF'.C75997 1993 FORD 1FT,IF..34R9PRB88276 1988 FORD 1FTEX15110JKA60629 LIABILITY COVERAGE _ 0 YES ❑ NO 0 YES ❑ NO ® YES ■ NO 0 YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury Person 1 J _Each Each Accident bProperty Damage Each Accident _1 1-c. Bodily Injury & Property Damage Single Limit Each Accident 1 MILLION I MILLION 1 MILLION 1 MILLION PHYSICAL DAMAGE COVERAGES a. Comprehensive ►y YES • NO 0 YES • NO 0YES IIINO ■ YES 0NO $ 100 Deductible $ 100 Deductible $ 100 Deductible $ Deductible b. Collision IS YES 0 NO $ 250 Deductible VI YES ■ NO 0 YES 0 NO 0 YES ■ NO $ 250 Deductible $ 250 Deductible $ Deductible EMPLCAR LIABILITY RSCOVERAGE ❑ YES ® NO ■ YES Co NO ❑ YES ►B NO ■ YES ►Z� NO HIRED CAR LIABILITY COVERAGE NIYES 0NO IIIYES El NO IIIYES ElNO ❑ YES 0NO FLEET - COVERAGE FOR ALLOWNE.DANDLICEt4SID MOTOR VEHICLES YES ►i NO 0 YES ►:A NO ❑ YES ►:� NO ■ YES ® NO Signature of Authorized R+presen Name and Address of Certificate Holder Additional Insured City of National City 1243 National City Blvd. National City, CA 91950 (Shi AGENT STAFF 1208 Tide Agent'a Code Number Date Name and Address of Agent 0d/29/2008 STATE FARM INSURANCE CHET STEWART 24100 NARBONNE AVE, 9101 I,OMITA, CA 90717 310-326-0075 NTERNAL STATE FARM t1aE ONLY: Q Request permanent Certificate of Insurance for liability coverage. 122429.3 Rev. 07-26-2005 0 Request Certificate Holder to be added as an Additional Insured. Jun 02 08 12:18p Chet Stewart - State Farm f310) 326-8119 p•3 CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VAUD MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POUCY DESCRIBED BELOW. This certifies that: ❑ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ® STATE FARM FIRE AND CASUALTY COMPANY of Bloomington. Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas O STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or O STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: NAMED INSURED: Costas Georgiou, I1PA : C1` Geor9iou Painting ADDRESS OF NAMED INSURED: 3412 Palo Vista Dr., Rancho Palos Vcxdes, CA 90275--6158 POLICY NUMBER 114 4183 E10-75 118 2698-A07-75 249 9992-F16-75 P18 5835-A02-150 EFFECTIVE DATE OF POLICY 05/10/08 1.1/10/08 01/07/08 07/07/08 12/16/07 0611.6/08 01/02/08 07/02/08 DESCRIPTION OE VEHICLE (Including VIIV) 1998 FORD 1GCGG25R6W1084647 1996 FOFU 1FTJE34HOTE845486 2006 FORD 1rrSw21 P16E1384732 2000 FORF 15 r8X18L7'rK1303956 LIABILITY COVERAGE ® YES 0 NO 0 YES ■ NO Ej YES ❑ NO 0 YES 0 NO _/ LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident 1—b. Property Damage Each Accident c. Bodily Injury & Property Damage Single Limit Each Accident 1 MILLION MILLION 1 MILLION I 1 MILLION —1 PHYSICAL DAMAGE COVERAGES a. Comprehensive ® YES ❑ NO $ 250 Deductible 0 YES 0 NO $ 250 Deductible) 0YES IN NO 0YES ❑ NO $ 25,0 Deductible $ 100 Deductible b. CoNision ® YES ■ NO ® YES ■ NO YES 0 NO 0 YES ❑ NO $ 500 Deductible $ 250 Deductible $ 500 Deductible $ 500 Deductible EMPLOYERS NON-OWNc CAR LIABILITY COVERACIE El YES El NO • YES 0NO II YES ® NO III YES 0NO --i HIRED CAR LIABILITY COVERAGE 0 YES IXI NO ❑ YES NO IIIYES 0 NO InYES f: NO FLEET - COVERAGE FOR UCENSED MMOOTO�R VEHICLES ■ YES 0 NO ■ YES ® NO 0 YES 0 NO 0 YES 0 NO Signature of Autbeiited Represe Name and Address of Certificate Holder Additional Insur<-". City of National City 1243 National City Blvd. Nat.ion.al City, CA 91950 LJ%1'Z1 AGENT STAFF Title 1208 05/29/2008 Agent's Code Number Name and Address of Agent STATE FARM INSURANCE CHET STEWART 24100 NARBONNE AVE, #101 LOMITA, CA 90717 310-326-0075 Date INTERNAL STATE FARM USE ONLY: 0 Request permanent Certificate of Insurance for liability coverage. 122428 3 Rev. 07-26-2005 ❑ Request Certificate Holder to be added as an Additional Insured. Jun 02 08 12:18p Chet Stewart - State Farm (3101 326-8119 CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE CANCELED OR +OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: ❑ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ® STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas U STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or ❑ STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: NAMEDINSURED: Georgio, Costs C., DBA G 1' Geoiyiou Painting ADDRESS OF NAME) INSURED: 3412 Palo Vista Dr., Rancho Pulos Verdes, CA 90275-6158 POLICY NUMBER P73-0710-E26-75F EFFECTIVE DATE OF POLICY 11/26/07 C5/26/08 DESCRIPTION OF VEHICLE (Including VI:V) Employers Non owners Policy ❑ NO LIABILITY COVERAGE V YES ■ NO ■ YES ■ NO ■ YES IN NO ■ YES LIMITS OF LIABILITY a. Bodily Injury Each Person ___I. Each Accident b. Property Damage Each Accident c. Bodily Injury & Property Damage Single Limit EachAcodent 1 Million PHYSICAL DAMAGE COVERAGES a. Comprehensive Li YES $ 0 YES $ ❑ YES $ ❑ NO Deductible ❑ YES $ 0 NO I Deductible 1I 0 NO / NO Deductible Deductible b. Collision ❑ YES $ ® NO Deductible ■ YES _ ❑ NO Deductible [J YES $ ❑ NO Deductible ❑ YES $ ❑ NO I Deductible $ EMPLOYERS NON -OWNED CAR UABIUTY COVERAGE ® YES 0 YES 0 NO ❑ YES ❑ YES ❑ NO ■ NO ■ NO HIRED CAR COVERAGEL ILIA El YES ❑ NO ❑ YES 0 NO ■ YES ■ NO ■ YES ■ NO FLEET - COVERAGE FOFt ALL OWNED LICENSED MOTOVEHICLES0 R IAND YES 0 NO ❑ YES ❑ YES ■ YES ■ NO ■ NO ■ NO Signature of Authorized Re Name and Address of Certificate Holder Additional Insured City of National City 1243 National City Blvd. National City, CA 91950 AGENT STAFF' :208 05/29/2008 Title Agent's Code Number Date Name and Address of Agent State Farm Insurance CHHET STEWART 24100 NARBONNE AVE, SUITE %10I .DMITA, CA 90717 310-326-0075 NTERNAL STATE FARM Uji ONLY. 0 Request permanent Certificate of Insurance for liability coverage. 122420.3 Rev 07-26-2005 0 Request Certificate Folder to be added as an Additional Insured EMERGENCY NOTIFICATION LIST NATIONAL CITY CITY PARKS REIIA13ILITATION PAINTING PROJECT SPECIFICATION NO. 07-06-A DATE: N� cz , dopy The Contractor's representatives at the constriction site for the above subject project will be: Name g),e4/.0a, Emergent)/ Telephone Number(s) 3ro — s/_8ois 3io l0�8- aoAt Emergency Telephone Number(s) I am aware that one of the named representative(s) shall be present at the work site whenever work is in progress. Further, each of these responsible persons can be contacted in an emergency situation and have complete authority to act on the Contractor's behalf. ature of Co actor SAS r�ie� WN Name and Title Signature of Contractor Name and Title Note: Two signatures arc required if a corporation. 39 calf OF NATIONAL CITY BUSINESS LICENSE APPLICATION 1243 National City Blvd., National City, CA 91950 PLEASE TYPE OR PRINT. UCENSE WILL NOT BE ISSUED IF REQUIRED INFORMATION IS INCOMPLETE. ENCLOSE PAYMENT WITH APPUCATION. MAKE gjAECKSAYABLE TO THE CITY OF NATIONAL CITY. A. GENERAL INFORMATION BUSINESS NAME (D.BA OR INDIVIDUAL NAME) r\ 1 ta.T c). CORPORATION NAME (F DIFFERENT FROM 0 B A. ) LOCAL BUSINESS PHONE 2. NO '34-Oo/.5 LOCATION IN NATIONAL CITY , `NUMBER DR STREET NAME MAILING ADDRESS AND/OR P.O. BOX ROOM/SUIE NO. AMBER DM STREET NAME 4-11 4cC?( A/1104r A,-.)-k- - ROOM/SUITE NO P.O. BOX NO. cm ,�� %'�. I A STATE Gib ZIP CODE COD 4-� Ft MAtl6i A7 MAIRG ADORES$. NC10E AREA CASHIER'S COPY B. TRANSACTION TYPE — CHECK ANO COMPLETE IF APPLICABLE BUS a LIC ALL UCENSES EXPIRE DECEMBER 31 RENEWALS ARE DUE BY FEBRUARY 28 City of National City BUSINESS LICENSE DIVISION (619) 336-4330 TAXES $ (3 S - MISC $ PENALTY $ TOTAL $ / 3 S - ❑ NEW. BUSINESS N NA710NAL are: BUSS WILL OPEN/OPENED ON ❑ OYNERSHIP MANGE: PREVIOUS BUSINESS NAME C. DESCRIPTION OF BUSINESS CHEOL ONE A.❑ WHOLESALE B.❑ RETAIL C.❑ SEFMCE D.❑ RENTAL UNITS, r OF UNITS E CI MMFG F.❑ CONTRACTOR SLATE LICENSENO./HEALIH PERMIT/ABC NO/DINERS UC. NO G'1 J 1 ` Ca STATE RESALE NO. i FEDERAL O. NO./SOGAL SEC NO C.] '3 71- 1C7 CJ 1-- /> . /��1� - DESCRIBE BUSINESS FULLY - NCLWE PRNCRAL PRODUCT OR SERVICE MAS>EA OF BUSINESS VENCLES OPERATING N NITIOPNL CITY WITH YOUR COMPANY ADVERTISING {LOGO) ON THEM D. OWNERSHIP INFORMATION CHECK CRE 1. I'SNGLE PROP, ETORSHP 2 0 PARTNERSHIP 3. 0 CORPORATION UST OWHER/RWHTET6/OORPOiWE OFFICERS LAST HAKE • 6 0GiC10� FIRST NAME r�L-CPo� MI --S.o.�....-z•y TITLE HOME PHONE rij to 1/ S41 Q4'39` HOME ADDRESS 3 4-) 2 ,e0 �/Y N Pk. CITY STATE ZP CODE R P J/ c4. 9023 5 LAST NAME FIST NAME M TITLE HOME PHONE HOME ADORESS CITY STATE ZIP CODE E. EMERGENCY INFORMATION TO BUSINESS THE PERSON TO BE CONTACTED AT NIGHT IN CARP OF BREAK N. OR FIRE UST N ORDER OF PRIORITY AO PROXPARY NICE 1 TITLE HOME PHONE 2. 00 YOU HAVE A BURGLAR ALARMM7 1. 0 NO 2. 0 YES: IF YES 3. 0 SN.ENT 4. ❑ AUDIBLE NNE OF ALAPM COMPANY PHONE NO. ---------- OFFICE USE ONLY BUS & UC # BUSINESS CODE CATEGORY DECALS V G BIC -H/O PEND ..__ON FILE: B/C-HIO N/A B/C-H/O PEND P L A L-A A/P C C-A/P AUDITED BY DATE ENTERED BY DATE DATE WO PD B/L SENT INT /�1T1 rfl r .-.r.l1\/ MLA Sc:HtWULE I - BUSINESSES NOT CHARGED ON GROSS RECEIPTS (ENTER TOTAL ON LINE 11 BELOW) CONSTRUCTION ONLY - A. Type "C" Sub-contractor-Out-ot-town - B. Type "A" or "B" contractor -Out -of town - C. Adult only movie theater _ D. Adult only book store . E. Amusement arcade _... F. Bowling alley - G. Dancehall 135.uU 200.00 1 H. _I. 535.00 _ J. 535.00 , K. 265.00 - L. 265.00 _ M. 805.00 _. - N. Fortune telling Bingo Pawn broker Swap meet Mobile searchlig.it advertising Mobile amusement vehicle 2nd location in National City SCHEDULE I1 - BUSINESSES CHARGED ON GROSS RECEIPTS TAXABLE GROSS RECEIPT BRACKET O.Registered Not -for -profit N/C P. Fee exempt N/C O.Warehouse incidental to business NIC (Business must be in National City) . - S Auctioneer S 135.00 1. Out at vendor $65.00 per vehicle $65 00 X. vehicles = -- 2. Retail toad 8 beverage vendors $200.00 per vehicle $200.00 x_ . ._vehicles = BUSINESS CLASSIFICATION 2 3 4 5 S 265.00 S 50.00 $ 400.00 S 6,000.00 S 135.00 S 65.00 S 20.00 6 0.19.999 20,000-49.999 50,000-99.999 100.000-199,999 200.000-299.999 300.000-399,999 400.000-499.999 500,000-599,999 600,000-699,999 700.000-799,999 800.000-899,999 900,000-999.999 1.000,000-1,099.999 1.100,000-1.199,999 1,200,000-1.299,999 1,300,000-1.399.999 1,400.000- 1,499,999 1,500.000.1,999,999 2,000,000-2.499.999 2,500,000-2,999,999 3,000,000-3,499,999 3.500.000-3,999,999 4000000-4,999.999 5,000,000-5,999,999 6,000.000-7.999,990 8.000,000 10,999.999 11,000,00013.999.999 14000,000-15.999,999 16.000.000-17999,999 18,000,000.19.999.999 20,000000-21,999.999 22,000.000 AND ABOVE 50 so 50 50 50 60 73 84 96 *07 118 129 139 149 159 168 177 222 266 310 352 392 470 545 688 894 1.091 1217 1.343 1.469 1,594 1.720 50 50 50 50 84 81 97 113 128 143 157 172 185 199 212 224 236 296 355 413 469 523 627 727 918 1192 .455 1,623 1.791 1.958 2.126 2.294 50 50 52 58 BO 101 121 14 1 160 179 197 215 232 248 265 280 296 370 444 516 586 653 783 908 1147 1490 1.819 2.029 2238 2.448 2.657 2.867 50 50 60 70 96 121 145 189 192 214 238 257 278 298 318 336 355 444 533 619 703 784 940 1090 1376 1788 2,183 2.434 • 2.686 2.937 3,189 3,440 50 60 74 81 112 141 169 197 224 250 275 300 324 348 371 392 414 515 621 723 B20 915 1096 1271 1606 2086 2.547 2.840 3.133 3.427 3,720 4,014 50 80 86 93 128 161 194 225 256 288 315 343 371 398 423 449 473 592 710 826 938 1046 1253 1453 1835 2384 2910 3246 3.581 3,916 4,252 4.587 BUSINESS LICENSE TAX CALCULATION A. BASIC TAX (CHECK ONE) 1. ❑ FOR CLASSIFICATION 1-6 ONLY, FIRST LICENSE $50.00 2. ❑ FOR CLASSIFICATION 1-6 ONLY, SECOND YEAR RENEWAL 3. EXACT GROSS RECEIPTS FROM PREVIOUS YEAR $ 4. TAX (FROM RATE SCHEDULE 11) $ X2 5. LESS PRIOR YEAR MINUMUM DEPOSIT $ -5000 6. NET TAX 7. 0 FOR CLASSIFICATION 1-6 ONLY, RENEWALS AFTER SECOND YEAR 8. EXACT GROSS RECEIPTS FROM PREVIOUS YEAR $ _ 9. TAX (FROM RATE SCHEDULE II) 10. 0 FOR BUSINESSES NOT CHARGED ON GROSS RECEIPTS 11. FLAT TAX (FROM RATE SCHEDULE I) B. OTHER FEES (CHECK IF APPLICABLE) 12. ❑ CHANGE OF LOCATION (CALL FOR AMOUNT) 13. U CHANGE OF BUSINESS NAME (CALL FOR AMOUNT) 14. ❑ VIDEO GAMES-$55.00 PER MACHINE X MACHINES- 15. ❑ MISCELLANEOUS 16. SUB -TOTAL C. PENALTY IF PAID AFTER FEBRUARY 28th 17. ❑ MARCH 1st through MARCH 31st ADD 20% 18. ❑ APRIL 1st through APRIL 30th ADD 40% 19. ❑ MAY 1st through MAY 31st ADD 60% _ 20. 0 JUNE 1st through JUNE 30th ADD 80% 21. ❑ AFTER JUNE 30th ADD 100% 22. TOTAL TAX DUE PLEASE ENCLOSE PAYMENT WITH APPLICATION CHECKS SHOULD BE MADE PAYABL E TO CITY OF NATIONAL CITY D. SALES OR USE TAX MAY APPLY TO YOUR BUSINESS ACTIVITIES. YOU MAY SEEK WRITTEN ADVICE REGARDING THE APPLICATION OF TAX TO YOUR PARTICULAR BUSINESS BY WRITING TO THE NEAREST STATE BOARD OF EOUALIZATION OFFICE. E 1 DECLARE UNDER PENALTY OF PERJURY THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF SIGNATURE lI -AG''f 1 TITLE >7^ DATE 9,c ; BUSINESS NAME e -"ff. 6e-0 -GroLA Pi 6,_ C.-J . CITY FILE CtlPY f!9 CITY OF NATIONAL CITY Finance Department 619 336-4330 National City 37 / 13331 06/09/2008 10:11:17.000 Reg CASH2 Validation Receipt CHARGES- 001-00000-3040 BL new/c.t. georgiou $ 135.00 Sub -total $********135.00 PAYMENT - Cash $ 200.00 Change $********-65.00 THANK YOU! Business Hours: 7:00 - 6:00 Monday lhrough Thursday Closed on Fridays RESOLUTION NO. 2008 — 82 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AWARDING A CONTRACT IN THE AMOUNT OF $29,970 TO C.T. GEORGIOU PAINTING COMPANY FOR THE NATIONAL CITY CITY PARKS REHABILITATION PAINTING PROJECT WHEREAS, the Engineering Department of the City of National City did, in open session on May 5, 2008, publicly open, examine, and declare five sealed bids for the National City City Parks Rehabilitation Painting Project. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby awards the contract for the National City City Parks Rehabilitation Painting Project to the lowest responsive, responsible bidder, to wit: C.T. GEORGIOU PAINTING COMPANY BE IT FURTHER RESOLVED by the City Council that the Mayor is hereby authorized to execute on behalf of the City a contract between C.T. Georgiou Painting Company and the City of National City in the amount of $29,970 for the National City City Parks Rehabilitation Painting Project. Said contract is on file in the office of the City Clerk. PASSED and ADOPTED this 20th day of May, 2008. on Morrison, Mayor ATTEST: Mi ael R. Dalla, City Clerk APPROVED AS TO FORM: George H. -Eiser, III City Attorney Passed and adopted by the Council of the City of National City, California, on May 20, 2008 by the following vote, to -wit: Ayes: Councilmembers Morrison, Natividad, Parra, Ungab, Zarate. Nays: None. Absent: None. Abstain: None. AUTHENTICATED BY: RON MORRISON Mayor of the City of National City, California h City CI rk of the City of ational City, California By: Deputy I HEREBY CERTIFY that the above and foregoing is a full, true and correct copy of RESOLUTION NO. 2008-82 of the City of National City, California, passed and adopted by the Council of said City on May 20, 2008. City Clerk of the City of National City, California By: Deputy Cq.00%-as City of National City, California COUNCIL AGENDA STATEMENT Al1EETING DATE May 20, 2008 AGENDA ITEM NO. 5 ITEM TITLE A Resolution of the City Council of the City of National City awarding a Contract to C.T. Georgiou Painting Co., in the base bid amount of $29,970 for the National City City Parks Rehabilitation Painting Project. (Funded through General Funds) PREPARED BY Kenneth Fernandez EXPLANATION Please see attached page with explanation. DEPARTMENT Engineering EXT. 4388 • Environmental Review X N/A Financial Statement MIS Approval Approved By: Finance Director The total estimated amount for the work is $41,970.00. Funding is available through Account 001-409- 500-598-4127. (General Funds). Account No. STAFF RECOMMENDATION Ado the Resolu BOARD/CO S10N RECOMMENDATION N/A ATTACHMENTS (Listed Below) Resolution No. 'a o o - % a 1. Resolution L 2. Bid Opening Information Sheet 3. Biography of C.T. Georgiou Painting Co. SPEC 07-06-A A-200 (Rev. 7/03) City of National City Office of the City Clerk 1243 National City Boulevard, National City, CA 91950-4397 Michael R. Dalla, CMC - City Clerk (619) 336-4228 Fax: (619) 336-4229 June 18, 2008 Mr. Costas Georgiou Owner C.T. Georgiou Painting Company 433 Lecouvreur Avenue Wilmington, CA 90744 Dear Mr. Costas, On May 20th, 2008, Resolution No. 2008-82 was passed and adopted by the City Council of the City of National City, awarding a contract to C.T. Georgiou Painting Company. We are enclosing for your records a certified copy of the above Resolution and a fully executed original agreement. Sincerely, u,l/ Michael R. Dalla, CMC City Clerk Enclosures cc: Engineering Dept. ® Recycled Paper