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HomeMy WebLinkAbout2009 CON MJC Construction - Paradise Creek Educational Park - Skate StoppersINFORMAL CONTRACT AND GENERAL PROVISIONS CONTRACT AGREEMENT — PUBLIC WORKS Project Name: Paradise Creek Educational Park Skate Stoppers Installation THIS AGREEMENT, is entered into this l/ ? 2 day of , 2009, by and between the City of National City, hereinafter referred to as "CITY", and M J C Construction, hereinafter referred to as "CONTRACTOR". THE CITY AND CONTRACTOR AGREE AS FOLLOWS: 1. Project. The CONTRACTOR hereby agrees to commence and complete the following construction project: PROJECT NAME: Paradise Creek Education Park Skate Stoppers Installation LOCATION: W. 19`" Street and Hoover Avenue, National City, CA 91950. WORK TO BE PERFORMED: Repair damaged areas at concrete seating for amphitheater and installation of 22 skate stoppers (Model FA 902.5 to be installed on amphitheater seating, and as specified in the plan attached as Exhibit "A", and incorporated herein. 2. Compensation. Compensation shall be based on monthly billings covering actual work performed. Invoices shall include labor classifications, respective rates, hours worked and also materials, if any. The total cost for all work described in Exhibit "_B" shall not exceed $2.200.00 (the Base amount) without prior written authorization from the City Engineer. Monthly invoices will be processed for payment and remitted within thirty (30) days from receipt of invoice, provided that work is accomplished consistent with Exhibit "B", as determined by the CITY. 3. Documents. The CONTRACTOR shall maintain all books, documents, pa- pers, employee time sheets, accounting records, and other evidence pertaining to costs incurred, and shall make such materials available at its office at all reasonable times during the term of this Agreement and for three (3) years from the date of final payment under this Agreement, for inspection by the CITY and for furnishing of copies to the CITY, if requested. 4. Contractor Expenses. For all work set forth in the contract, the CONTRACTOR, at its sole expense shall furnish all the materials, supplies, machinery, equipment, tools, superintendents, labor, insurance, sales tax, and other accessories necessary to complete the Project, in accordance with the conditions and prices stated in Exhibit ` B". 5. Commencement. The�O TRACTOR hereby agrees to commence work under this Contract on or before / ZI 6 , 2009, and shall complete the Project within 10 working days. The CO TRACTOR further agrees to pay, as liquidated damages, the sum of One Hundred Dollars ($100) for each consecutive calendar day in excess of the time specified for completion. 6. Reference Specifications. Except as otherwise noted, the work shall be done in accordance with the following reference drawings: A. Standard Drawings. San Diego Regional Standard Drawings, -GreenBook" Standard Specifications for Public Works Construction 1997, San Diego Regional Drawing. 7. BUSINESS LICENSE: Before a contract can be executed, the Contractor, and its subcontractor(s), and supplier(s) must have a National City Business License, which may be obtained at the City's Finance Department Call (619) 336-4341 for further information regarding the license fees, application, etc. 8. Insurance. The CONTRACTOR, at its sole cost and expense, shall purchase and maintain, and shall require its subcontractor(s), when applicable, to purchase and maintain throughout the term of this agreement, the following insurance policies: A. COMMERCIAL GENERAL LIABILITY INSURANCE, with minimum $500,000 per occurrence/$1,000,000 aggregate, covering all injury and property damage arising out of its operations under this Agreement as stipulated in Section 7-3 of the Standard Specifications. The aggregate insurance limits must apply solely to this "project" or "location". The City of National City and its officers, agents and employees shall be named as additional insured, and a separate additional insured endorsement shall be provided. B. AUTOMOBILE INSURANCE covering all bodily injury and property damage incurred during the performance of this contract, with a minimum coverage of $300,000 per person, $500,000 combined single limit per accident. Such automobile insurance shall include owned, non -owned, and hired vehicles ("any auto"). The City of National City and its officers, agents and employees shall be named as additional insured, and a separate additional insured endorsement shall be provided C. WORKERS' COMPENSATION INSURANCE in an amount sufficient to meet statutory requirements covering all of CONTRACTOR'S employees. If CONTRACTOR has no employees subject to the California Workers' Compensation and Labor laws, CONTRACTOR shall execute a Declaration to that effect. Said Declaration shall be provided to CONTRACTOR by CITY. D. The aforesaid policies shall constitute primary insurance as to the CITY, its officers, employees, and volunteers, so that any other policies held by the CITY shall not contribute to any loss under said insurance. Said policies shall provide for thirty (30) days prior written notice to the CITY of cancellation or material change. E. If required, insurance coverage is provided on a "claimrather than 'occurrence" form, the CONTRACTOR shall maintain such insurance coverage for three years after expiration of the term (and any extensions) of this Agreement. In addition, the "retro" date must be on or before the date of this Agreement. 2 F. Insurance shall be written with only California admitted companies which hold a current policy holder's alphabetic and financial size category rating of not less than A VIII according to the current Best's Key Rating Guide, or a company equal financial stability that is approved by the City's Risk Manager. In the event coverage is provided by non -admitted -surplus lines" carriers, they must be included on the most recent California List of Eligible Surplus Lines Insurers (LESLI list) and otherwise meet rating requirements. G This Agreement shall not take effect until certificate(s) or other sufficient proof that these insurance provisions have been complied with, are filed with, and approved by CITY'S Risk Manager. If the CONTRACTOR does not keep all of such insurance policies in full force and effect at all times during the terms of this Agreement, the CITY may elect to treat the failure to maintain the requisite insurance as a breach of this Agreement and terminate the Agreement as provided herein. H. All deductibles and self -insured retentions in excess of $10,000 must be disclosed to and approved by the CITY. In the event of expiration or proposed cancellation of said policy(ies), the City shall be notified in writing thirty days prior to the effective date of expiration or cancellation. J. The Certificate Holder on all insurance certificates shall be: City of National City 1243 National City Blvd National City, CA 91950-4301 9. Bond. The CONTRACTOR shall provide the payment and performance bond for 100% of total construction cost. 10. Underground Service Alert (Diq Alert). Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a "Permit to Excavate" will be valid. For your Dig Alert I.D. Number, call Underground Alert Toll Free at 1-800-227-2600 at least two working days before you dig. 11. Prevailing Wage. The CONTRACTOR is required to comply with the Section 1771 of the Labor Code regarding the General Prevailing Wage rates. 12. Construction Debris. The CONTRACTOR shall promptly remove all debris and salvageable material in compliance with the CITY'S Construction and Demolition Debris Ordinance, Chapter 15.80 of the National City Municipal Code. The burning of debris from the work site is not permitted. 13. The CONTRACTOR shall so conduct his operations as to offer the least possible obstruction and inconvenience to the public. 14. Adjacent Property Owners. CONTRACTOR'S operation shall be conducted in such a manner as to cause as little inconvenience as possible to abutting property owners. 48 hours before commencing the work, the CONTRACTOR shall notify all residents in the immediate area that may be directly affected. 3 15. Any public improvements project not completed and cleaned up within 10 working days of the inspection of the forms is subject to being required to complete the work including overhead, plus a surcharge of 50%. 16. Work is to be performed between the hours of 7:00 a.m. and 5:00 p.m., Monday through Friday, unless special permission has been obtained from the City Engineer. 17. No material shall be transported to any other site in National City without obtaining an additional permit. 18. City streets shall be kept clear or spillage. dust, dirt, mud, etc. 19. Improvements installed by CONTRACTOR that do not meet CITY requirements as to design, location, or construction, shall be modified or removed to meet CITY requirements, as directed by the City Engineer. If CONTRACTOR fails to act upon notice from the City Engineer, the City can act for applicant and charge CONTRACTOR for correction of remedial work. 20. The Contractor shall obtain all necessary permits as required by the CITY. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first above written. This contract may be executed in two counterparts, each of which shall be deemed an original. CITY OF NATIONAL CITY B ler yam Babaki, P.E. City Engineer M. J. C. Construction (Corporation - signatures of two corporate officers) (Partnership - one signature) (Sole proprietorship - one signafur ) • By: (Name) Javier Jimen6z (Print) President (Title) By: l' (Name) , JAV16/2- JrM�w1�Z-- (Print) (Title) 4 CONTRACTOR'S INFORMATION Licensed in accordance with ) an Act providing for the ) Registration of Contractors ) License No. 754128 ) Class A ) Expiration Date September 30, 2010 ) ( 619) 472-5619 Telephone ( 619) 472-5637 Fax No. National City Business License No. Federal I.D. No. I,3Is..1t k CORPORATE CERTIFICATE , certify that I am the F Secretary of the Corporation named as the CONTRACTOR in the foregoing Contract: that who signed said Contract on behalf of the CONTRACTOR, was then ei.4(4F SEcp-c -y of said Corporation; that said Contract was duly signed for and on behalf of said Corporation by authority of its governing body, and its within the scope of its corporate powers. 6 'rint -Maps Page l of it Live Search Maps Paradise Creek Educational Park Location: W 19th Street and Hoover Avenue it, FREE! Use live Search 411 to find modes, businesses 9 more: 800-CALL-411. SITE MAP ttp://maps.live.com/print.aspx?mkt=en-us&z=18&s=h&cp=pf9sty5771 yz&pt=pb 10/2/200 EXHIBIT "A" JC CONSTRUCTION PROPOSAL. CONTRACT MIC Construction 3015 Sylvia St. Bonita Ca. 91902 (619)472-5619 Fax (619)472-5637 DATE: 9.23/ 08 To: City of National City 1243 National City Blvd National City, Ca. 91950 PROJECT: Paradise Creek Educational Park Skate Stop Install INCLUDES: 1) Repair datioiged areas at cotic�eie seating for amphitheater. 2) Installat:ion of 22 skate stops, item# FA 902.5. to be installed on amphitheater seating. TOTAL...S2,200.00 EXCLUSIONS_: Plans, permit, bond, inspection fees WE PROPOSE to htn:ish labor and material complete in accordance with above specifications, and subject to the conditions found in this agreement. "SEE ABOVE PRICES" * Prices good for 30 days front above date* *Payments to be made as follows: 100% progress payment to be paid in full upon completion. ACCEPTED: The above pries, speeificatians and conditions are satisfactory and are hereby accented. All materials are guaranteed to spc.'c ifica1ioaS. Work G7 be; completed is a workmanlike manner according to Standard Construction Practice. Any iltrlretinas or deviations front written specifications will be ever and above the estimated p7rice. It is &ether agreed that in the event payment is not made as states above, it is hereby agreed that MIC Construction will be entitled to receive lull compensation for all reasonable fees and h ga1 cost, including attornev's fees if necessary to collect all monies owed... PROPOSAL ACCLPTED BY: DATE- , a -,� b2 DATE: BY.. <,- ,� Iavier cone z-President 1 - 7.nizn 1th-i 7r Or!0J 117C lU i,.(3 Tr rli'.1l 7' try Ir.n 1:ateboard damage with Skatestoppers model 1'A90 skate deterrent Page 1 of I BACK HOME CONTACT US SKA"1'1?STOPPERSV FA-902.5 Skate Deterrent This patented part is designed for 90 degree walls with 1 /2" radius edge. Model E A902.5 is most commonly used on poured concrete. Material: Outside Dimensions: Colors: 6061-.1.6 3.75" (top) x 2.375" (face) x 2.0" (wide) (Tear Anodize !lard Anodize (dark gray) Mocha ('-oat (subject to avail) White (.'oat (subject to avail) Mounting Hardware Options Adhesive and SM,\R 1' PINS PHIS tp:."/ www.skatestoppers.com/P19025Skatestoppers.htm IOil:2008 ASBullnosel .5 for 1.5" Radius Bullnose FA90A - 90 degree bracket with .125" Radius ASBullnose 1.25 for 1.25" Radius Bullnose FR 1.0 for 1.0" Radius Bullnose FRO.5 for .5" Radius Bullnose FRO.12 for .125" Radius FA9OCC - .5" radius bracket (primarily for curbs NOTE: This sheet was generated at full scale. Verify that fax transmission or reproduction did not change scale prior to use of this template set. Measure and verify that the noted 1' dimension of the FA 135 above is 1 ". If the marked dimension is not 1 ", enlarge/reduce sheet accordingly. FA902.5 - 90 Degree Bracket with .5" radius FA135 for Chamfer FRO.25PC for Plastic Coated Benches or Fiberglass Benches INTELLICEPT, CA USA tel 619-447-6374 STANDARD PRODUCT PROFILES Cut out shapes and check which shape fits best prior to ordering. ffiIBIT "B" SKAITE o o SkateStoppers is a trademark of In'ellicept FA Installation (Product with Smart Pins The following are step-by-step instructions for the installation of SkateStoppers skate deterrents. It is assumed that you have already removed the residual wax and plastic that is typically left behind by skate abuse (use a hand grinder or heated, high pressure water). For best results and easiest application, we recommend that you use the following rools and supplies: 1; SkateStoppers and anchors 2; Adhesive, Aahesive Applicator and Mixing Nozzles 3; Harnrner drill, 7/16" drill bit, hole brush, and aspirator or vacuum 4) Cutting Knife 5) Drill Gun and Fastener Drive Bif 6) Isopropyl Alcohol 7) No Skating Signs 6 Protective Gloves, Dust Mask, ana Safely Glasses Step One - Product Layout SkateStoppers are designed in a variety of colors to complement existing architecture. It is important to place the produc of eauidis^an; increments and symmetrical to the applied surface so that the goal of deterring ;jbuse can be achieved without creating an eyesore; Tne surfaces on which the product is to be applied shoula be measured. Make a mark on the working surface approximately 18" from both ends these will serve as your ena pieces. Next, measure the distance between the end pieces and divide that distance into equal increments (approximately 36"). Mark the working surface at the appropriate placement positions. Depending on the magnitude of the abuse at your site, you may choose to increase or decrease the recommended distance. For chronically abused properties, consider decreasing the space between parts. Loosely position proauct at the marked locations and examine the working surface from a distance. If 'he parts are laia symmetrical and the spacing is deemed adequate, proceed to the next step. Otherwise. repeat this process until a satisfactory layout is achieved. WARNING: Do not applySkateStoppers _._ to stairways or steps. Shortening the stun platform may create a trip hazard to pedestrian traffic that could result in serious injury or death. 1 Step Two- Preparation Assuming that the site has already been cleaned, has dried, and that the layout for the product has been decided, you will need to locate and mark the first hole. ) First, fit the port snugly to the edge. Using a pencil, mark the cement through the hole on the part. DO NOT MARK THE SECOND HOLE AT THIS TIME. Repeat this narking process until oil of the horizontal holes have been marked. Charnferred Edges: If you are applying the FA1 35 product to a chamferred edge. the firs* hole to be marked is the hole on the chamfer. Step Three - Drill First Hole Once the first holes have been marked, you are ready to begin drilling. Using a hammer drill and c 3; 8'' arill bit ( 7/ 1 6" `or chamfer). drill the narked holes To 2" depth. Step Four - Drilling Second Hole Set one screw partially Through the bracket. Align the bracket and pin on the first drilled hole. Mark the second hole, and drill the hole. Chamferred Edge (FA] 35): With the anchor and SkateStopper loosely set on the chamfer surface, mark the hole on the horizontal surface, and arill the hole (you may choose to use the part as a guide to align the horizontal surface hole). NOTE: DO NOT DRILL UNTIL YOU HAVE CHECKED THAT THE PART IS STRAIGHT WITH RESPECT TO THE EDGE OF THE TREATED SURFACE. After the second hole has been drilled, check that both fasteners can be inserted at the same time. If you observe that the either pin is difficult to insert and that the part is pulled taut, widen the hole slightly with the drill. Step Five - Bonding Preparation Using hand grinaer (with a masonry attac. �rnenrclean area to which the bracket will be bonded ;do not use a wire brush • as this 4V111 create a bigger mess,!. Next use the enclosed nylon brush to brush the interior walls of the holes. Remove the dust from the holes (using o vacuum', or aspirator). Wipe the bonding area free of dust with a clean rag ana Isoporpyl alcohol (rubbing alcohol). NOTE: FAILURE TO CLEAN THE HOI ES AND SURFACE WILL RESULT IN INFERIOR BONDING. Wipe cleanwith rubbing alcohol 2 • Y Step Six - Applying Adhesive The adhesives that we offer have characteristics that make application faster and easier than cther products. The non sag properties allow the material to be used on vertical surfaces without runs. Adhesives serve as a secondary bona against vandal attempts to remove parts and they serve to fill any gaps that may he present between the part and the trea`od surface (elirnina'ing pry points)_ ADH5OML orADH400ML these impuct resistor]- epoxies have a work tiff; of 10- 12 minutes. New rnoterior should be flushed through the mis nozzle every 5-6 minutes to prevent the rnix nozzle from clogging. When using this rnaterial, lay out all parts and anchors adjacent to their respective mounting locations prior to commencing with application of the cohesive for optimal results, start the screws through the product until the threads ore flush to the bottom of the part). This material sets in approximately 10 minutes (depending on temperature) and full cure is achieved in 4 hours. Trimming of excess material (Step 7) should be completed within one hour after application. Delaying trimming for any time longer than one hour may result in great difficulty with cutting through the adhesive. DURING USE. ADHESIVE SHOULD BE STORED AT TEMPERATURE RANGE BETWEEN 60 DEGREES AND 80 DEGREES FAHRENHEIT DO NOT STORE ADHESIVE PACKAGES IN THE SUN. HEATING MATERIAL V'/ILt ACCELERATE CURE RATES. MAKING APPLICATION MORE DIFFICULT. Follow the instructions for installing the adhesive and mixing nozzle into the applicator gun. The first 1/2" of material from the nozzle may not be properly mixed and should be discarded (Discard material until the color is uniform gray). When you ore ready, place the end or the nozzle in the drilled hole and `ill it fall. Next, apply adhesive To the undersiae of the part. Apply a 1 /4" bead from ono end to the other in a spiral pattern_ If you observed a gap between the edge and the inside corner of the part during fitting of the parts, lay a bead of adhesive on the inside corner of the part sufficient to fill the gap. Note: If aahesive extrudes from the Lori when it is alied. do not wipe or smear this will be nrnrned later under Step_ 8J. Apply adhesive to part Storage. If their is adhesive remaining in the tube ono you are finished, leave the mixing nozzle on. The mixing nozzle will act as o cap until the next time the adhesive is used. If you observe a gap between the part and the edge, use adhesive to fill gap. 3 • Step Seven - Applying the SkateStoppers Immediately after applying the adhesive, fake the par, holding the adhesive cavity up. and place it on the marked position of the surface. Screw the anchors irlto their respective holes until the screw is set flush. NOTE. NEVER LEAVE A SCREW HEAD ABOVE -HE PART SURFACE. IF THE SCREW DOES NOT SET FLUSH, REMOVE PART AND RE -DRILL A DEEPER HOLE. Step Eight - Trimming and Clean-up The best time to perform the trimming is when the adhesive is soft. Run knife blade flush to part all the way to the concrete/substrate. This will create a seam on which the material con be later pulled. Using a putty knife, the excess adhesive should be pulled when if has cured to the point that it peels cleanly from the substrate (refer to section 5 for set and cure times). Step Nine - No Skating Signs If you haven't already done so. post "No Skating" signs on your property. If you are installing SkateStoppers in pedestrian traffic_ areas, your signs should include language warning pedestrians that SkateStoppers are installed. For specific rec:or-hmendotions on the language that your sign should contain, seek the advice of your Risk Managerront Department or legal counsel. 4 Data: 1/28/2009 Time: 9:01 AM To: 6194725637 40 6194725637 CSIA 949-588-8348 Page: 003 ACORQ CERTIFICATE OF LIABILITY INSURANCE DTi27/2009) PRODUCER (949)472-6560 FAX (949) 588-8348 Cal i fornia Southwestern Insurance Agency License Number 0443354 21 Orchard Lake Forest , CA 92630 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 # INSURED Jimenez Inc. DBA: MJC Construction 3015 Sylvia St. Bonita, CA 91902 NSURFRA North American Capacity Ins Co $NSUW RU NSURERC NSURLRD i NSLJf1 R 1. OVERAGE 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 17R ADD'L _NSRn TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE fMM10DlYYL POLICY EXPIRATION OATS (dlA1DONYt LIMITS A GENERAL LIABILITY COMMI RCIAI GI NI HAL I IAU'I I I Y PNG000287302 08/24/2008 08/24/2009 LACK OCCURRFNCF $ 1, 000, 000 X DAMAGE 1 O RFNIT I) PRI M•SFS 11 a c acirenc e, $ 50,000 Cl. AINS MADE X OCCUR MFD FXP (Any one person) $ 5 , 000 PLRSONAL & ADV .NJURY $ 1,000,000 GLNLRAL AGGRI GA i F $ 2,000,000 (I N't AGGRI GA' 1 L.M. i APPLES PLR PRODUCTS COOP/OP AGG S 2,000,000 )71 POLICY n J71' n LOC AUTOMOBILE UABILITY ANY All'O Al I OWNFD AU -OS SCI :LOULL.D AU i OS 11 RI D AU IOS NON • O W NFO ALTOS COMU'NI D S NGI F I MI? (Fa accident; $ BOUII Y,N.ILRY (Per person) $ BO0.1 Y INJURY (Per arexlnnt ) $ PROPL.R: Y DAMAGI (1'er accident) S GARAGE LIABILITY ANY Al, O AU i O (NCI Y E A ACCIDFN i $ OTHER 'HAN f A ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABLITY EACH OCCLHRI NCL $ OCCUR CLAMS MARL AGGRLGA: L $ DF.UU:' •Ift L RI TIN -.ON $ S $ WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PR(I ONJPARI NL.WE XFCO; IVI OFF.CCRiVE ME31 R I XCI UM D? f yes describe under SPI_C.AL PROV:S OHS below WC 5-KrU 0I1'• ORY L IV TS LR FI fA()I ACC ULN:PROWL FI O•SFASF FA FMPLOYEL $ f I (MI ASP • POI.'CY 1 M.' $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES/ EXCI,USIONS A ED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is nameas additional Insured, with primary wording, per attached endorsement CG2010 11/85 with respects to General Liability only. *Except: 10 day notice of Cancellation for non payment of premium. CE RTIFICATE HOLDER City of National City Attn: Javier 1243 National City Blvd National City, CA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL " 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR [LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Jaclyn Vazquez/JRV ACORD 25 (2001/08) FAX: (619)472-5637 ©CORD CORPORATION 1988 Date: 1/28/2009 Time: 9:01 AM To: 6194725637 R 6194725637 CSIA 949-588-8348 Page: 004 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) CSIA 949-588-8348 Page: 005 , Dete:,1/28/2009 Time: 9:01 AM To: 6194725637 4 6194725637 ACORQM CERTIFICATE OF LIABILITY INSURANCE 01/2 /2009' PRODUCER (949)472-6560 FAX (949) 588-8348 Cal i fornia Southwestern Insurance Agency License Number 0443354 21 Orchard Lake Forest, CA 92630 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Jimenez Inc 3015 Sylvia St. Bonita, CA 91902 ,NSURERA Mercury Casual ty 11908 INSURF_RB INsuRE R C INSURER D. INSURER 1_ OVE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D'L TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE jMMIfNVYY1 POLICY EXPIRATION DATE f)AIAdlffYY1 LIMITS GENERAL LIABILITY COMMERCIAL. GLNI.RAI l IAUILI'Y E.ACFI OCCURRENCE $ DAMAGE' TO RENTED PRI TJ»SFS fFa rrriren: n) $ Cl AIMS MADF ❑ OCCUR ME D 1 XP (Any one person) $ E FRSONAI & ADV INJURY $ GL NE. RAI AGGRI-GALL S GEN'L AGGREGATE LIMIT APPLIES P1 R PRODUCTS - COMP/01' AGG $ POLICY n PRO ECf n IOC A AUTOMOBILE UABILITY ANY AU To AI.L OWNED AUTOS SCHEDULED AU' OS HNth D AL 'OS NON OWNED AU I OS AC11073058 07/30/2008 07/30/2009 COMB,Nr D SINGLE Lit,/ ' (la acc dant) $ 1,000,000 X BODII Y INJURY (Per person) $ 130Di1 Y ;N.IURY (Par accident) $ �� PROPFR1' DAMAGE (Per accident) $ GARAGE LIABILITY ANY ALTO AUTO 0131 Y • FA ACC:DEN' $ OTTIFR'IiAN EA ACC $ AUTO OM Y AGG $ EXCESS/UMBRELLA LIABILITY f:ACFI OCCURRENCE- $ OCCUR CI AIMS MADF AGGRE C,ATF $ DFOl1C 4A I 121 'FN T.ON $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PR(WR!l. t ORIPAR I NER/EXECI:' Ail.F Off •CFRMEMBER EXCLUDED'? ,1yes describe undrx SPE CIAL. PROV SONS below INC S'AIU•I V" I ORYL MiiS FR I FAC.H ACCIDENT $ h 1 D,SFASF • EA EMPLOYE f $ E I. DISEASE_ ROl ICY 1..M,T $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 3 SPECIAL PROVISIONS CE RTIFICA TE HOLDE CE CAN LLATIQN City of National City Attn: Javier 1243 National City Blvd National City, CA 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 LEF1 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Jaclyn Vazquez/JRV ACORD 25 (2001/08) FAX: (619)472-5637 ©ACORD CORPORATION 1988 Date:,1/2,8/2009 Time: 9:01 AM To: 6194725637 @ 6194725637 CSIA 949-588-8348 Page: 006 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 (2001f08) Date: 1/2.8/2009 Time: 9:01 AM To: 6194725637 A 6194725637 CSIA 949-588-8348 Page: 007 POLICY NUMBER. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period (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, hut only with respect to liability arising out of "your work" for that insured by or for you. Coverage provided by this policy to the Additional Insured(s) shown in the Schedule shall be primary insurance and any other insurance maintained by the Additional Insured(s) shall he excess and non-contributory, but only if required of the Named Insured and by written contract CG 20 10 11 85 Copyright. insurance Services Office. Inc 1984 Page 1 of 1 0 Applied underwriters 1/28/Z009 9:46:16 AM PAGE 1/001 Fax Server ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MPNOLVTYYY) 01/28/2009 PRODUCER AU Insurance Services 10825 Old Mi11 Rd Omaha, NIL 68154-0646 (877) 234-4420 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSLRED Jimenez, INC. dba N J C Construction 1234 Nolan Ave Chula Vista, CA 91911-3724 CTL 1273 442627 INsuRERA:California Insurance Co. 38865 NSURER 6: INSURERC' INSURER D. INSURERE: 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 OFANY CONTRACTOR OTHER DO,,UMFNT WITH RFSPEC I TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, FXCLUSIONS AND CONDITIONS OF SUCH PO'ICIES. AGGREGATE LIMITS SIIOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADO'L LTR NSRD TYPE POLICY P3UCYEFFECTNt DATE FMM/DDMD .POLICYEXPIRAT W DATE (MM/DONY) LIMITS GENERAL LIABILITY EACH OCCURANCE S • -;I KI/IG-E TO H_-1I EU COM MERCUL GENERAL_IA9U.RY PREMISES (F..aocctranca) $ ' CLAIMS MADE OCCUP. MED EXPiary "MR pawn) $ PERSO":AL & ACV INJURY S GENERAL AGGREGATE $ CE\'L - AGGREGATE L MIT APPLIES PER. PROuuCIS - CCMEIO1' AGG S 1 POLICY , iPEa 1 !_CC AUTOMOBILE LIABILITY COMEINED SINGLE LIMIT ANY AUTO (`a act'dent) _ PLL OWYEJ AJTOS BODILY INJURY 5 SCMLUULEU AUTOS (Per person) H'HEDAUI OS BODILY INJURY NON -OWNED AUTOS (Per accidern) PROPERTY OAMAGE (Par aecdera) $ GARAGE LIABILITY AU ICJ ONLY - EA ACCIDENT $ I ANY AUTO OTI•ER THAN EA ACC $ AU TO ONLY. A0G $ EXCESSNIABRELLA :IABIUTY EACH OCCURENCE $ OCCUR i 1C'_a MSMArF ACORrGAIC $ DEDUCTIBLE $ HE. EN I1ON 5 $ % WORKERS COM,ENSATION AND WC S ATU- I 'O-H- 1• X TQRY .;MITE n EMPLOYERS' JABILITY _ EI-FACHACCIDENI $ 1,01)0,000 ANY PROPRIETOR,PARTNER/EXECUTIVE 46-004310-01-04 06/01/08 06/01/09 A OFFICEHIMI:MBLH EXCLUDED? E.L. DISEASE- EA EMPLOYEE $ 1, 000, 000 N yyas. dai-rlb0 ;,nder I SPFCIAI PH'1VISKINS rek'w F.L. D;SCASE- POLICY LIMB~ $ 1, 000, 000 cTHEH DESCRIPTION LW OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENCORSEMENT / SPECIAL PROVISIONS All Operations. CERTIFICATE HOLDER CANCELLATION City Of National City 1243 National City Blvd. National City, CA 91950 SHOULD ANY OF THE ABOVF OFSCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSJING INSURER WILL ENOFAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE -FOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO CBLIUATION OR LIABILITY OF ANY KIND UPON TIE INSURER, ITS AGENTS OR REPRESENTATIVES ACORD 25 (2001/08) AUTHOREED REPRESENTATI1fj2 - ACORD CORPORATION 1988 0078336 N OFFICE OF THE CITY CLERK 1243 National City Blvd., National City, CA 91950 619-336-4228 phone • 619-336-4229 fax MJC CONSTRUCTION Paradise Creek Educational Park Skate Stoppers Installation Tess Corpuz (Engineering) Forwarded Copy of Agreement to Contractor