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Home My WebLink About2009 CON CDC Romero's Roofing Service - Historic Depot Roof Repair1 1 INFORMAL CONTRACT AND GENERAL PROVISIONS CONTRACT AGREEMENT — PUBLIC WORKS Project Name: Historic Depot Roof Repair THIS AGREEMENT is entered into this 13 day of April, 2009, by and between the Community Development Commission of City of National City, hereinafter referred to as "CDC", and ROMERO'S ROOFING SERVICE, INC., hereinafter referred to as "CONTRACTOR". THE CDC AND CONTRACTOR AGREE AS FOLLOWS: 1. Project. The CONTRACTOR hereby agrees to commence and complete the following construction project: PROJECT NAME: Historic Depot Roof Repair. LOCATION: 922 W. 23`d Street, National City, CA 91950. WORK TO BE PERFORMED: Repair damaged roof, 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 "A" shall not exceed $4,434 (the Base amount) without prior written authorization from the Executive Director. 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 "A", as determined by the CDC. 3. Documents. The CONTRACTOR shall maintain all books, documents, papers, 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 CDC and for furnishing of copies to the CDC, if requested. 4. Contractor Expenses. For all work set forth in the contract, including General and Special Provisions and plans, 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 "A". 5. Additional Contract Documents. The General Provisions and Special Provisions of this contract and the corresponding plans, which include all maps, plats, blueprints, other drawings, and printed or written explanatory matter are made a part hereof and collectively evidence and constitute the Contract. 6. Commencement. The CONTRACTOR hereby agrees to commence work under this Contract within on or before MAY , 2009, and shall complete the Project within 30 working days. The CONTRACTOR 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. 7. 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, San Diego Regional Drawing. 8. 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. A Business License is not required for a supplier who delivers material and/or equipment to the Contractor's subcontractor's vehicle or with a common carrier. 9. 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 limits of $1,000,000 per occurrence/$2,000,000 aggregate, covering all bodily injury and property damage arising out of its operations under this Agreement. 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 insureds, 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 $1,000,000 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 insureds, 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, and employers' liability insurance with limits of at least $1,000,000 per accident. In addition, the policy shall be endorsed with a WAIVER OF SUBROGATION IN FAVOR OF THE CITY. Said endorsement shall be provided prior to commencement of work under this Agreement. D. The aforesaid policies shall constitute primary insurance as to the CDC, its officers, employees, and volunteers, so that any other policies held by the CDC 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 "claims made" rather 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. 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 2 approved by CDC'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 CDC'S Risk Manager. If the CONTRACTOR does not keep all of such insur- ance policies in full force and effect at all times during the terms of this Agreement, the CDC 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 CDC. The Certificate Holder on all insurance certificates shall be: Community Development Commission of City of National City 1243 National City Blvd National City, CA 91950-4301 10. Bond. The CONTRACTOR shall provide the payment bond for 100% of total construction cost. 11. Underground Service Alert (Dig 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. 12. Prevailing Wage. The CONTRACTOR is required to comply with the Section 1771 of the Labor Code regarding the General Prevailing Wage rates. 13. Construction Debris. The CONTRACTOR shall promptly remove all debris and salvageable material in compliance with the CDC'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. 14. The CONTRACTOR shall so conduct his operations as to offer the least possible obstruction and inconvenience to the public. 15. 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. 16. 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%. 17. 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 Executive Director. 18. No material shall be transported to any other site in National City without obtaining an additional permit. 3 19. National City streets shall be kept clear or spillage, dust, dirt, mud, etc. 20. Improvements installed by CONTRACTOR that do not meet CDC requirements as to design, location, or construction, shall be modified or removed to meet CDC requirements, as directed by the Executive Director. If CONTRACTOR fails to act upon notice from the Executive Director, the CDC can act for applicant and charge CONTRACTOR for correction of remedial work. 21. 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 By: ROMERO'S ROOFING SERVICE, INC. (Corporation - signatures of two corporate officers) (Partnership - one signature) (Sole proprietorship - one signature) By: Br xecutive Director ,Game) rRAMA)Do C . %Comtn2-o (Print) P1ze5 I E 37 4 (Title) ame) (11.,8I ro g. /C4/1 tf Z o (Print) V•iZecl�e�7`ji (Title) CONTRACTOR'S INFORMATION Licensed in accordance with ) an Act providing for the ) Registration of Contractors ) ) License No. 1:/16.,qJ37 : .r ) Class (. -3y ) Expiration Date 9/cs0 , 20pj1_ ) gplyje //q14 lc., (0/9) �9y /�099 No. 4 /VD National City Business License No. 32 90 Pro - Federal I.D. No. CORPORATE CERTIFICATE I, f\Ifliey )R9A'li,b, certify that I am the Secretary of the Corporation named as the CONTRACTOR in the foregoing Contract: that 7 who signed said Contract on behalf of the CONTRACTOR, was then 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 EXHIBIT "A" We Specialize in Quality...Not Quantity ROMERO'S ROOFING SERVICE, INC. se. 19a 1 827 CLEVELAND AVENUE NATIONAL CITY 91950 FREE ESTIMATES (619) 474-6016 • FAX (619) 474-6099 LICENSED, BONDED AND INSURED • REFERENCES STATE LICENSE NO. 462572 FERNANDO C. ROMERO - PRESIDENT /� . Date 3// 8 To C rrY Of NIIATIOIJAL, CITY p r,J: Co1_6Y 7oulu(. • PRoTECTmANAberLIREDEvELOPfoalrOivISlOA- JOB AT ? ZZ W • .2,3" - $T. Ai, rioNAtr CITY, CA 9/95O * 14iSro1Z1C TTA1kJ DEPOT- - Telephone (619) 336 • Lf d2 9 7 Dear Customer, �2j___propose to furnish all materials and perform all labor necessary to complete the following: AMENDED epwr c7-: ('_lE,^) ROOF SuAnicEOf Au, DE4/11.S'; ear,LoiJb &of 06E- PE72.1mcrem /7ND EmovE—' L k1STwN6 meThl, FOSHIAib} 1 NSeec-r THE Co,vD,71o&0 0r 7 FLAs'nIA16 Au° I?EPLACE ANY �nmAbeD PrEee'S AS AJEEDEJO; APPLY ONE Loma- Of JOHIJS tY/ AJuILLE #02.8 ASPNACT' CIoA D BASC uNoext AVm ; TORCN,Dow,J °NE PLY • LAYE1Z OF D (817Er) Moo1FIr,-D /31runiErJ YY• S mL qPP "SmoorH" &LS' 0vE-,t.. Eoun2 - FLf1r QAoF SULFAcr, ToaCHDown.) (SECOND PL Y • LAYEr.._ OF V I&17L2n.J I'' ODIFIEV Q ITvinEx) 11 • S /YI/L " 6RANULA/tv" emo Rol- S 7D COM P LE7e V t 8 i ro J A -PLY Tb 2C H 0 cA.m Rcor Sys- ; PQ OP EaL'e 3 Er3 L rlt..c_ A a-t'rIS _OF FI A- PCOF Tb LOIATErLeRooF; PE • I0STAu1 6o,0 1UteD METAL FLASHW(, WITH TOQCI{ Dow+-) CAP SHOT ovOLLAPPixg, ED 02 Et -vow( WATh'TL Qt)N OJ=F OJT SHIN C REPLACE MIs51Nb Cove"n- T F#ATcH of RooF. Our LABOR is GUARANTEED for 5- years. The MATERIAL is warranted for ate year(s). BY MANUFACTURER all material is guaranteed to be as specified. All work above is to be completed in a workmanlike manner according to standard practices for the sum of: too TovsA1iDFv2.WviuokelTlar %v2 DOLLARS $ L/,413 o0 20 O 9 All agreements must be in writing and are contingent upon strikes, accidents, and delays beyond our control. Any alteration or deviation from specifications involving extra costs will be done only if in writing, and will become an extra charge over and above the original proposal. Respectfully submitted by: ara.40 C. ficyyttig--- Contract to be paid in full on completion of work, but no later than 10 Days after work is completed. A finance charge of 11/2 96 monthly and/or 1896 annually will be computed on unpaid balances after 10 days. If you accept this proposal: Please Sign Here X Date 04/12/2009 14:07 7603465702 CDIB PAGE 01/02 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIOO(YYYY) 0411312009 •RooucER ;rely Daugard Insurance Brokers #0C48699 W-100 Monterey Ave. Suite 206 'alm Desert CA 92260 'HONE # (760) 346-2480 FAX # (760) 346.502 NSUREO ROMERO'S ROOFING SERVICE 1827 CLEVELAND AVENUE NATIONAL CITY CA 91950 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 # INSURER A NATIONAL CONTRACTOR INSURANCE CO. I — INSURER B, INSURER C' INSURER D' INSURER E. COVERAGES THE POLICIES ANY REQUIREMENT, MAY PERTAIN. POLICIES. OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE TERM OR CONDITION OF ANY CONTRACT OR OTHER THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSURED NAMED ABOVE DOCUMENT WITH IS SUBJECT FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING RESPECT TO W41CH THIS CERTIFICATE MAY BE ISSUED OR TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH I150. 1 TR O'L NIRO APE OF 1NRURANCE POLICY POLICY NUMBER EFFECTIVE DATE IMMmLVY) POLICY EXPIRATION DATE jMWTID/YY) UMITS A GENERAL X LIAOILITY COMMERCIAL GENERAL LIABILITY GLF000009883.01 06107108 06107I09 EACH OCCURRENCE S 1 000,0011 DAMAGE TO RENTEDEgEmISES_LF.ssXur9 S 50,000 CLAIMS MADE I X 1 OCCUR MED EXP (Any one prraenJ $ 5 000 GENL X PERSONAL 1 ADV INJURY S 1,000,000 GENERAL AGGREGATE 3 2,000,000 AGGREGATE LIMIT APPLIES PER. r LOC POLICY PRO- I dLS-T 1 PRODUCTS • COMP/OP AGG _ S 1,000,000 -- AUTOMOBILE UABIUTY EeCMeccINED ident91NGLE LIMIT S BODILY INJURY (Per pereon) s `.. BODILY INJURY (Pcvactident) 3 , PROPERTY DAMAGE Per Accident $ ' — - — GARAGE 1 LIABILITY ANY AUTO AUTO ONLY • EA ACCIDENT S EA ACC S OTHER THAN AUTO O G EXCESSIUMBRELLA iOCCUR LIABILITY h CLAIMS MADE EACH U AGGREGA E DEDUCTIBLE RETENTION $ $ 1 _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORMARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? if ea do3tnIe Under SPECIAI,PP..OVIS.I {Stx>aw f(Y)1 I IhdTQ I TWC STATU- II OTH• E.L EACH ACCIDENT E L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT — S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER ATTACHED COMPANY ENDORSEMENT PROJECT LOC: 922 WEST 23RD ST., NATIONAL CITY CA 91950 PROJECT DES: ROOFING HISTORIC TRAIN DEPOT •10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM CERTIFICATE HOLDER CITY OF NATIONAL 1243 NATIONAL CITY BLVD. NATIONAL CITY, CA 91950 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIESOCCANCELLED 9C ORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THR INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORI:ED REPRESENTATIVE <MP> ACORD 25 (2001/08) ACORD CORPORATION 1988 04/13/2009 MON 14:12 [JOB NO. 9060I fiZ1001 04/13/2009 14:07 7603465702 CDIB PAGE 02/02 Policy Number • Named Insured Effective Date GLF000009883-01 Romero Roofing Services Inc 06/07/2008 ENDORSEMENT BLANKET ADDITIONAL INSURED This endorsement changes the policy. Please read it carefully. A. Section 11 — Who is an insured is amended to include as an additional insured any person or organization that the named insured has agreed in an "insured contract" to name as an additional insured with respect to the general liability coverage provided under this policy. Such person or organization is an additional insured provided the "bodily injury" or "property damage" occurs subsequent to the execution of the "insured contract." Such person or organihtirn is an additional insured only with respect to liability for the "bodily injury" or "property damage' which is caused in whole by the negligence of the "Named insured" during the policy term in the course of ongoing operations by the "Named Insured" for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when the "Named Insured"'s work or operations for that additional insured are completed or this insurance policy expires, whichever is earliest. The applicable limit of insurance provided under this insurance policy shall not be increased by the inclusion of any number of additional insureds. The coverage provided for the additional insured is only to the extent the additional insured is held legally liable for the negligence or strict liability of the "Named Insured". No coverage is provided for liability based upon the acts. errors or omissions of the additional insured. B. With respect to the insurance afforded to these additional insureds. the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury" or "property damage" occurring after all work by the "Named Insured" including materials, parts, or equipment fiirnished in connection with such work, (other than service, maintenance or repair) at the site location of the covered operations has been substantially completed. 2. That portion of "your work.-' out of which the "Bodily Injury" or "Property Damage" arises, that has either been put to its intended use by any person or organization. or is used by another contractor or subcontractor engaged in performing work on the project. . This endorsement does not modify the terms and conditions of the insurance policy. including all insuring agreements, except as specifically stated above. GI, OUDU4 Rev •I Y)6 04/13/2009 MON 14:12 [JOB NO. 9080) lZ 002 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: NAMED INSURED: ROMERO' S ROOFING SERVICE, INC ADDRESS OF NAMED INSURED: 1827 CLEVELAND AVE NATIONAL CITY , CA 91950 POLICY NUMBER 206 4791-C31-55 EFFECTIVE DATE OF POLICY 03-31-2009 09-30-2009 DESCRIPTION OF VEHICLE (Including VIN) 00 CHEVROLET c1500 PICK UP LIABILITY COVERAGE ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO /1 YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury Each Person 1MM Each Accident 1MM b. Property Damage Each Accident 1MM c. Bodily Injury & Property Damage Single Limit Each Accident PHYSICAL DAMAGE COVERAGES a. Comprehensive ❑ YES ❑ NO $ Deductible ❑ YES ❑ NO $ Deductible ❑ YES ❑ NO $ Deductible ❑ YES ❑ NO $ Deductible b. Collision ❑ YES ❑ NO $ Deductible ❑ YES ❑ NO $ Deductible ❑ YES ❑ NO $ Deductible ❑ YES ❑ NO $ Deductible EMPLOYERS NON -OWNED CAR LIABILITY COVERAGE ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO HIRED CAR LIABILITY COVERAGE ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO FLEET - COVERAGE FOR ALL MOTOR ED ICLESND I) MOTORjG6{iICLES /1 ❑. YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ O Signatur of Aut orized Representative Name and Address of Certificate Holder ADD'L INSURED CITY OF NATIONAL CITY #1243 NATIONAL CITY BLVD NATIONAL CITY, CA 91950 epr Title Agent's Code Number Name and Address of Agent STATE FARM INSURANCE SABRINA DIXON 1625 SWEETWA'1'ER RD #F NATIONAL CITY, CA 91950 (619) 336-4936 Da /4 INTERNAL STATE FARM USE ONLY: ❑ Request permanent Certificate of Insurance for liability coverage. 122429.3 Rev. 07-26-2005 ❑ Request Certificate Holder to be added as an Additional Insured. 04/14/2009 16:48 FAX f� 002/002 STATE COMPENSATION IN S U R A N C E CERTHOLDER COPY 5D P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 04-14-2008 CITY OF NATIONAL CITY 1243 NATIONAL CITY BLVD NATIONAL CITY CA 91990-a901 SD GROUP: 000713 POLICY NUMBER: 0022818-2008 CERTIFICATE ID: 27 CERTIFICATE EXPIRES; 01-01-2010 01-01-2009/01-01-2010 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 policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 3o days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and dose 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. ORIZED REPRESENTATIPRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: S1,000,000 PER OCCURRENCE. ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2008-04-14 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF NATIONAL CITY ENDORSEMENT 01500 - FERNANDO C. ROMERO PRES - EXCLUDED. ENDORSEMENT N1800 - GILBERTO ROMERO - VP - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2008 IS ATTACHED TO AND FORMS A PART OF THIS POLICY, ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2008-04-14 I5 ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME; CITY OF NATIONAL CITY EMPLOYER ROMERO ROOFING SERVICES, INC. 1827 CLEVELAND AVE NATIONAL CITY CA 81850 (REV.2-061 SD IPAR,CS] PRINTED : 04-14-2009 04/14/2009 TUE 16:51 [JOB NO. 9067] R1002 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 April 21, 2009 Mr. Fernando Romero Romero's Roofing Service, Inc. 1827 Cleveland Avenue National City, CA 91950 Dear Mr. Romero, On April 13th, 2009, an agreement was entered between the Community Development Commission of the City of National City and Romero's Roofing Service, Inc. We are enclosing for your records a fully executed original agreement. Michael R. Dalla, CMC City Clerk Enclosure cc: Community Development Commission ® Recycled Paper